Based on interview, record review, and facility policy, the facility failed to ensure a baseline care plan was developed and implemented within 48 hours that included the problems, interventions, and initial goals needed to provide minimum healthcare information necessary to properly care for 1 of 4 residents reviewed for baseline care plans. (Resident #4).Findings: Review of policy Baseline Care Plan Policy and Procedure revised 3/17/23 noted: .The baseline care plan must (i) Be developed within 48 hours of a resident's admission ., (ii) include the minimum healthcare information necessary to properly care for a resident including, but not limited to: a. initial goals based on admission orders, b. Physician orders-Code status, c. dietary orders, d. therapy service e. …
F655 citations in Maine
Baseline care plan · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Maine cites F655 more often than its own record predicts
4.18 times the share F655 takes of citations nationally.
Of every deficiency written in Maine in 2025, this is the portion that was F655.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maine surveyors wrote
F655 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 reviews and interviews, the facility failed to provide resident/resident representative's with a summary of their baseline care plan for 3 of 4 residents reviewed for baseline care plans (Resident #3 [R3], R5, R61). Findings: 1. On 2/25/26, a review of R3's clinical record was completed. A baseline care plan was completed within 48 hours of R3's admission. There was no evidence that a summary of the baseline care plan was provided to the resident or the resident representative. On 2/25/2026 at 12:35 p.m., in an interview with the surveyor, the Director of Nursing [DON] stated that they do not provide a copy of the baseline care plan to the resident or the resident representative. …
The short window
Recent years
| Year | Share of Maine citations | vs expected |
|---|---|---|
| 2023 | 2.21% | 2.76× |
| 2024 | 1.97% | 2.86× |
| 2025 | 2.74% | 4.18× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maine surveyors cite →
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