Horizons Living and Rehab Center

29 Maurice Drive · Brunswick, ME · 04011 · 2077257495

65 certified beds For profit - Corporation

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.

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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 54
Serious harm & abuse 20% 100
Staffing 20% 90
Federal penalties 15% 100
Trend 10% 22
Context 5% 100

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

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day4.813.48 min · 4.1 strong
RN hours / resident-day0.980.55–0.75
Weekend hours / resident-day3.94≈ weekday level
Nursing turnover / year25%median 45%
Fines (3-yr window)none

Inspection citations (20 in the current record)

  • Potential for harm · D August 28, 2024

    Reasonably accommodate the needs and preferences of each resident.

    Corrected October 12, 2024 · Resident Rights

  • Potential for harm · E August 28, 2024

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected October 12, 2024 · Resident Rights

  • Potential for harm · E August 28, 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 October 12, 2024 · Resident Rights

  • Potential for harm · E August 28, 2024

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected October 12, 2024 · Quality of Life and Care

  • Potential for harm · D August 28, 2024

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

    Corrected October 12, 2024 · Quality of Life and Care

  • Potential for harm · E August 28, 2024

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

    Corrected October 12, 2024 · Nursing and Physician Services

  • Potential for harm · D August 28, 2024

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

    Corrected October 12, 2024 · Nutrition and Dietary

  • Potential for harm · E August 28, 2024

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected October 12, 2024 · Administration

  • Potential for harm · E August 28, 2024

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Corrected October 12, 2024 · Administration

  • Potential for harm · E August 28, 2024

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected October 12, 2024 · Nursing and Physician Services

  • No harm found · C August 28, 2024

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected October 12, 2024 · Resident Rights

  • Potential for harm · D May 11, 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 July 6, 2022 · Resident Rights

  • Potential for harm · D May 11, 2022

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

    Corrected July 6, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D May 11, 2022

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

    Corrected July 6, 2022 · Pharmacy Service

  • Potential for harm · E May 11, 2022

    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 July 6, 2022 · Pharmacy Service

  • No harm found · B May 11, 2022

    Ensure each resident receives an accurate assessment.

    Corrected July 6, 2022 · Resident Assessment and Care Planning

  • No harm found · B May 11, 2022

    Post nurse staffing information every day.

    Corrected July 6, 2022 · Nursing and Physician Services

  • Potential for harm · D October 24, 2019

    Keep residents' personal and medical records private and confidential.

    Corrected November 26, 2019 · Resident Rights

  • No harm found · B October 24, 2019

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

    Corrected November 26, 2019 · Nursing and Physician Services

  • No harm found · B October 24, 2019

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected November 26, 2019 · Nursing and Physician Services

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

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 205085 · 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.