Based on interviews, record review, and policy review, the facility failed to fully investigate an incident involving possible abuse including the use of an unnecessary physical restraint on a resident, which kept the resident from ambulating from a wheelchair (Resident #99 (R99). This had the potential to effect all residents in the facility. Findings: On [DATE] at 12:35 p.m., the State of Maine, Division of Licensing and Certification received an anonymous complaint alleging the facility was short staffed and CNAs (Certified Nursing Assistants) were tying residents to chairs. …
F610 citations in Maine
Investigating alleged violations · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Maine cites F610 less often than its own record predicts
0.52 times the national share — cited less often here than elsewhere.
Of every deficiency written in Maine in 2025, this is the portion that was F610.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maine surveyors wrote
F610 findings written in Maine, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on record review, facility Abuse Policy review, and interview, the facility failed to ensure that an investigation was completed for an undetermined injury of unknown origin (fracture of left arm) identified on 5/15/26 for 1 of 1 resident reviewed for fractures (Resident #1 [R1]). Finding: On 7/22/26, a review of R1's clinical record was completed. Documentation in a nurse note, dated 4/25/26, of a statement made by Certified Nurse Assistant #1 (C.N.A.1), indicated that while C.N.A.1 was changing R1's bed sheets, R1 rolled out of bed onto the floor. Documentation made by the Emergency Department (ED), dated 4/25/26 indicated the resident was there due to a fall out of bed. During this visit, an x-ray showed no injury to the left shoulder. …
The short window
Recent years
| Year | Share of Maine citations | vs expected |
|---|---|---|
| 2023 | 0.32% | 0.25× |
| 2024 | 0.92% | 0.64× |
| 2025 | 0.78% | 0.52× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maine surveyors cite →
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