High View Rehabilitation and Living Center
517 Riverview St · Madawaska, ME · 04756 · 2077283338
51 certified beds For profit - Corporation
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
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
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 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.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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: 1 of 5 Staffing: 5 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.32 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.37 | 0.55–0.75 |
| Weekend hours / resident-day | 3.72 | ≈ weekday level |
| Nursing turnover / year | 51% | median 45% |
| Fines (3-yr window) | 1 · $17,917 |
Inspection citations (32 in the current record)
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Immediate jeopardy · K April 9, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 25, 2025 · Quality of Life and Care
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Immediate jeopardy · K April 9, 2025
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected April 25, 2025 · Quality of Life and Care
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Immediate jeopardy · K April 9, 2025
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected April 25, 2025 · Environmental
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Potential for harm · D April 9, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected April 25, 2025 · Resident Rights
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Potential for harm · E April 9, 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 April 25, 2025 · Resident Rights
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Potential for harm · D April 9, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 25, 2025 · Quality of Life and Care
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Potential for harm · D April 9, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 25, 2025 · Quality of Life and Care
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Potential for harm · D April 9, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected April 25, 2025 · Quality of Life and Care
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Potential for harm · E April 9, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 25, 2025 · Nutrition and Dietary
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Potential for harm · D April 9, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected April 25, 2025 · Administration
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Potential for harm · E April 9, 2025
Provide and implement an infection prevention and control program.
Corrected April 25, 2025 · Infection Control
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Potential for harm · E April 9, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected April 25, 2025 · Infection Control
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Potential for harm · D December 23, 2024 · 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 January 10, 2025 · Resident Rights
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Potential for harm · D December 23, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 13, 2024 · Quality of Life and Care
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Potential for harm · D May 1, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 11, 2024 · Resident Rights
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Potential for harm · D May 1, 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 11, 2024 · Resident Rights
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Potential for harm · D May 1, 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 11, 2024 · Resident Rights
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Potential for harm · D May 1, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 11, 2024 · Quality of Life and Care
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Potential for harm · D May 1, 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 June 11, 2024 · Pharmacy Service
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Potential for harm · D May 1, 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 June 11, 2024 · Pharmacy Service
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Potential for harm · E May 1, 2024
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected June 11, 2024 · Nutrition and Dietary
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Potential for harm · E May 1, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 11, 2024 · Nutrition and Dietary
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Potential for harm · E May 1, 2024
Provide and implement an infection prevention and control program.
Corrected June 11, 2024 · Infection Control
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Potential for harm · E May 1, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected June 11, 2024 · Infection Control
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Potential for harm · E May 1, 2024
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 11, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 9, 2025 | Fine | $17,917 |
| April 9, 2025 | Payment Denial | 8 days |
Better-scoring options nearby
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 205114 · 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.