Sandy River Center
119 Livermore Falls Road · Farmington, ME · 04938 · 2077786591
82 certified beds For profit - Corporation Chain: Genesis Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection results have improved across recent cycles.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.48 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.80 | 0.55–0.75 |
| Weekend hours / resident-day | 3.27 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | 1 · $14,069 |
Inspection citations (47 in the current record)
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Potential for harm · D November 25, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 5, 2026 · Quality of Life and Care
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Potential for harm · D November 25, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 5, 2026 · Pharmacy Service
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Potential for harm · E September 18, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 18, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 20, 2025 · Quality of Life and Care
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Potential for harm · D September 18, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 20, 2025 · Quality of Life and Care
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Potential for harm · E September 18, 2025 · found via complaint
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 October 20, 2025 · Resident Rights
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Potential for harm · E September 18, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 20, 2025 · Nutrition and Dietary
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No harm found · B September 18, 2025
Observe each nurse aide's job performance and give regular training.
Corrected October 20, 2025 · Nursing and Physician Services
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No harm found · B September 18, 2025
Post nurse staffing information every day.
Corrected October 20, 2025 · Nursing and Physician Services
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Immediate jeopardy · J July 30, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Past Non-Compliance · Quality of Life and Care
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Potential for harm · E August 8, 2024
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 September 9, 2024 · Resident Rights
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Potential for harm · E August 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 September 9, 2024 · Resident Rights
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Potential for harm · E August 8, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected September 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 8, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 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 September 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 8, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 9, 2024 · Quality of Life and Care
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Potential for harm · E August 8, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 9, 2024 · Quality of Life and Care
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Potential for harm · D August 8, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected September 9, 2024 · Pharmacy Service
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Potential for harm · E August 8, 2024
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected September 9, 2024 · Nutrition and Dietary
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Potential for harm · E August 8, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 9, 2024 · Nutrition and Dietary
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Potential for harm · E August 8, 2024
Dispose of garbage and refuse properly.
Corrected September 9, 2024 · Nutrition and Dietary
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Potential for harm · E August 8, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 8, 2024
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected September 9, 2024 · Administration
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Potential for harm · D August 8, 2024
Provide and implement an infection prevention and control program.
Corrected September 9, 2024 · Infection Control
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Potential for harm · F August 8, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected September 9, 2024 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 30, 2025 | Fine | $14,069 |
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 205069 · certified since October 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.