St Mary's D'Youville Pavilion

102 Campus Ave · Lewiston, ME · 04240 · 2077774200

210 certified beds Non profit - Corporation Chain: Covenant Health

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • 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.

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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.

Score breakdown

Inspection record 30% of score 36
Serious harm & abuse 20% 70
Staffing 20% 84
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: 1 of 5 Staffing: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.093.48 min · 4.1 strong
RN hours / resident-day1.330.55–0.75
Weekend hours / resident-day4.02≈ weekday level
Nursing turnover / year53%median 45%
Fines (3-yr window)none

Inspection citations (28 in the current record)

  • Immediate jeopardy · J April 15, 2026 · found via complaint

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

    Corrected May 25, 2026 · Quality of Life and Care

  • Potential for harm · D April 15, 2026 · found via complaint

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

    Corrected May 25, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 21, 2025 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected September 24, 2025 · Resident Rights

  • Potential for harm · E March 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 May 1, 2025 · Resident Rights

  • Potential for harm · D March 28, 2025

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected May 1, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 28, 2025

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

    Corrected May 1, 2025 · Quality of Life and Care

  • Potential for harm · D March 28, 2025

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

    Corrected May 1, 2025 · Quality of Life and Care

  • Potential for harm · E March 28, 2025

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

    Corrected May 1, 2025 · Quality of Life and Care

  • Potential for harm · E March 28, 2025

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected May 1, 2025 · Quality of Life and Care

  • Potential for harm · E March 28, 2025

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected May 1, 2025 · Quality of Life and Care

  • Potential for harm · D March 28, 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 May 1, 2025 · Pharmacy Service

  • Potential for harm · D March 28, 2025

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Corrected May 1, 2025 · Administration

  • Potential for harm · D January 2, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected January 27, 2025 · Infection Control

  • Potential for harm · D January 26, 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 March 21, 2024 · Resident Rights

  • Potential for harm · E January 26, 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 April 8, 2024 · Resident Rights

  • Potential for harm · D January 26, 2024

    Assess the resident when there is a significant change in condition

    Corrected March 21, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D January 26, 2024

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected March 21, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E January 26, 2024

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

    Corrected March 21, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E January 26, 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 March 21, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E January 26, 2024

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

    Corrected March 21, 2024 · Quality of Life and Care

  • Potential for harm · D January 26, 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 March 21, 2024 · Pharmacy Service

  • Potential for harm · D January 26, 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 March 21, 2024 · Pharmacy Service

  • Potential for harm · E January 26, 2024

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

    Corrected April 8, 2024 · Nutrition and Dietary

  • Potential for harm · D January 26, 2024

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected April 8, 2024 · Administration

  • Potential for harm · E January 26, 2024

    Provide and implement an infection prevention and control program.

    Corrected March 21, 2024 · Infection Control

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

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 205053 · certified since February 7, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.