Deficiency Index

Pinnacle Health & Rehab at Sanford

Sanford, Maine · CCN 205082

14 surveys since 2011, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
45
Surveys
14
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file10/14

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
86
Ownership
For profit - Corporation
Chain
Independent
County
York
Medicare-certified since
1993

CMS ratings

Overall
5
Health inspection
5
Staffing
4
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=13, floor 20).

Last survey on record

Feb 12, 2025

635 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.984.04
Registered-nurse hours per resident day0.54—
Annual nurse turnover41.9%49.7%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD541.7%E433.3%F—
No harm, potential for minimalA—B325.0%C—
CMS’s current file: 12 of the 45 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5843×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F7612×

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  • F6221×

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

  • F6251×

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

In the surveyor’s words

From the most serious findings on record at Pinnacle Health & Rehab at Sanford, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF656Feb 12, 2025

    Based on record review and interview, the facility failed to ensure a person-centered comprehensive care plan was developed in the area of Activities of Daily Living (ADL's) to meet the preferences and goals which included interventions for assistance needed for each resident to attaining or maintaining his or her highest practicable quality of life for 6 of 14 residents care plans reviewed. (Residents 6, 11, 21, 47, 55, 26, and 61) Findings: 1. Review of Resident #6's current ADL self-care performance deficit care plan lacked interventions which included the assistance needed for him/her in the area of eating, personal hygiene, transfers, lower body dressing, bathing, toileting, bed mobility and ambulating. 2. […]

  • No harm, potential for more than minimal, patternF755Feb 12, 2025

    Based on record reviews, observations and interviews the facility failed to establish a system of records of receipt and disposition of all controlled drugs in sufficient detail to enable an accurate reconciliation by failing to ensure that two people who are authorized to administer medications signed the Shift Count page indicating that they counted all controlled substances at the change of shift for multiple shifts, on 2 of 2 units reviewed. Findings: A review of the facility's Shift Count policy and procedure dated: 2/3/2000, stated under Procedure, 1. All schedule II-V medications will be counted at the change of each shift by the off-going and the on-coming nurse. 3. […]

  • No harm, potential for more than minimal, patternF842Oct 1, 2024

    Based on record reviews, interviews, and facility policy, the facility failed to ensure that clinical records were complete and contained accurate information for 1 of 5 residents records reviewed during complaint investigations (Resident 2). Findings: On 9/13/2024 at 10:19 a.m., the Department of Licensing received a complaint indicating ADL care was not being provided to Resident 2 as stated in the care plan. Review of facility policy Activities of Daily Living dated 1/1/95 states .Activities of daily living include bathing, dressing, ambulation and transfer, eating, and use of speech, language or other functional communication systems.the care plan will identify any unique needs or special treatment and services necessary to maintain or improve functional ability. […]

  • No harm, potential for more than minimal, patternF761Nov 15, 2023

    Based on observations, record reviews, and interviews, the facility failed to ensure proper medication and biological storage temperatures for 2 of 3 medication refrigerators in 1 of 2 medication storage rooms. Finding: On 11/14/2023 at 1:00 p.m., a surveyor observed the 2 medication refrigerators in the first-floor medication storage room. The upper refrigerator contained insulin, and 2 locked boxes for controlled liquid medications. The second refrigerator contained tuberculin purified protein derivative, influenza, and pneumococcal vaccines. Observation of the temperature logs for the medication refrigerators noted multiple shifts were lacking documentation. […]

  • No harm, potential for more than minimal, isolatedF761Feb 12, 2025

    Based on observation, interviews, and the Centers for Disease Control (CDC) guidance, the facility failed to ensure vaccines were stored in a refrigerator without a freezer compartment for 1 of 3 medication storage refrigerators. Finding: A review of the United States (U.S.) Centers for Disease Control and Prevention: Vaccine Storage and Handling Toolkit dated 3/24/24 stated .Do not store any vaccine in a dormitory-style or bar-style combined refrigerator/freezer unit under any circumstances. On 2/11/25 at 4:00 p.m., during an observation of the First Floor Unit's Medication Room, a surveyor observed a dormitory style refrigerator (small combination refrigerator/freezer unit that is outfitted with one exterior door). […]

Read 20 findings in full →The most serious and the most recent: 20 of 45 on record.

Every survey on record

FindingsAt actual harm or above

  • Feb 12, 2025Standard4 findings
  • Oct 1, 2024Complaint3 findings
  • Nov 15, 2023Standard and complaint2 findings
  • Mar 2, 2022Standard3 findings
  • Sep 20, 2021Complaint1 finding
  • Sep 19, 2019Standard3 findings
  • Jun 22, 2017Standard7 findings
  • Aug 4, 2016Standard and complaint2 findings
Show the 6 earlier surveys
  • Jun 17, 2015Standard2 findings
  • Apr 10, 2014Standard6 findings
  • Feb 27, 2013—3 findings
  • Jul 6, 2012—1 finding
  • Mar 9, 2012—4 findings
  • Feb 4, 2011—4 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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