ElderGrade
C

65/100

Average

Breakwater Commons

100 Commons Drive, Rockland, ME 04841

CMS 2/5 stars #1 of 2 in Knox County (207) 301-6810
Certified beds
96
Occupancy
94%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • $11,998 in federal fines

    CMS has fined this facility across 2 penalty action(s).

  • Nursing staff turnover of 68%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

20/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 57 total citations against a national median of 17

Staffing

26/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.71 total nurse hours per resident per day (national median 3.77)
  • 0.87 RN hours per resident per day
  • Weekend staffing drops 7% against weekdays

Staff stability

2/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 68% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $11,998 in federal fines across 2 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.89 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.87 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 4.56 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 68.40%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 57 citations

Last standard health inspection: April 9, 2026 (4 months ago).

E Apr 9, 2026 F0584

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

E Apr 9, 2026 F0609

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

No actual harm, potential for more than minimal harm

E Apr 9, 2026 F0628

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

No actual harm, potential for more than minimal harm

E Apr 9, 2026 F0655

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

No actual harm, potential for more than minimal harm

E Apr 9, 2026 F0657 From a complaint

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

No actual harm, potential for more than minimal harm

E Apr 9, 2026 F0755

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

No actual harm, potential for more than minimal harm

E Apr 9, 2026 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

E Apr 9, 2026 F0842

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
BRESHNAHAN, RICHARD Individual 5% OR GREATER SECURITY INTEREST
CROSS, ROYCE Individual 5% OR GREATER SECURITY INTEREST
HARSTAD, PAUL Individual 5% OR GREATER SECURITY INTEREST
CHADWICK, CARL Individual W-2 MANAGING EMPLOYEE
CYR, GLEN Individual CORPORATE DIRECTOR
ORESTIS, JOHN Individual CORPORATE DIRECTOR
RICHARDS, MARY Individual CORPORATE DIRECTOR
TYLER, MICHAEL Individual CORPORATE DIRECTOR
URY, WILLIAM Individual CORPORATE DIRECTOR
BREAKWATER COMMONS OPERATIONS, LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Breakwater Commons

What is the ElderGrade for Breakwater Commons? +

Breakwater Commons holds an ElderGrade of C (65 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Breakwater Commons? +

Residents receive an average of 4.89 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Breakwater Commons been cited for harming residents? +

No. None of the 57 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Breakwater Commons accept Medicaid? +

Yes, Breakwater Commons is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.