Maplecrest Rehab & Living Center

174 Main St · Madison, ME · 04950 · 2076968225

58 certified beds For profit - Corporation Chain: North Country Associates

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 74 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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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 40
Serious harm & abuse 20% 100
Staffing 20% 82
Federal penalties 15% 100
Trend 10% 57
Context 5% 100

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

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day4.243.48 min · 4.1 strong
RN hours / resident-day0.820.55–0.75
Weekend hours / resident-day3.89≈ weekday level
Nursing turnover / year46%median 45%
Fines (3-yr window)none

Inspection citations (41 in the current record)

  • Potential for harm · E July 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 August 18, 2025 · Resident Rights

  • Potential for harm · D July 9, 2025

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected August 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 9, 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 August 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 9, 2025

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

    Corrected August 18, 2025 · Quality of Life and Care

  • Potential for harm · E July 9, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected October 3, 2025 · Quality of Life and Care

  • Potential for harm · D July 9, 2025

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

    Corrected October 3, 2025 · Pharmacy Service

  • Potential for harm · E July 9, 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 August 18, 2025 · Pharmacy Service

  • Potential for harm · E July 9, 2025

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

    Corrected August 18, 2025 · Nutrition and Dietary

  • Potential for harm · D July 9, 2025

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Corrected October 3, 2025 · Administration

  • Potential for harm · E July 9, 2025

    Provide and implement an infection prevention and control program.

    Corrected October 3, 2025 · Infection Control

  • Potential for harm · D July 9, 2025

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected August 18, 2025 · Infection Control

  • Potential for harm · D July 9, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected August 18, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 9, 2025 · found via complaint

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

    Corrected August 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 11, 2024 · found via complaint

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected January 7, 2025 · Resident Rights

  • Potential for harm · D December 11, 2024 · found via complaint

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

    Corrected January 7, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D October 28, 2024 · found via complaint

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

    Corrected November 22, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D April 19, 2024

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected May 30, 2024 · Resident Rights

  • Potential for harm · D April 19, 2024

    Reasonably accommodate the needs and preferences of each resident.

    Corrected May 30, 2024 · Resident Rights

  • Potential for harm · E April 19, 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 May 30, 2024 · Resident Rights

  • Potential for harm · D April 19, 2024

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

    Corrected May 30, 2024 · Resident Rights

  • Potential for harm · E April 19, 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 May 30, 2024 · Resident Rights

  • Potential for harm · E April 19, 2024

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

    Corrected May 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E April 19, 2024

    Provide activities to meet all resident's needs.

    Corrected May 30, 2024 · Quality of Life and Care

  • Potential for harm · E April 19, 2024

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

    Corrected May 30, 2024 · Quality of Life and Care

  • Potential for harm · E April 19, 2024

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

    Corrected May 30, 2024 · Nursing and Physician Services

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

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 205128 · certified since October 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.