Maine › Knox County › Rockland
Breakwater Commons
100 Commons Drive, Rockland, ME 04841
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Breakwater Commons, in Rockland, Maine, is certified for 96 beds under for-profit, limited liability company ownership.
CMS gives it 2 of 5 stars overall, below the Maine median of 3; the health inspection rating is 2, staffing 4 and quality measures 3.
Inspectors recorded 57 health deficiencies across the three most recent survey cycles (13, 30, 14 by cycle, most recent first), none at the actual-harm level. That is 59.4 per 100 beds, more than the state median of 44.4.
CMS lists 1 penalty in the period covered: fines totalling $4K.
Reported nurse staffing is 4.9 hours per resident per day (0.9 RN), close to the Maine median of 4.2; nursing staff turnover is 68.4%.
Compared with county, state and nation
| Measure | This facility | Knox Co. median | Maine median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 57 | 79 | 29 | 28.7 |
| Citations per 100 beds | 59.4 | 108.2 | 44.4 | 26.8 |
| Total nurse hours per resident day | 4.9 | 4.9 | 4.2 | 3.9 |
| RN hours per resident day | 0.9 | 1.1 | 1.0 | 0.7 |
| Nursing staff turnover | 68.4% | 76.2% | 46.9% | 45.8% |
| Fines listed | $3,529 | $3,529 | $0 | — |
County and state figures are medians across facilities (2 in the county, 78 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Maine average per facility for the same cycle, as published by CMS. Standard health survey dates: 9 Apr 2026, 23 Jan 2025.
Severity mix: D ×30 E ×23 B ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 9 Apr 2026 | F0584 | 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. | E | Standard survey | 8 May 2026 |
| 9 Apr 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 8 May 2026 |
| 9 Apr 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 8 May 2026 |
| 9 Apr 2026 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 8 May 2026 |
| 9 Apr 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint investigation | 8 May 2026 |
| 9 Apr 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 8 May 2026 |
| 9 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 8 May 2026 |
| 9 Apr 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 8 May 2026 |
| 9 Apr 2026 | F0578 | 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. | D | Standard survey | 8 May 2026 |
| 9 Apr 2026 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 8 May 2026 |
| 9 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 8 May 2026 |
| 9 Apr 2026 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 8 May 2026 |
| 9 Apr 2026 | F0761 | 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. | D | Standard survey | 8 May 2026 |
| 28 May 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 10 Jul 2025 |
| 28 May 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 10 Jul 2025 |
| 28 May 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 1 Aug 2025 |
| 28 May 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Complaint investigation | 1 Aug 2025 |
| 28 May 2025 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | Complaint investigation | 10 Jul 2025 |
| 23 Jan 2025 | F0578 | 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. | E | Standard survey | 4 Mar 2025 |
| 23 Jan 2025 | F0584 | 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. | E | Complaint investigation | 4 Mar 2025 |
| 23 Jan 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 4 Mar 2025 |
| 23 Jan 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 4 Mar 2025 |
| 23 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 4 Mar 2025 |
| 23 Jan 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 4 Mar 2025 |
| 23 Jan 2025 | F0761 | 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. | E | Standard survey | Deficient, Provider has no plan of correction |
| 23 Jan 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 4 Mar 2025 |
| 23 Jan 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard survey | 4 Mar 2025 |
| 23 Jan 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 4 Mar 2025 |
| 23 Jan 2025 | F0637 | Assess the resident when there is a significant change in condition | D | Complaint investigation | 4 Mar 2025 |
| 23 Jan 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 4 Mar 2025 |
| 23 Jan 2025 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard survey | 4 Mar 2025 |
| 23 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 4 Mar 2025 |
| 23 Jan 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 4 Mar 2025 |
| 23 Jan 2025 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 4 Mar 2025 |
| 12 Nov 2024 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | E | Complaint investigation | 9 Dec 2024 |
| 12 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 9 Dec 2024 |
| 30 Oct 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | B | Complaint investigation | Deficient, Provider has no plan of correction |
| 26 Sep 2024 | F0584 | 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. | E | Complaint investigation | 8 Nov 2024 |
| 26 Sep 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 8 Nov 2024 |
| 26 Sep 2024 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 8 Nov 2024 |
| 26 Sep 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 8 Nov 2024 |
| 26 Sep 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 8 Nov 2024 |
| 26 Sep 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 8 Nov 2024 |
| 10 Apr 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 30 May 2024 |
| 10 Apr 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 30 May 2024 |
| 10 Apr 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 30 May 2024 |
| 10 Apr 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 30 May 2024 |
| 13 Mar 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 12 Apr 2024 |
| 1 Nov 2023 | F0584 | 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. | E | Standard survey | 19 Dec 2023 |
| 1 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 1 Dec 2023 |
| 1 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 1 Dec 2023 |
| 1 Nov 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard survey | 19 Dec 2023 |
| 1 Nov 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 1 Dec 2023 |
| 1 Nov 2023 | F0625 | 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. | B | Standard survey | 1 Dec 2023 |
| 1 Nov 2023 | F0732 | Post nurse staffing information every day. | B | Standard survey | 1 Dec 2023 |
| 26 Sep 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 15 Nov 2023 |
| 26 Sep 2023 | F0761 | 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. | D | Complaint investigation | 15 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 28 Aug 2023 | Fine | $3,529 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Maine average. Turnover: nursing staff 68.4%, RNs 54.2%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Maine median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 50.3% | 24.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.0% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.2% | 3.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.4% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 33.2% | 25.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.5% | 4.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.4% | 19.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Breakwater Commons Operations, Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Breakwater Commons Operations, LLC | 5% or greater direct ownership interest | 100% | 09/01/2021 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Knox County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Windward GardensSFF | Camden | 73 | — | — | — | 79 | 108.2 | — | 1 Apr 2026 |
All 2 facilities in Knox County
Questions and answers
How many deficiencies has Breakwater Commons been cited for?
57 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Maine median is 29 per facility.
Has Breakwater Commons been fined?
Yes. CMS lists fines totalling $4K in the period covered.
How does staffing at Breakwater Commons compare?
Reported total nurse staffing is 4.9 hours per resident per day against a Maine median of 4.2 and a national average of 3.9.
Who operates Breakwater Commons?
Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Breakwater Commons Operations, LLC. Individual owners and managers are not listed on this site.
When was Breakwater Commons last inspected?
The most recent survey or investigation in the CMS record is dated 9 Apr 2026; the most recent standard health survey was 9 Apr 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.