nursing home in Madison, ME
Maplecrest Rehab & Living Center
174 Main St, Madison, ME 04950 · (207) 696-8225
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★4
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Maplecrest Rehab & Living Center at a glance
Maplecrest Rehab & Living Center is a 58-bed for-profit nursing home in Madison, Maine (Somerset County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Maine average of 3.1.
Residents receive about 4 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 4.3 hours.
Its most recent standard health inspection (July 9, 2025) found 13 health citations. The Maine average is 10.8.
It has not received a federal fine in the past three years.
Nursing staff turnover is 50.9% per year (state average 46.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 58
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- North Country Associates
- Medicare-certified since
- October 1, 1993
- Resident/family council
- Resident
- County
- Somerset County
- CMS Certification Number
- 205128
Ratings
| Measure | This facility | Maine avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 4.1 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 2.5 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Maine avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.95 hrs | 4.34 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.72 hrs | 1.05 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.81 hrs | 2.83 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.62 hrs | 3.92 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 50.9% | 46.7% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 63.6% | 40.2% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Maine avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 13 | 11 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 106 | 81.3 | 80.6 | Worse |
Penalties
| Measure | This facility | Maine avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 0 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $7,386 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Maine avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 58 | 75 | 107 | |
| Average residents per day | 46 | 65 | 86 | |
| Occupancy | 79.3% | 88.5% | 80.9% |
Long-stay residents
| Measure | This facility | Maine avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.7% | 4.1% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.7% | 4.3% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 22.2% | 20.2% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.6% | 2.2% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.5% | 1.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 30.1% | 24.4% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 28.5% | 25.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.5% | 5.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 18.8% | 11.6% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 16.9% | 17.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 29.3% | 29.2% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 97.8% | 95.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 42.1% | 92.3% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Maine avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 14.8% | 74.5% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 19.4% | 72.7% | 82% | Worse |
Inspection citations
State inspectors cited this home for 41 health deficiencies and 20 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 9, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected August 8, 2025 |
| July 9, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected August 8, 2025 |
| July 9, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected August 8, 2025 |
| July 9, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | E Potential harm, pattern | Corrected July 25, 2025 |
| July 9, 2025 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | E Potential harm, pattern | Corrected July 8, 2025 |
| July 9, 2025 Fire safety | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Tag E0036 | D Potential harm, isolated | Corrected August 8, 2025 |
| July 9, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected August 8, 2025 |
| July 9, 2025 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected August 8, 2025 |
| July 9, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected August 8, 2025 |
| July 9, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | D Potential harm, isolated | Corrected July 25, 2025 |
| July 9, 2025 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected August 18, 2025 |
| July 9, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected August 8, 2025 |
| July 9, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected August 18, 2025 |
| July 9, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected October 3, 2025 |
| July 9, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected August 18, 2025 |
| July 9, 2025 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected August 18, 2025 |
| July 9, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected October 3, 2025 |
| July 9, 2025 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected August 18, 2025 |
| July 9, 2025 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected August 18, 2025 |
| July 9, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected August 18, 2025 |
| July 9, 2025 Standard | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Tag F0865 | D Potential harm, isolated | Corrected October 3, 2025 |
| July 9, 2025 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected August 18, 2025 |
| July 9, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected October 3, 2025 |
| July 9, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected August 18, 2025 |
| July 9, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 18, 2025 |
| December 11, 2024 Complaint | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected January 7, 2025 |
| December 11, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected January 7, 2025 |
| October 28, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected November 22, 2024 |
| April 19, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected April 30, 2024 |
| April 19, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected April 30, 2024 |
| April 19, 2024 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected April 30, 2024 |
| April 19, 2024 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected April 30, 2024 |
| April 19, 2024 Standard | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | E Potential harm, pattern | Corrected May 30, 2024 |
| April 19, 2024 Standard | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | E Potential harm, pattern | Corrected May 30, 2024 |
| April 19, 2024 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected May 30, 2024 |
| April 19, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected May 30, 2024 |
| April 19, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0578 | E Potential harm, pattern | Corrected May 30, 2024 |
| April 19, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected May 30, 2024 |
| April 19, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected May 30, 2024 |
| April 19, 2024 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected May 30, 2024 |
| April 19, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected May 30, 2024 |
| April 19, 2024 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected May 30, 2024 |
| April 19, 2024 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected May 30, 2024 |
| April 19, 2024 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected May 30, 2024 |
| April 19, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 30, 2024 |
| April 19, 2024 Standard | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Tag F0576 | B No harm, pattern | Corrected May 30, 2024 |
| April 19, 2024 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | B No harm, pattern | Corrected May 30, 2024 |
| April 19, 2024 Standard | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Tag F0625 | B No harm, pattern | Corrected May 30, 2024 |
| April 19, 2024 Standard | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | B No harm, pattern | Corrected May 30, 2024 |
| October 19, 2022 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected October 27, 2022 |
| October 19, 2022 Fire safety | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Tag K0232 | D Potential harm, isolated | Corrected October 27, 2022 |
| October 19, 2022 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | D Potential harm, isolated | Corrected October 27, 2022 |
| October 19, 2022 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected October 27, 2022 |
| October 19, 2022 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected December 2, 2022 |
| October 19, 2022 Standard | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0943 | E Potential harm, pattern | Corrected December 2, 2022 |
| October 19, 2022 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected December 2, 2022 |
| October 19, 2022 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected December 2, 2022 |
| October 19, 2022 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected December 2, 2022 |
| October 19, 2022 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected December 2, 2022 |
| October 19, 2022 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected December 2, 2022 |
| October 19, 2022 Standard | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | B No harm, pattern | Corrected December 2, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ORESTIS, JOHN Individual | 5% or greater direct ownership interest | 100% | 01/01/1986 |
| CYR, GLEN Individual | corporate director | NOT APPLICABLE | 05/01/1998 |
| ORESTIS, JOHN Individual | corporate officer | NOT APPLICABLE | 01/01/1986 |
| RICHARDS, MARY Individual | corporate officer | NOT APPLICABLE | 01/01/2012 |
| BENTO, RANDI Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2018 |
| CYR, GLEN Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2008 |
| RICHARDS, MARY Individual | w-2 managing employee | NOT APPLICABLE | 06/01/2000 |
Other nursing homes near Maplecrest Rehab & Living Center
Woodlawn Rehabilitation & Nursing Center
59 West Front Street, Skowhegan, ME 04976 · 8 mi
For-profit · 46 beds · Part of First Atlantic Healthcare
★★★★★1Much below averageCedar Ridge Center
23 Cedar Ridge Drive, Skowhegan, ME 04976 · 8.5 mi
For-profit · 75 beds · Part of Genesis Healthcare
★★★★★3AverageOrchard Park Rehab & Living Center
107 Orchard Street, Farmington, ME 04938 · 15.8 mi
For-profit · 38 beds · Part of North Country Associates
★★★★★2Below averageEdgewood Rehab & Living Ctr
221 Fairbanks Rd, Farmington, ME 04938 · 16 mi
For-profit · 33 beds · Part of North Country Associates
★★★★★2Below averageSandy River Center
119 Livermore Falls Road, Farmington, ME 04938 · 18.4 mi
For-profit · 82 beds · Part of Genesis Healthcare
★★★★★3AverageWaterville Center for Health and Rehab
7 Highwood St, Waterville, ME 04901 · 20.2 mi
For-profit · 111 beds
- Special Focus candidate
★★★★★1Much below average
Frequently asked questions
What is Maplecrest Rehab & Living Center's rating?
Maplecrest Rehab & Living Center has 1 out of 5 stars on the CMS overall star rating. The average for Maine nursing homes is 3.1 stars.
How many inspection citations did Maplecrest Rehab & Living Center receive?
Its most recent standard health inspection found 13 citations, compared with a Maine average of 10.8. Every citation is listed on this page with its severity.
Does Maplecrest Rehab & Living Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Maplecrest Rehab & Living Center?
It is for profit - corporation and part of North Country Associates. The ownership section on this page lists the owners and managers reported to CMS.
Where is Maplecrest Rehab & Living Center and how do I contact it?
Maplecrest Rehab & Living Center is at 174 Main St, Madison, ME 04950. Phone: (207) 696-8225.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.