Hawthorne House
6 Old County Rd · Freeport, ME · 04032 · 2078654782
83 certified beds For profit - Corporation Chain: First Atlantic Healthcare
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 76 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
65% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
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-day | 5.30 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.24 | 0.55–0.75 |
| Weekend hours / resident-day | 5.07 | ≈ weekday level |
| Nursing turnover / year | 65% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (29 in the current record)
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Potential for harm · D March 24, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 24, 2026 · Quality of Life and Care
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Potential for harm · E May 1, 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 June 6, 2025 · Resident Rights
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Potential for harm · E May 1, 2025
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.
Corrected June 6, 2025 · Resident Rights
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Potential for harm · D May 1, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected June 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 1, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 6, 2025 · Quality of Life and Care
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Potential for harm · E May 1, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 6, 2025 · Quality of Life and Care
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Potential for harm · D May 1, 2025
Observe each nurse aide's job performance and give regular training.
Corrected June 6, 2025 · Nursing and Physician Services
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Potential for harm · D May 1, 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 June 6, 2025 · Pharmacy Service
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Potential for harm · D May 1, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 6, 2025 · Nutrition and Dietary
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Potential for harm · D May 1, 2025
Provide and implement an infection prevention and control program.
Corrected June 6, 2025 · Infection Control
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Potential for harm · E May 1, 2025
Implement a program that monitors antibiotic use.
Corrected June 6, 2025 · Infection Control
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Potential for harm · D May 1, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected June 6, 2025 · Infection Control
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Potential for harm · D May 1, 2025
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected June 6, 2025 · Infection Control
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Potential for harm · D May 1, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected June 6, 2025 · Nursing and Physician Services
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Potential for harm · D January 28, 2025 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected March 4, 2025 · Quality of Life and Care
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Potential for harm · E May 8, 2024
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.
Corrected June 7, 2024 · Resident Rights
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Potential for harm · E May 8, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 7, 2024 · Quality of Life and Care
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Potential for harm · E May 8, 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 June 7, 2024 · Pharmacy Service
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Potential for harm · D May 8, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 7, 2024 · Nutrition and Dietary
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No harm found · B May 8, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected June 7, 2024 · Resident Rights
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No harm found · B May 8, 2024
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.
Corrected June 7, 2024 · Resident Rights
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No harm found · B May 8, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 5, 2022
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected June 3, 2022 · Resident Rights
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Potential for harm · E May 5, 2022
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.
Corrected June 3, 2022 · Resident Rights
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Potential for harm · D May 5, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 3, 2022 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 205098 · certified since January 1, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.