Kennebunk Center For Health & Rehabilitation, LLC

In the surveyor’s words

From the most serious findings on record at Kennebunk Center For Health & Rehabilitation, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584Apr 16, 2026

  Based on observations and interviews, the facility failed to adequately provide housekeeping and maintenance services necessary to maintain the building in a sanitary, orderly, and comfortable environment for the medication storage room and the laundry room for 2 of 4 days of survey. Findings: 1.On 4/13/26 from 11:15 a.m. to 11:30 a.m., a tour of the laundry room too place with the Director of Operations and Director of housekeeping where the following was observed and confirmed: - Chipped wood on the door of the folding table, making it an uncleanable surface. -2 broken floor tiles by the door that goes from the clean side to the dirty side along with a rusted door frame and missing sheet rock. -Chipped paint on the windowsill of the dirty side making it an uncleanable surface. […]

• No harm, potential for more than minimal, patternF656Apr 16, 2026

  Based on record reviews and interviews, the facility failed to ensure that a care plan was developed in the area of dementia care for 1 of 2 residents reviewed for dementia (Resident #55), and in the area of accidents for 1 of 4 residents reviewed for falls (Resident #9).Findings: 1.Review of Resident #55's medical record stated he/she was admitted to the facility in July of 2025 with a diagnosis of dementia. The most recent care plan dated 2/9/26 lacked evidence that a comprehensive care plan was developed in the area of dementia care. On 4/15/26 at 1:29 p.m. in an interview with a surveyor, the Regional Director of Clinical Operations confirmed this finding. 2. […]

• No harm, potential for more than minimal, patternF657Apr 16, 2026

  Based on record reviews and interviews, the facility failed to review and revise the care plan by an interdisciplinary team (IDT) meeting, which included the participation of the resident and resident's representative, after each Minimum Data Set (MDS) 3.0 assessment, for 7 of 21 residents whose care plans were reviewed (Resident #2, #7, #8, #23, #35, #40, & #79). Findings: 1. On 4/15/26 a review of Resident #2's medical record contained a quarterly Minimum Data Set (MDS) version 3.0 dated 1/16/26 and 10/16/25. The clinical record lacked evidence of his/her IDT meeting being held within 7 days of the Quarterly MDS assessment. 2. On 4/15/26 a review of Resident #35's medical record contained a quarterly Minimum Data Set (MDS) version 3.0 dated 3/4/26, 1/13/26, 10/2/25, and 7/3/25. […]

• No harm, potential for more than minimal, patternF684Apr 16, 2026

  Based on policy reviews, record reviews, and interviews, the facility failed to adequately follow physician orders for blood sugar checks before meals for 2 of 3 residents reviewed and failed to adequately follow the facility's policy for administering long-acting insulin for 1 of 2 residents reviewed (Resident #15, #43 & #69). Findings:The facility's Medication Pass Policy, last revised 9/24 states, it is the policy of the facility that medications are administered safely and timely per the physician's orders, and for facilities that support a 'liberalized' med pass, the following times may also be added: - Liberalized Med Pass Morning 7 AM - 11 AM - Liberalized Med Pass Lunch/Midday 11 AM - 2 PM - Liberalized Med Pass Evening 3 PM - 7 PM - Liberalized Med Pass Bedtime/HS 7 PM - 10 PM -… […]

• No harm, potential for more than minimal, patternF725Apr 16, 2026

  Based on record review, interview and Payroll Based Journal Report (PBJ), the facility failed to ensure it was sufficiently staffed on weekends for 1 of 1 quarters reviewed (10/1/25 through 12/31/25).Findings: Review of Center for Medicare & Medicaid (CMS) PBJ Report revealed the facility triggered for low weekend staffing during the first quarter (10/1/24 through 12/31/24). On 4/15/25 at 12:00 p.m., during a review of first quarter weekend staffing with a surveyor, the Administrator confirmed the facility was not adequately staffed for 5 of 39 days reviewed (day shifts).