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Complaint Investigation

Sandy River Center

Inspection Date: September 18, 2025
Total Violations 7
Facility ID 205069
Location Farmington, ME
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Inspection Findings

F-Tag F0584

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0584

On 9/18/25 between 9:02 a.m. thru 9:10 a.m., an environmental tour was completed with the Administrator, Manager of Housekeeping and Laundry, and a surveyor with the following confirmed at time of observation:

Level of Harm - Minimal harm or potential for actual harm

Mount Blue Unit

Residents Affected - Some

In room [ROOM NUMBER]-204 bathroom, the floor tiles had gaps around the toilet that were filled with dirt.

In room [ROOM NUMBER]-1, the portable fan was dusty.

In room [ROOM NUMBER]-1, the fan was dusty, the air conditioner filter was dusty, and the wall behind the bed was gouged. In addition, the light switch to the bathroom did not work.

Mount [NAME] Unit

In room [ROOM NUMBER], the air conditioner filter was dusty and there were holes in the drywall that were patched but not painted by the entrance door.

In room [ROOM NUMBER]-1, the air conditioner filter was dusty.

In room [ROOM NUMBER] bathroom, the cove base by the toilet was not attached to the wall

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

09/18/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Sandy River Center

119 Livermore Falls Road Farmington, ME 04938

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0657

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Sandy River Center in Farmington, ME for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-09-18.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of Sandy River Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-20.

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F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Sandy River Center in Farmington, ME for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-09-18.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of Sandy River Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-20.

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F-Tag F0695

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Sandy River Center in Farmington, ME for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-09-18.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of Sandy River Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-20.

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F-Tag F0730

Nursing and Physician Services Deficiencies
Harm Level: Potential for Minimal Harm

Federal health inspectors cited Sandy River Center in Farmington, ME for a deficiency under regulatory tag F-F0730 during a standard health inspection conducted on 2025-09-18.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Observe each nurse aide's job performance and give regular training.

Scope/Severity Level B: isolated, no actual harm with potential for minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of Sandy River Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-20.

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F-Tag F0732

Nursing and Physician Services Deficiencies
Harm Level: Potential for Minimal Harm

Federal health inspectors cited Sandy River Center in Farmington, ME for a deficiency under regulatory tag F-F0732 during a standard health inspection conducted on 2025-09-18.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Post nurse staffing information every day.

Scope/Severity Level B: isolated, no actual harm with potential for minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 7 deficiencies cited during this inspection of Sandy River Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-20.

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F-Tag F0812

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

  1. 4. On 9/15/25 at 8:35 p.m., a surveyor observed an opened gallon of milk with an expiration date of 9/3/25
  2. in the Sugarloaf Mountain refrigerator. The surveyor confirmed this finding with Certified Nursing Assistant #2 (CNA2).

    On 9/15/25 at 8:41 p.m., two surveyors observed Beef snack sticks with an expiration date of 8/14/25 and a container of cantaloupe with was soft and watery, with a date of 9/4/25 on the lid in the Mount Blue refrigerator. The surveyor confirmed this finding with Licensed Practical Nurse #1 (LPN1).

    On 9/15/26 at 8:44 a.m., two surveyors observed a meal tray from tonight's supper with two bowls not covered in the Mount [NAME] refrigerator. The surveyor confirmed finding this with CNA3 at this time.

    FORM CMS-2567 (02/99) Previous Versions Obsolete

    Event ID:

    Facility ID:

    If continuation sheet

📋 Inspection Summary

Sandy River Center in Farmington, ME inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Farmington, ME, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Sandy River Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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