Springbrook Center: Meal Neglect Violations - ME
The resident, identified in inspection records only as Resident 53, was asleep in a Broda chair at the dining room table on the morning of the inspection, right side pressed against the wall, an empty cup resting in their lap. What followed was documented in detail by federal inspectors.
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See the Derila PillowAt 9:13 a.m., the CNA approached from the left side and took away the resident's uneaten breakfast, which had been served on a regular plate. The chocolate milk and a blueberry muffin were left behind. The resident slept through it. The CNA walked away.
At 11:24 a.m., the CNA returned, again from the left side, and discarded the blueberry muffin. The chocolate milk stayed. The resident was still asleep. The CNA did not attempt to wake them.
At 11:52 a.m., lunch arrived. It was delivered from the left side, on a regular plate.
The inspection report does not explain the significance of the left side approach. It records it four times, each instance noted with the same flat precision, which suggests inspectors considered it meaningful, possibly connected to a condition affecting the resident's right side or their ability to perceive someone approaching from the left.
What the report makes plain is this: across three hours and 42 minutes, a staff member interacted with this resident repeatedly and never once tried to rouse them, never offered to help them eat, and never raised the question of whether they needed to be taken to the bathroom. The resident's breakfast disappeared. Then part of it disappeared again. Then lunch appeared. The resident, as far as the record shows, never ate.
The violation was categorized as causing minimal harm or the potential for actual harm, and inspectors noted that some residents were affected, meaning the problem was not isolated to Resident 53.
On July 17, two days before the inspection concluded, the facility's administrator sat down with inspectors and the concerns were laid out directly. The inspection report does not record what the administrator said in response.
There is a particular kind of neglect that doesn't require cruelty. It requires only indifference repeated at regular intervals. The CNA in this case kept coming back. Kept clearing plates. Kept noting, in some functional sense, that the food was still there, uneaten, and that the person who was supposed to eat it was still asleep in the chair. And kept walking away.
Resident 53 had a Broda chair, which is a specialized reclining wheelchair designed for residents with significant positioning needs, often used for people who cannot sit upright independently for extended periods. That detail, sitting unremarked in the first line of the inspection narrative, suggests this was not a resident who could simply help themselves.
The inspection was completed July 19, 2024. Springbrook Center is located at 300 Spring St in Westbrook.
The blueberry muffin was cleared at 11:24 in the morning. Whether Resident 53 was ever offered anything else to eat that day, the inspection report does not say.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Springbrook Center from 2024-07-19 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
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Last verified: November 14, 2026 · Our methodology
SPRINGBROOK CENTER in WESTBROOK, ME was cited for neglect violations during a health inspection on July 19, 2024.
What followed was documented in detail by federal inspectors.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.