Based on observations, record review, and interviews, the facility's Quality Assurance Committee failed to ensure that the Plan of Correction for identified deficiencies from the Annual Long Term Care Survey Process for Federal Recertification, dated 5/14/26, were effective. The Federal citations F584 and F812 were cited again for the same concerns during the follow-up survey completed on 7/7/26.At the annual recertification survey completed on 5/14/26, deficiencies F584 and F812 were cited. During the follow up survey on 7/7/26, it was determined that F584 and F812 would be recited for the same concerns: 1. …
F867 citations in Maine
QAPI improvement activities · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Maine cites F867 more often than its own record predicts
2.78 times the share F867 takes of citations nationally.
Of every deficiency written in Maine in 2025, this is the portion that was F867.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maine surveyors wrote
F867 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.
The short window
Recent years
| Year | Share of Maine citations | vs expected |
|---|---|---|
| 2023 | 0.95% | 1.62× |
| 2024 | 0.92% | 2.04× |
| 2025 | 0.91% | 2.78× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maine surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction