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Complaint Investigation

Sandy River Center

November 25, 2025 · Farmington, ME · 119 Livermore Falls Road
Citations 2
CMS Rating 3/5
Beds 82
Provider ID 205069
Healthcare Facility
Sandy River Center
Farmington, ME  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Sandy River Center in Farmington, ME — inspection on November 25, 2025.

Found 2 citations. Severity: Standard violations.

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

Inspection Findings

FF0684
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

Based on record review and interview, the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice by failing to follow a physician's orders for daily weights for 1 of 3 residents reviewed during a complaint investigation (Resident #1).Finding:Resident #1 was recently admitted with diagnoses to include congestive heart failure (CHF).Review of Resident #1's physician orders revealed an order for Daily Weight: Notify the provider if: resident has a weight gain > 2 lbs in 1 day, or 5 lb in a week.for CHF Review of Resident #1's October Treatment Administration Record lacked evidence of daily weights being done for 10/18/25, 10/19/25, 10/20/25, and 10/21/25.

Further review of the weight summary in the clinical record lacked evidence that daily weights were started until 10/21/25.

On 11/25/25 at 12:21 p.m. the above finding was discussed during an interview with the Market Clinical Lead. At this time, the Market Clinical Lead reviewed Resident #1's clinical record and confirmed that daily weights were not done for the above dates.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/25/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Sandy River Center

119 Livermore Falls Road Farmington, ME 04938

SUMMARY STATEMENT OF DEFICIENCIES

discussed with the Market Clinical Lead and the DON. At this time, the Market Clinical lead stated the nurse should have notified the provider by 10/31/25 that a script was needed in order to refill Resident #1's phenobarbital before the medication ran out.

Facility ID:

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.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.