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Nursing Home Watchlist: Maine

Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with Special Focus homes first.

Read this as a prompt, not a verdict. A citation can be years old and the management responsible may have gone. It means you ask what happened and what changed, and you get a specific answer before you sign anything.

D

54/100

Clover Health Care

Auburn, ME · Androscoggin County

CMS 1/5109 bedsFor-profitMedicaid
Nurse hours
3.79 /day
Staff turnover
55%
Serious cites
0

Special Focus Facility

Clover Health Care in Auburn runs 109 certified beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.79 hours per resident day, roughly 2% under the national average, and weekends drop about 10% below its own weekday levels, while annual turnover hits 55% against a national 45.8%. What stands out most is the inspection record: 54 deficiencies, including 2 at harm or jeopardy level and 2 tied to abuse, plus a spot in CMS's Special Focus Facility program and a 1-star health inspection rating. A recent May 2025 inspection and only $15,317 in fines suggest problems are being watched closely.

D

54/100

River Ridge Center

Kennebunk, ME · York County

CMS 1/562 bedsFor-profitMedicaid
Nurse hours
4.05 /day
Staff turnover
59%
Serious cites
0

Special Focus Facility

River Ridge Center has a staffing edge on paper, 4.05 nurse hours per resident day, about 5% above the national average, but that number comes with a catch. Weekend coverage drops roughly 11% below the home's own weekday level, and annual turnover sits at 59.4% against a national average of 45.8%, so the people delivering that care keep leaving. The inspection record is where the real trouble shows: 27 deficiencies, including one at the harm level and one abuse-related, a $15,334 fine, and a place in CMS's Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor inspections. The most recent inspection was July 2025.

D

54/100

Market Square Health Care Center, Llc

South Paris, ME · Oxford County

CMS 1/576 bedsFor-profitMedicaid
Nurse hours
4.60 /day
Staff turnover
49%
Serious cites
0

Special Focus Facility

Market Square Health Care Center runs leaner on weekends than weekdays, about 15% fewer staff hours, even though its overall nurse staffing of 4.60 hours per resident day sits roughly 19% above the national average. That weekday-weekend gap matters, since care doesn't pause on Saturdays. The 39 deficiencies on file include two tied to abuse, though none rose to the level of actual harm or jeopardy, and the last inspection was in March 2025. Staff turnover at 49.4% edges past the national 45.8%, which for a 76-bed for-profit home owned by an individual means retraining costs and unfamiliar faces. Strong quality and staffing marks sit alongside a two-star inspection record.

D

54/100

Oak Grove Center

Waterville, ME · Kennebec County

CMS 1/590 bedsFor-profitMedicaid
Nurse hours
3.76 /day
Staff turnover
50%
Serious cites
0

Special Focus Facility

Oak Grove Center in Waterville carries a 1-star health inspection rating, and the record behind it is heavy: 60 deficiencies, including one at the harm or jeopardy level and two tied to abuse. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of serious problems. Nurse staffing sits at 3.76 hours per resident day, slightly under the national average, and drops about 11% on weekends, when coverage thins. Annual turnover runs 50%, above the 45.8% national figure, meaning caregivers cycle through steadily. Fines total $14,056. The last inspection was March 2025, so the record is current, not stale.

D

54/100

Waterville Center For Health And Rehab

Waterville, ME · Kennebec County

CMS 1/5111 bedsFor-profitMedicaid
Nurse hours
4.83 /day
Staff turnover
50%
Serious cites
0

Special Focus Facility

Waterville Center for Health and Rehab has enough nurses on paper, 4.83 hours per resident day, roughly 25% above the national average, but the care record tells a different story. State and federal inspectors have cited 45 deficiencies, including four at the level where residents were actually harmed or put in immediate jeopardy and five tied to abuse. That's why CMS has placed this home in its Special Focus Facility program, the agency's watchlist for the country's most troubled nursing homes, and why a single fine has already reached $83,038. Staff turnover sits at 50.4% against a national average of 45.8%, and weekend coverage drops about 8% below weekday levels. Ownership is a for-profit limited liability company. The most recent inspection was August 28, 2025.

D

54/100

Windward Gardens

Camden, ME · Knox County

73 bedsFor-profitMedicaid
Nurse hours
3.96 /day
Staff turnover
76%
Serious cites
0

Special Focus Facility

Windward Gardens has enough nurses on paper, 3.96 hours per resident day, a hair above the national average, but that number hides a staffing problem. Turnover runs 76.2% a year against a national average of 45.8%, meaning most of the people providing that care are new to the job, and weekends run about 7% thinner than weekdays. The deficiency record tells its own story: 82 citations on file, three of them abuse-related, and CMS has placed the Camden home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems. Zero harm-level deficiencies is the one bright spot worth noting.

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