Maine Veterans Home - Scarborough

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF689Aug 31, 2023

  Based on observations and interview, and review of Material Safety Data Sheets (MSDS) the facility failed to ensure that the residents environment was free of accident hazards relating to a patient lift and a missing a safety clip for 1 of 3 days of survey (8/28/23), failed to ensure that smoking saftey assessments for 6 of 6 residents who smoke were completed (Residents #'s 8, 18, 25, 63, 74, and 85), and failed to ensure that wood working equipment and tools were properly secured for 3 of 4 days of survey (8/28/23, 8/29/23, and 8/30/23). Findings: 1. On 8/28/23 at 6:50 a.m. a surveyor observed an Viking XL patient lift on the B Unit that was missing a safety clip that secures the lift pad on the swing arm when in use, on the small bar. In an interview with C.N.A. […]

• No harm, potential for more than minimal, isolatedF557Jun 17, 2025

  Based on staff interviews, written statements and review of the facility's internal investigation, the facility failed to ensure that 1 of 3 residents reviewed for dignity (Resident #1) was treated with respect during care provided after a fall. Finding: Resident #1 experienced two falls on 5/26/25. The first fall, at approximately 11:25 a.m., was documented as a loss of balance. Staff appropriately used a mechanical lift to assist Resident #1 from the floor in accordance with the facility's no-lift protocol. The second fall, at approximately 4:50 p.m. near the nurse's station, was witnessed by Certified Nursing Assistant #1 (CNA), who observed the Resident #1 fall to his/her right side. CNA #1 responded immediately and held the resident's head until CNA #5 arrived. […]

• No harm, potential for more than minimal, isolatedF557Nov 20, 2024

  Based on record review, observation, and interviews, the facility failed to ensure that a resident was treated with dignity and respect for 1 of 26 residents reviewed. (Resident #44) Finding: Review of Quarterly Minimum Data Set (MDS), dated [DATE], revealed Resident #44 has a Brief Interview for Mental Status (BIMS) 15 of 15 indicating he/she is cognitively intact. On 11/18/24 at 9:57 a.m. observation of Registered Nurse (RN) #1 giving Resident #44 medications via Percutaneous Endoscopic Gastrostomy (PEG) Tube. Privacy was not provided as the bedroom door was open, the surveyor observed residents and staff passing the room at this time. […]

• No harm, potential for more than minimal, isolatedF584Nov 20, 2024

  Based on observations and interviews, the facility failed to adequately maintain maintenance services necessary to maintain the facility in good repair and sanitary condition for three of three units. Findings: On 11/0/24 at approximately 10:00a.m. during the environmental rounding with the Facility Manager and the Administrator the following concerns were found: Unit A Dirty ceiling tile outside room A9/10 Dirty ceiling tile outside room A11/12 Stained ceiling tile outside room A13/14 Stained ceiling tile outside room A28 Dirty ceiling tile outside room A33/34 Unit B Dirty ceiling tile outside room B5/6 Bathroom for rooms B12, B10 and B9 where the tile meets the floor is dirty Bathroom for rooms B16 and B15 dirty floor Bathroom for rooms B22, B21, B20 and B19 is dirty, where tile meets… […]

• No harm, potential for more than minimal, isolatedF761Nov 20, 2024

  Based on observations and interviews, the facility failed to adequately store, date and properly dispose of open biologicals according to manufacturer specifications in 2 of 2 medication carts observed on 1 of 3 units (Unit C). Findings 1. On 11/18/24 at 12:17 p.m., observation of Unit C's medication cart for rooms 21-40 with the Registered Nurse (RN #1), the surveyor noted an opened bottle of Acidophilous with manufactures directions of refrigerate after opening and an undated Lantus/Glargine pen with manufactures directions of, use within 28 days after initial use. At this time, RN #1 confirmed the Acidophilous was not stored according to manufacturer's directions and the Insulin pen was not dated with an open date. 2. […]