Oak Grove Center
27 Cool St · Waterville, ME · 04901 · 2078730721
90 certified beds For profit - Corporation Chain: Genesis Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 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.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.53 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.87 | 0.55–0.75 |
| Weekend hours / resident-day | 3.33 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | 1 · $14,056 |
Inspection citations (63 in the current record)
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Potential for harm · D January 29, 2026 · found via complaint
Give the resident's representative the ability to exercise the resident's rights.
Corrected March 24, 2026 · Resident Rights
-
Potential for harm · D March 24, 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 May 7, 2025 · Resident Rights
-
Potential for harm · E March 24, 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 May 7, 2025 · Resident Rights
-
Potential for harm · D March 24, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected May 7, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D March 24, 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 May 7, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D March 24, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 7, 2025 · Quality of Life and Care
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Potential for harm · E March 24, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 7, 2025 · Quality of Life and Care
-
Potential for harm · E March 24, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected May 7, 2025 · Quality of Life and Care
-
Potential for harm · E March 24, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected May 7, 2025 · Nursing and Physician Services
-
Potential for harm · E March 24, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 7, 2025 · Pharmacy Service
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Potential for harm · D March 24, 2025
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 19, 2025 · Pharmacy Service
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Potential for harm · E March 24, 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 June 19, 2025 · Pharmacy Service
-
Potential for harm · E March 24, 2025
Dispose of garbage and refuse properly.
Corrected May 7, 2025 · Nutrition and Dietary
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Potential for harm · E March 24, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · E March 24, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected June 19, 2025 · Administration
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Potential for harm · E March 24, 2025
Provide and implement an infection prevention and control program.
Corrected June 19, 2025 · Infection Control
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Potential for harm · E March 24, 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 June 19, 2025 · Resident Assessment and Care Planning
-
No harm found · B March 24, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 7, 2025 · Resident Rights
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No harm found · B March 24, 2025
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 May 7, 2025 · Resident Rights
-
Immediate jeopardy · K May 29, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 27, 2024 · Quality of Life and Care
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Potential for harm · D May 29, 2024 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected July 9, 2024 · Resident Rights
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Potential for harm · D May 29, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected July 9, 2024 · Resident Rights
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Potential for harm · D May 29, 2024 · found via complaint
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected July 9, 2024 · Resident Rights
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Potential for harm · D May 29, 2024 · found via complaint
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected July 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 29, 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 July 9, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 29, 2024 | Fine | $14,056 |
| May 29, 2024 | Payment Denial | 29 days |
| March 27, 2024 | Payment Denial | 6 days |
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 205091 · 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.