Waterville Center For Health And Rehab
Inspection Findings
F-Tag F0578
Federal health inspectors cited WATERVILLE CENTER FOR HEALTH AND REHAB in WATERVILLE, ME for a deficiency under regulatory tag F-F0578 during a standard health inspection conducted on 2025-08-28.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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 15 deficiencies cited during this inspection of WATERVILLE CENTER FOR HEALTH AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-06.
F-Tag F0580
Federal health inspectors cited WATERVILLE CENTER FOR HEALTH AND REHAB in WATERVILLE, ME for a deficiency under regulatory tag F-F0580 during a standard health inspection conducted on 2025-08-28.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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 15 deficiencies cited during this inspection of WATERVILLE CENTER FOR HEALTH AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-06.
F-Tag F0584
Federal health inspectors cited WATERVILLE CENTER FOR HEALTH AND REHAB in WATERVILLE, ME for a deficiency under regulatory tag F-F0584 during a standard health inspection conducted on 2025-08-28.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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 15 deficiencies cited during this inspection of WATERVILLE CENTER FOR HEALTH AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-06.
F-Tag F0627
F 0627 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Care Plan was reviewed and updated. The summary indicated Referrals are continuing to be completed for other facility options. The clinical record lacked evidence that Resident R88's comprehensive care plan was updated to include Resident R88's goals and preferences regarding discharge, referrals to appropriate entities made for this purpose and /or updated in response to information received from referrals to appropriate entities.-On 6/24/25, Resident R88's Interdisciplinary Care Meeting indicated that Resident R88's Care Plan was reviewed and updated.
The summary indicated Referrals are continuing to be completed for other facility options. The clinical
record lacked evidence that Resident R88's comprehensive care plan was updated to include Resident R88's goals and preferences regarding discharge, referrals to appropriate entities made for this purpose and /or updated in response to information received from referrals to appropriate entities. On 8/27/25, the facility's policy Discharge of Resident: Home [or] Other Facility dated 6/12/14 was reviewed. The policy does not address
the discharge planning process. On 8/27/25 at 12:40 p.m., during an interview with a surveyor, the Director of Nursing (DON) stated there is not a specific policy for discharge planning regarding a resident's requesting to transfer to another facility. The DON confirmed that it is the expectation that the facility will make referrals to appropriate entities when requested by residents. The DON stated that this was made clear to the Director of Social Services. She stated the Director of Social Services has made referrals to appropriate entities since that discussion (2/24/25). On 8/27/25 at 4:30 p.m., during an interview with the DON and the Administrator, a surveyor confirmed the above findings. The Administrator stated there is a policy within the Care Plan policy to include transfers to other facilities. On 8/28/25, the facility's policy Care Plans, Comprehensive Person-Centered, Revised December 2024, was reviewed and stated 8. The comprehensive, person-centered care plan will: . f. include the resident's stated preference and potential for future discharge, including his or her desire to return to the community and any referrals made to local agencies or other entities to support such a desire; . 14. The interdisciplinary team must review and update
the care plan: . b. when the desired outcome is not met; . 16. Discharge Planning: a. The facility will develop and implement an effective discharge planning process that focuses on the resident's discharge goals, the preparation of residents to be active partners and effectively transition them post discharge. The clinical
record lacks evidence that the comprehensive care plan was updated to include Resident R88's goals and preferences regarding discharge, referrals to appropriate entities made for this purpose and /or updated in response to information received from referrals to appropriate entities. On 8/28/25, the facility's Discharge Planning Protocol, (undated), was reviewed and stated 4. If a resident is requesting to. be transferred to another facility, initiate referral to. facility of choice. The clinical record lacks evidence that referrals to appropriate entities were made for Resident R88 to transfer to another facility between September 2024 and 2/24/25.
On 8/28/25 at 12:15 p.m., during an interview with the Administrator and the Social Services Director, the Social Services Director confirmed that the facility failed to make referrals to appropriate entities after Resident R88's request to transfer, between September 2024 and 2/24/25. At this time the surveyor confirmed the above finding.
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
08/28/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Waterville Center for Health and Rehab
7 Highwood St Waterville, ME 04901
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)
F-Tag F0645
F 0645
PASARR screening for Mental disorders or Intellectual Disabilities
Level of Harm - Minimal harm or potential for actual harm
Based on record review and interview, the facility failed to ensure a resident with a specialized mental health diagnosis had been referred to the appropriate state-designated authority for Pre-admission Screening & Resident Review (PASRR) evaluation and determination for 1 of 1 resident reviewed for PASRR evaluation (Resident #81).Finding:On 8/26/25, clinical record review indicated Resident #81 was admitted to the facility in October of 2024 from a hospital, with a specialized mental health diagnosis. The clinical record lacked evidence that that the resident had been screened for a PASRR Level I determination and that it was submitted to the State-designated authority prior to admission. On 8/28/25 at 12:23 p.m., in
an interview with five surveyors present, the Social Services Director and the Administrator confirmed that Resident #81's clinical record lacked evidence that that the resident had been screened for a PASRR Level I determination and that it was submitted to the State-designated authority when the resident was admitted
in October of 2024.
Residents Affected - Few
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
08/28/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Waterville Center for Health and Rehab
7 Highwood St Waterville, ME 04901
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)
F-Tag F0656
Federal health inspectors cited WATERVILLE CENTER FOR HEALTH AND REHAB in WATERVILLE, ME for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-08-28.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 15 deficiencies cited during this inspection of WATERVILLE CENTER FOR HEALTH AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-06.
F-Tag F0657
F 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
what the acute/chronic pain is related to or the location of the chronic pain. Resident R1’s Care Plan does not address the monitoring and management of afib, or Resident R1’s history of genital herpes and MRSA.
On 8/28/25 at 2:36 p.m., during an interview with a surveyor, the Director of Nursing (DON) and the Administrator, Resident R1's clinical record was reviewed. The DON stated the last episode of genital herpes resolved in April of 2025 but is unsure why that was removed from the care plan. She also stated Resident R1 had afib in June of 2025. At this time the surveyor confirmed Resident R1's care plan was not updated to address the monitoring and / or management Resident R1’s diagnoses including afib, Chronic Pain or Resident R1’s history of genital herpes and MRSA.
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
08/28/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Waterville Center for Health and Rehab
7 Highwood St Waterville, ME 04901
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)
F-Tag F0684
Federal health inspectors cited WATERVILLE CENTER FOR HEALTH AND REHAB in WATERVILLE, ME for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-08-28.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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 15 deficiencies cited during this inspection of WATERVILLE CENTER FOR HEALTH AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-06.
F-Tag F0689
Federal health inspectors cited WATERVILLE CENTER FOR HEALTH AND REHAB in WATERVILLE, ME for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-08-28.
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 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 15 deficiencies cited during this inspection of WATERVILLE CENTER FOR HEALTH AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-06.
F-Tag F0756
Federal health inspectors cited WATERVILLE CENTER FOR HEALTH AND REHAB in WATERVILLE, ME for a deficiency under regulatory tag F-F0756 during a standard health inspection conducted on 2025-08-28.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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 15 deficiencies cited during this inspection of WATERVILLE CENTER FOR HEALTH AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-06.
F-Tag F0757
Federal health inspectors cited WATERVILLE CENTER FOR HEALTH AND REHAB in WATERVILLE, ME for a deficiency under regulatory tag F-F0757 during a standard health inspection conducted on 2025-08-28.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure each resident’s drug regimen must be free from unnecessary drugs.
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 15 deficiencies cited during this inspection of WATERVILLE CENTER FOR HEALTH AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-06.
F-Tag F0812
Federal health inspectors cited WATERVILLE CENTER FOR HEALTH AND REHAB in WATERVILLE, ME for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-08-28.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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 15 deficiencies cited during this inspection of WATERVILLE CENTER FOR HEALTH AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-06.
F-Tag F0814
Federal health inspectors cited WATERVILLE CENTER FOR HEALTH AND REHAB in WATERVILLE, ME for a deficiency under regulatory tag F-F0814 during a standard health inspection conducted on 2025-08-28.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Dispose of garbage and refuse properly.
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 15 deficiencies cited during this inspection of WATERVILLE CENTER FOR HEALTH AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-06.
F-Tag F0842
F 0842
- 5. Resident R86 has diagnoses to include dementia.
- 6. Review of Resident R48’s clinical record revealed a nursing Change in Condition (CIC) Evaluation, dated
Level of Harm - Minimal harm or potential for actual harm
Resident R86’s care plan states, .has a POA [Power of Attorney]-Care and POA Financial .has a POA that will remain in effect through next review date .
Residents Affected - Some
Review of Resident R86’s Interdisciplinary Team (IDT) meeting note, dated 7/17/25, indicates Resident R86’s “…[representative]/POA attended via phone…” and states, .Advanced Directives reviewed, no changes at this time .
Further review of Resident R86’s clinical record lacked evidence of POA documentation or Advance Directive documentation.
On 8/27/25 at 9:10 a.m., the above finding was discussed with the Memory Unit Social Worker (SW). At this time, the SW stated Resident R86's [representative] is not his/her POA, that Resident R86 does not have an Advance Directive, and that the IDT meeting note and care plan are labeled wrong.
8/1/25, that indicated Resident R48 sustained an unwitnessed fall at 4:15 p.m. The assessment section of the CIC Evaluation indicated the most recent vital signs taken after the change in condition occurred were documented at 4:10 p.m.
Review of Resident R48’s Neurologic Screen Form, dated 8/1/25, indicated that neuro checks were not initiated until 6:00 p.m., however, the vital signs documented under the 6:00 p.m. entry on the Neurologic Screen Form are identical to the vital signs documented at 4:10 p.m. on the CIC Evaluation.
Review of the Incident Report for the above fall, dated 8/1/25 at 6:00 p.m., lacked evidence of the actual time of Resident R48’s fall.
On 8/28/25 between 9:12 a.m.-10:13 a.m., during an interview, the Director of Nursing reviewed Resident R48's entire clinical record and confirmed that it does does not accurately reflect the time of Resident R48’s fall and stated that she cannot determine what time Resident R48 fell or if neurologic checks should have been started at 4:10 p.m. or 6:00 p.m.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
F-Tag F0880
Federal health inspectors cited WATERVILLE CENTER FOR HEALTH AND REHAB in WATERVILLE, ME for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-08-28.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
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 15 deficiencies cited during this inspection of WATERVILLE CENTER FOR HEALTH AND REHAB.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-06.
WATERVILLE CENTER FOR HEALTH AND REHAB in WATERVILLE, ME inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 WATERVILLE, 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 WATERVILLE CENTER FOR HEALTH AND REHAB or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.