Based on record reviews and interview, the facility failed to implement its Antibiotic Stewardship Program (ASP) that includes antibiotic use protocols and a system to monitor antibiotic use for 2 of 2 months reviewed (December 2025 and January 2026). This has the potential to affect all residents receiving an antibiotic.Finding:Review of the facility's Antibiotic Stewardship policy, Last Revised: 08/2024, indicated: 14. The [Infection Preventionist (IP)], or designee, will review antibiotic utilization as part of the antibiotic stewardship program and identify specific situations that are not consistent with the appropriate use of antibiotics. Therapy may require further review and possible changes if: a. The organism is not susceptible to the antibiotic chosen; b. …
F881 citations in Maine
Antibiotic stewardship · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Maine cites F881 more often than its own record predicts
1.09 times the share F881 takes of citations nationally.
Of every deficiency written in Maine in 2025, this is the portion that was F881.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maine surveyors wrote
F881 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, policy review, and interview, the facility failed to implement their Antibiotic Stewardship Program (ASP) related to tracking of infections, for 3 of 3 months reviewed (July, August, and September 2020). Finding: First [MEDICATION NAME] Healthcare Policy & Procedure: Antibiotic Stewardship Policy & Procedure, revised 5/2018, stated: Policy Statement: antibiotic usage and outcome data will be collected and documented using a facility-approved antibiotic surveillance tracking form. On 11/4/2020 at approximately 10:15 a.m., the Director of Nursing stated, I don't have anything for antibiotic stewardship and I don't keep a list of antibiotics. …
The short window
Recent years
| Year | Share of Maine citations | vs expected |
|---|---|---|
| 2023 | 0.32% | 0.68× |
| 2024 | 0.53% | 1.17× |
| 2025 | 0.52% | 1.09× |
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