Waterville Center for Health and Rehab

7 Highwood St · Waterville, ME · 04901 · 2078730705

111 certified beds For profit - Limited Liability company

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Staffing hours comfortably above national benchmarks.
  • Inspection results have improved across recent cycles.

Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

3 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

3 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$83,038 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 22
Serious harm & abuse 20% 56
Staffing 20% 83
Federal penalties 15% 61
Trend 10% 92
Context 5% 35

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

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 5 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day4.523.48 min · 4.1 strong
RN hours / resident-day0.880.55–0.75
Weekend hours / resident-day4.24≈ weekday level
Nursing turnover / year53%median 45%
Fines (3-yr window)1 · $83,038

Inspection citations (45 in the current record)

  • Potential for harm · D August 28, 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 October 6, 2025 · Resident Rights

  • Potential for harm · D August 28, 2025

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

    Corrected October 6, 2025 · Resident Rights

  • Potential for harm · E August 28, 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 October 6, 2025 · Resident Rights

  • Potential for harm · D August 28, 2025

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

    Corrected October 6, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 28, 2025

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

    Corrected October 6, 2025 · Quality of Life and Care

  • Potential for harm · E August 28, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 6, 2025 · Quality of Life and Care

  • Potential for harm · D August 28, 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 October 6, 2025 · Pharmacy Service

  • Potential for harm · D August 28, 2025

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected October 6, 2025 · Pharmacy Service

  • Potential for harm · E August 28, 2025

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

    Corrected October 6, 2025 · Nutrition and Dietary

  • Potential for harm · E August 28, 2025

    Dispose of garbage and refuse properly.

    Corrected October 6, 2025 · Nutrition and Dietary

  • Potential for harm · D August 28, 2025

    Provide and implement an infection prevention and control program.

    Corrected October 6, 2025 · Infection Control

  • Potential for harm · D August 28, 2025 · found via complaint

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Corrected October 6, 2025 · Resident Rights

  • Potential for harm · D August 28, 2025 · found via complaint

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected October 6, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 28, 2025 · 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 October 6, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E August 28, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected October 6, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 11, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected March 26, 2025 · Resident Assessment and Care Planning

  • Immediate jeopardy · L September 17, 2024 · found via complaint

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected September 17, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · L September 17, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected September 17, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · L September 17, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected September 17, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G September 17, 2024 · found via complaint

    Honor each resident's preferences, choices, values and beliefs.

    Corrected November 7, 2024 · Quality of Life and Care

  • Potential for harm · D September 17, 2024 · found via complaint

    Honor the resident's right to manage his or her financial affairs.

    Corrected November 7, 2024 · Resident Rights

  • Potential for harm · E September 17, 2024 · found via complaint

    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 November 7, 2024 · Resident Rights

  • Potential for harm · E September 17, 2024 · 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 November 7, 2024 · Resident Rights

  • Potential for harm · D September 17, 2024 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected November 7, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 17, 2024 · found via complaint

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

    Corrected November 7, 2024 · Resident Rights

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

Federal penalties

DateTypeAmount / length
September 17, 2024Fine$83,038

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 205120 · 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.