Springbrook Center: Resident Left Exposed During Shower - ME
That is what a federal surveyor found at Springbrook Center on the morning of September 23, 2024.
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See the Derila PillowThe surveyor entered the Saccarappa house wing at 10:15 a.m. and immediately observed the open door. Through it, the resident was visible, unclothed, in the middle of a shower. A certified nursing assistant and a registered nurse were present on the unit. Neither moved to close the door.
About a minute passed.
Then the occupational therapist came from the far end of the unit, carrying a face cloth and a bottle. The surveyor asked why the door had been left open. The occupational therapist said, "I didn't mean to," walked into the shower room, and pulled the door shut.
At 10:29 a.m., fourteen minutes after the surveyor first observed the open door, the resident and the occupational therapist came out of the shower room together.
The occupational therapist confirmed the account on the spot.
At 10:45 a.m., the administrator was informed.
The inspection report classified the violation under dignity and respect, with a finding that Springbrook Center failed to ensure one of the 19 residents reviewed was treated with basic dignity. The level of harm was listed as minimal harm or potential for actual harm.
What the report does not say is how long the door had been open before the surveyor arrived, or whether anyone other than the surveyor noticed.
The certified nursing assistant and the registered nurse were present on the unit. The shower room door was open. The resident was visible. Neither staff member is documented as having done anything about it.
The occupational therapist's explanation, that she didn't mean to leave the door open, suggests she was the one who had been with the resident and had stepped away to retrieve the face cloth and bottle from the far end of the hall. That walk, and the return trip, accounts for the roughly one minute between when the surveyor entered and when the door was finally closed. But the surveyor's arrival was what prompted the therapist to close it. The report does not indicate the therapist was already on her way back to do so.
A shower room door left open in a nursing home hallway is not a complex clinical failure. It does not require specialized training to prevent. It requires closing a door.
Springbrook Center, located at 300 Spring St in Westbrook, is a Medicare and Medicaid certified facility. The inspection was completed July 19, 2024, though the observation at the center of this finding occurred in late September of that year.
The resident identified in the report, listed only as Resident 419, had no say in who saw them that morning. They were seated on a shower chair, dependent on staff for assistance, in what should have been one of the most private moments of their day. The door to that privacy was left open, and the people positioned to close it did not.
The occupational therapist closed it when asked why it was open.
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
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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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Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: November 14, 2026 · Our methodology
SPRINGBROOK CENTER in WESTBROOK, ME was cited for violations during a health inspection on July 19, 2024.
That is what a federal surveyor found at Springbrook Center on the morning of September 23, 2024.
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.