Deficiency Index

Seal Rock Healthcare

Saco, Maine · CCN 205103

20 surveys since 2010. The first finding at harm level was recorded in 2025.

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

Citations on record
69
Surveys
20
Harm or worse
1
Immediate jeopardy
1
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file14/20

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

The facility

Certified beds
105
Ownership
For profit - Corporation
Chain
FIRST ATLANTIC HEALTHCARE
County
York
Medicare-certified since
1993

CMS ratings

Overall
2
Health inspection
2
Staffing
4
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 56 for-profit facilities in Maine.

Last survey on record

Apr 3, 2026

220 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 day4.484.34
Registered-nurse hours per resident day0.84—
Annual nurse turnover56.3%48.6%

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

Enforcement

Fines
$75,433 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K13.4%L—
Actual harmG—H—I—
No harm, potential for more than minimalD1137.9%E1241.4%F—
No harm, potential for minimalA—B413.8%C13.4%
CMS’s current file: 29 of the 69 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7613×

    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.

  • F5842×

    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.

  • F6772×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F6842×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

In the surveyor’s words

From the most serious findings on record at Seal Rock Healthcare, in the surveyor’s own words.

  • Immediate jeopardy, patternF880Apr 2, 2025

    Based on observations, interviews and record review, the facility failed to identify and implement isolation/contact precautions for residents who were exhibiting symptoms of gastroenteritis and failed to follow the Nurse Practitioner's recommendation to ensure that Personal Protective Equipment (PPE) supplies were available for use for these residents. In addition, the facility failed to ensure all staff were knowledgeable about which residents were experiencing these symptoms and ensure PPE were used while providing care. […]

  • No harm, potential for more than minimal, patternF578Apr 3, 2026

    Based on record reviews and interviews, the facility failed to ensure that the resident and/or resident representative was provided with written information, concerning the right to accept or refuse medical or surgical treatment and/or formulate an advanced directive, or appoint a surrogate, was completed for 10 of 23 residents reviewed for advance directives (Resident #1, #6, #8, #17, #36, #50, #89, #103, #107, and #110). 1.Resident #1 was admitted to the facility in January of 2026. A review of the resident's electronic medical record and their paper medical record lacked evidence that the facility offered, reviewed, or provided written information concerning the right to formulate an advanced directive to the resident and/or resident representative. 2. […]

  • No harm, potential for more than minimal, patternF602Apr 3, 2026

    Based on interview and record review, the facility failed to ensure a resident remained free of misappropriation of property in the form of theft of a resident's personal credit card and multiple unauthorized purchases for 1 of 27 residents screened for abuse and misappropriation in the initial pool.Findings: On 3/30/26 at 10:30 a.m., in an interview with a surveyor, Resident #89 stated, I had someone take my credit card and my social security card on Christmas Eve (2025). She (Certified Nursing Assistant - CNA) also took the debit card of the resident across the hall, and someone downstairs, and another lost a necklace, $900 something on her card. I was lucky, she (CNA) got a lot out of the lady across the hall. […]

  • No harm, potential for more than minimal, patternF726Apr 2, 2025

    Based on observations, interviews and record review the facility failed to ensure nursing staff immediately initiated isolation/contact precautions for residents who were exhibiting symptoms of gastroenteritis (GI) (i.e. diarrhea, vomiting, abdominal pain, and/or fever) and ensure that Personal Protective Equipment (PPE) supplies were available for use for these residents. This has resulted in the spread of GI symptoms throughout the facility which began on 3/24/25 and Norovirus being confirmed on 4/2/25. Findings: 1. On 4/2/25 at 8:45 a.m., upon entry to the facility, 2 surveyors observed no posting or signage on the door of any infections/symptoms occurring in the building. […]

  • No harm, potential for more than minimal, patternF835Apr 2, 2025

    Based on interviews, observations and record review the Administration failed to follow the facility's Infection - Clinical Protocol policy and procedures by not following the Family Nurse Practitioner's (FNP) recommendation of isolation/contact precautions for residents who were exhibiting symptoms of gastroenteritis (GI) (i.e. diarrhea, vomiting, abdominal pain, and/or fever) and ensure that Personal Protective Equipment (PPE) supplies were available for use for these residents. In addition, Administration failed to ensure the infection Preventionist was following the facilities Infection prevention and Control Program which included oversight, outbreak management, prevention of infection and monitoring employee health and safety. […]

Read 20 findings in full →The most serious and the most recent: 20 of 69 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 3, 2026Standard5 findings
  • Apr 2, 2025Complaint5 findings · 1 harm
  • Aug 8, 2023Complaint2 findings
  • Jul 12, 2023Complaint2 findings
  • Jul 27, 2022Standard and complaint12 findings
  • Dec 30, 2020Infection control3 findings
  • Nov 12, 2020Infection control2 findings
  • Nov 7, 2019Standard4 findings
Show the 12 earlier surveys
  • Dec 20, 2018Standard4 findings
  • Nov 2, 2017Standard and complaint2 findings
  • Dec 8, 2016Standard and complaint2 findings
  • Sep 8, 2016Complaint2 findings
  • Jan 12, 2016Complaint2 findings
  • Nov 5, 2015Complaint1 finding
  • Oct 22, 2015Standard4 findings
  • Dec 18, 2014Standard2 findings
  • Dec 12, 2013—3 findings
  • Dec 13, 2012—5 findings
  • Nov 18, 2011—4 findings
  • Sep 23, 2010—3 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.

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