Eastport Memorial Nursing Home: Care Plan Failures - ME
The administrator and the director of nursing were in the room. The answer, confirmed on the spot, was no.
The problem dated to a January 29 inspection, when surveyors found that nursing staff were not updating residents' care plans when doctors identified new diagnoses. A care plan is the document that drives everything that happens to a resident day to day, the record that tells nurses and aides what conditions a person has, what medications they need, what risks to watch for. When a physician visits and identifies something new, a diagnosis that wasn't there before, that information is supposed to make it into the plan. At Eastport Memorial, it wasn't.
The facility submitted what's called a Plan of Correction, a formal written commitment to fix a cited deficiency. Signed on February 14, the plan was specific: nursing staff would be educated on how to add a diagnosis to a resident's diagnosis list and update the care plan to match. The director of nursing would personally monitor physician notes after every visit and make sure any new diagnoses were captured.
It was a reasonable fix for a serious gap. The facility signed it. CMS accepted it.
Then, on March 18 at 11:15 in the morning, a surveyor sat down with the administrator and the director of nursing and asked for the evidence. Documentation that the education had been planned. Sign-in sheets or acknowledgment forms showing nursing staff had actually received it. Records showing the director of nursing had reviewed physician notes and caught new diagnoses before they fell through the cracks.
There was nothing. No evidence the plan had been implemented. No evidence the education had been provided. No evidence any nurse had received it. No evidence the monitoring had ever started.
The director of nursing, the same person who had committed in writing to personally oversee the monitoring, could not produce a single record showing it had happened.
Eastport Memorial is a small facility, 23 Boynton Street, in one of the most remote cities on the East Coast. Eastport sits at the northeastern tip of Maine, a peninsula jutting into Passamaquoddy Bay, closer to the Canadian province of New Brunswick than to Bangor. The nursing home serves a population with few alternatives and little ability to travel for care.
That context doesn't change what the inspection found. A resident whose new diagnosis doesn't make it into their care plan may not receive the monitoring, the interventions, or the precautions that diagnosis requires. A fall risk that isn't documented isn't planned for. A wound care need that isn't recorded isn't addressed on schedule. The care plan isn't paperwork. It's the blueprint for what gets done and what gets skipped.
The facility was cited under F0865, the federal tag covering a facility's obligation to implement its own accepted Plan of Correction. The original deficiency, F0656, covered the failure to develop and keep current a comprehensive care plan for each resident. The March finding layered a second violation on top of the first: not only had the problem existed, the facility had committed to fixing it and then done nothing.
By the time the surveyor confirmed the lapse, nearly five weeks had passed since the Plan of Correction was signed. Five weeks during which physician visits continued, new diagnoses were made, and the nursing staff had received no training on what to do with them.
The administrator and the director of nursing confirmed all of it. The facility lacked evidence. That was the finding.
What it means for the residents whose new diagnoses went undocumented during those five weeks, and how many physician notes went unreviewed, the inspection report does not say.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Eastport Memorial Nursing Home from 2025-01-29 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: July 5, 2026 · Our methodology
EASTPORT MEMORIAL NURSING HOME in EASTPORT, ME was cited for violations during a health inspection on January 29, 2025.
The administrator and the director of nursing were in the room.
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.