Brewer Center for Health & Rehabilitation, LLC

74 Parkway South · Brewer, ME · 04412 · 2079897300

111 certified beds For profit - Partnership Chain: National Health Care Associates

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 77 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 51
Serious harm & abuse 20% 94
Staffing 20% 91
Federal penalties 15% 100
Trend 10% 44
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.933.48 min · 4.1 strong
RN hours / resident-day1.370.55–0.75
Weekend hours / resident-day4.43≈ weekday level
Nursing turnover / year49%median 45%
Fines (3-yr window)none

Inspection citations (33 in the current record)

  • Potential for harm · E April 30, 2026 · found via complaint

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

    Corrected June 4, 2026 · Quality of Life and Care

  • Potential for harm · D February 19, 2026 · found via complaint

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

    Corrected March 5, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 6, 2025

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected April 15, 2025 · Resident Rights

  • Potential for harm · D March 6, 2025

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected April 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 6, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected April 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 6, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected April 15, 2025 · Quality of Life and Care

  • Potential for harm · E March 6, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected April 15, 2025 · Quality of Life and Care

  • Potential for harm · E March 6, 2025

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    Corrected April 15, 2025 · Nursing and Physician Services

  • Potential for harm · E March 6, 2025

    Observe each nurse aide's job performance and give regular training.

    Corrected April 15, 2025 · Nursing and Physician Services

  • Potential for harm · D March 6, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected April 15, 2025 · Pharmacy Service

  • Potential for harm · D March 6, 2025

    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.

    Corrected April 15, 2025 · Pharmacy Service

  • Potential for harm · D March 6, 2025

    Provide or obtain dental services for each resident.

    Corrected April 15, 2025 · Quality of Life and Care

  • Potential for harm · D March 6, 2025 · found via complaint

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected April 15, 2025 · Resident Rights

  • Potential for harm · D March 6, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected April 15, 2025 · Resident Rights

  • Potential for harm · D February 15, 2024

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected March 26, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D February 15, 2024

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

    Corrected March 26, 2024 · Quality of Life and Care

  • Potential for harm · D February 15, 2024

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected March 26, 2024 · Quality of Life and Care

  • Potential for harm · D February 15, 2024

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected March 26, 2024 · Pharmacy Service

  • Potential for harm · D February 15, 2024

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected March 26, 2024 · Pharmacy Service

  • Potential for harm · D February 15, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected March 26, 2024 · Pharmacy Service

  • Potential for harm · D February 15, 2024

    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.

    Corrected March 26, 2024 · Pharmacy Service

  • Potential for harm · D February 15, 2024

    Provide and implement an infection prevention and control program.

    Corrected March 26, 2024 · Infection Control

  • Potential for harm · D February 15, 2024 · found via complaint

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

    Corrected March 26, 2024 · Pharmacy Service

  • No harm found · B February 15, 2024

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected March 26, 2024 · Infection Control

  • Potential for harm · D October 18, 2023 · found via complaint

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

    Corrected November 14, 2023 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 205062 · certified since December 4, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.