Bangor Nursing & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Bangor Nursing & Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF686Dec 19, 2024

  Based on record reviews and interviews, the facility failed to ensure that a resident received monitoring and wound care for 1 of 3 residents reviewed with a pressure ulcer wound (Resident #42 [R42]). This lack of monitoring and wound care resulted in the pressure wound deteriorating and requiring a transfer and admission to the hospital for further treatment. Finding: On 12/6/24, the facility sent a reportable incident form to the State Agency alleging that Licensed Practical Nurse #1 (LPN1) documented that she had changed R42's pressure wound dressing on 12/2/24 and 12/4/24 but on 12/6/24, the pressure wound dressing was observed by Registered Nurse #1 (RN1), dated 11/30/24. On 12/16/24, R42's clinical record was reviewed. […]

• No harm, potential for more than minimal, widespreadF851Oct 26, 2023

  Based on record review and interviews related to mandatory submission of staffing information, the facility failed to ensure complete and accurate direct care staffing information based on payroll data was submitted to CMS (Centers for Medicare and Medicaid Services) for fiscal year quarter 3 (April 1 - June 30, 2023). This has the potential to affect all residents (51). Findings: Interview with the Administrator on 10/25/23 at 11:05 a.m. revealed that he/she is the responsible person for the submission to CMS of staffing information based on payroll data. Administrator verbalized, the finance/payroll department used to do this, but he got done in June 2023 and the Employee Experience Coordinator thought she had until the end of August 2023 to submit the data. […]

• No harm, potential for more than minimal, patternF584Jan 8, 2026

  Based on observations and interview, the facility failed to adequately provide housekeeping and maintenance services necessary to maintain the building in good repair for 1 of 1 environmental tour and failed to adequately provide housekeeping and maintenance services necessary to maintain an environment free from offensive odors. On 1/5/26 between 10:45 a.m. and 11:10 a.m., the following were observed on the Skilled Unit: In room [ROOM NUMBER], the divider curtain is unhooked in different places. In room [ROOM NUMBER]-2, behind head of the bed, the wall plaster has several gouge marks. In room [ROOM NUMBER], the trapeze over the resident's bed is soiled. In room [ROOM NUMBER], three red droplets are observed on the floor near the room sink. […]

• No harm, potential for more than minimal, patternF607Jan 8, 2026

  Based on employee record reviews, facility policy review, and interviews, the facility failed to implement its own Abuse, Neglect and Exploitation policy to ensure Maine background checks and references were completed for new employees before they were permitted to work for 4 of 7 sampled employees (Certified Nursing Assistant #1 [CNA1], [CNA2], [CNA3], and Therapist #1 [T1). In addition, the facility failed to implement its own Abuse, Neglect and Exploitation policy by not reporting to the state agency (Licensing and Certification) an allegation of resident-to-resident inappropriate sexual contact in a timely manner for 1 of 1 resident-to-resident incident reviewed Resident #28 [R28]). Findings: 1. […]

• No harm, potential for more than minimal, patternF657Jan 8, 2026

  Based on record reviews and interviews, the facility failed to ensure care plans were resident centered and updated accurately for 3 of 20 sampled resident care plans reviewed. (Resident #5 [R5], R17, R11). Findings:1. On 1/7/26, a review of R5's clinical record was completed. R5 had an indwelling Foley catheter and a pressure wound on the left heel and buttocks. On 1/7/26 at 9:00 a.m., an Enhanced Barrier Precautions (EBP) sign was observed hanging on R5's clothes closet and Personal Protective Equipment (PPE) was stored in the closet. A review of R5's current care plan addressed the pressure wounds and catheter, but there was no evidence that the care plan addressed that R5 is on Enhanced Barrier Precautions (EBP). […]