Maine Veterans Home - Bangor

In the surveyor’s words

From the most serious findings on record at Maine Veterans Home - Bangor, in the surveyor’s own words.

• Immediate jeopardy, patternF600Mar 17, 2025

  Based on a review of the reports from Adult Protective Services (APS), the facility's internal investigations, facility policies, clinical record reviews and interviews, the facility failed to assess a resident (Resident#5 [R5]) for the ability to consent to sexual behavior with another resident (R6). The failure to assess R5 for the ability to consent resulted in R5 not being free from potential sexual abuse. Additionally, the facility failed to ensure that residents were free from verbal and physical abuse by a Certified Nursing Assistant (CNA) for 3 of 3 residents reviewed for abuse. This failure created an immediate jeopardy situation. […]

• Actual harm, isolatedF600May 6, 2024

  Based on record review and interviews, the facility failed to protect a resident ' s right to be free from physical abuse by staff, when a Certified Nursing Assistant (C.N.A.) held a residents arms down during care, causing the resident to sustain bruising on arms and causing the resident to be angry for 1 of 1 residents reviewed (Resident #1 [R1]). Finding: On 5/6/24, R1's clinical record was reviewed. The record indicated R1 was diagnosed with dementia, anxiety, severe agitation, and psychosis and resides on the secured [memory care] unit. A nurse note, dated 4/3/24, indicated that the R1 had new bruises on his/her left upper and lower forearm and a bruise on the upper right arm. […]

• No harm, potential for more than minimal, patternF755Aug 14, 2025

  Based on facility policy review, record review, observation, and interviews, the facility failed to ensure administration of medications for 2 of 3 sampled residents using insulin were done correctly and in accordance to their medication administration policies (Resident #33 [R33] and R30). Facility's Medication Administration policies and procedures that was provided by their Pharmacy with a revision date of October 2017 titled Policies and Procedures Pharmacy Services for Nursing Facilities Section II- Medication Administration lists the following steps for medication administration: On page 87 Section B under number 4. When medications are administered by mobile cart taken to the resident's location medications are administered at the time they are prepared. […]

• No harm, potential for more than minimal, patternF908Aug 14, 2025

  Based on observations and interview, the facility failed to ensure that the a ware washer was maintained in good repair and in safe operating condition on 1 of 2 units (D-Unit).On 8/11/25 at 11:45 a.m., a surveyor observed a wet bath blanket on the floor in front of the ware washer in the D-Unit kitchenette. A Food Service Worker (FSW) put dirty dishes in the ware washer and turned the washer on. Once turned on, hot, steaming water spewed out from the bottom of the washer door onto the bath towel on the floor. At that time, in an interview with the FSW, she stated it has been that way for a while. On 8/11/2025 1:47 p.m., during an interview with a surveyor, a FSW stated that the dishwasher leaked which is why the towels were currently on the floor. […]

• No harm, potential for more than minimal, patternF609Mar 17, 2025

  Based on a review of the Nursing Facility Reportable Incident submitted to the Division of Licensing and Certification (DLC) on 2/26/25, the incident report from Adult Protective services on 2/26/25, the facility's internal investigations, written statements by staff, facility policies, clinical record reviews and interviews, the facility failed to ensure staff reported allegations of psychological, physical, verbal, and sexual abuse immediately for 4 of 4 residents reviewed during complaint investigations, (Resident #1[R1], R2, R3, and R5) and failed to report an injury of unknown origin for 1 of 3 residents sampled R3. […]