Based on observations, record review, and interviews, the facility failed to ensure a resident's comprehensive care plan was developed and implemented to reflect the current needs of the resident in the area of smoking for 1 of 3 sampled residents reviewed during a complaint investigation (Resident #1).Finding:Facility policy, Smoking Policy-Residents, revised 3/2025 states, .Any smoking-related privileges, restrictions, and concerns (for example, need for close monitoring) are noted on the care plan.Resident #1 has diagnoses including dementia and tobacco use.A review of Resident #1's Smoking and Safety Assessment, dated 2/24/26, states, Supervision, designated smoking location, and smoking times are determined by facility policy. …
F656 citations in Maine
Comprehensive care plan · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Maine cites F656 more often than its own record predicts
1.40 times the share F656 takes of citations nationally.
Of every deficiency written in Maine in 2025, this is the portion that was F656.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maine surveyors wrote
F656 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 update/implement goals and interventions in the area of behaviors when a resident was observed wandering into rooms and pushing other resdients in wheelchairs without their consent for 1 of 3 residents reviewed for care plans (Resident #27). Findings: Resident #27 was admitted to facility on 5/20/22 with diagnoses to include dementia and major depressive disorder and resides on a locked unit for safety. During 5 observations between 2/26/23 at 11:04 a.m. and 2/27/27 at 2:45 p.m., Resident #27 was observed self-propelling in a wheelchair, wandering in residents' rooms and attempting to push other residents in their wheelchairs without their consent. …
The short window
Recent years
| Year | Share of Maine citations | vs expected |
|---|---|---|
| 2023 | 2.84% | 0.79× |
| 2024 | 4.60% | 1.35× |
| 2025 | 4.83% | 1.40× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maine surveyors cite →
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