Maine › Franklin County › Farmington
Sandy River Center
119 Livermore Falls Road, Farmington, ME 04938
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.
Certified for 82 beds, Sandy River Center serves Farmington in Franklin County, Maine and has taken Medicare and Medicaid residents since 1991.
CMS gives it 3 of 5 stars overall, equal to the Maine median; the health inspection rating is 3, staffing 4 and quality measures 4.
Inspectors recorded 45 health deficiencies across the three most recent survey cycles (9, 17, 19 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 54.9 per 100 beds, about the same as the state median of 44.4.
CMS lists 1 penalty in the period covered: fines totalling $14K.
Reported nurse staffing is 3.4 hours per resident per day (0.9 RN), close to the Maine median of 4.2; nursing staff turnover is 46.1%.
Compared with county, state and nation
| Measure | This facility | Franklin Co. median | Maine median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 45 | 36 | 29 | 28.7 |
| Citations per 100 beds | 54.9 | 93.9 | 44.4 | 26.8 |
| Total nurse hours per resident day | 3.4 | 4.3 | 4.2 | 3.9 |
| RN hours per resident day | 0.9 | 0.8 | 1.0 | 0.7 |
| Nursing staff turnover | 46.1% | 46.1% | 46.9% | 45.8% |
| Fines listed | $14,069 | $0 | $0 | — |
County and state figures are medians across facilities (3 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: 18 Sep 2025, 8 Aug 2024.
Severity mix: J ×1 D ×15 E ×24 F ×1 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 |
|---|---|---|---|---|---|
| 25 Nov 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 5 Jan 2026 |
| 25 Nov 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 5 Jan 2026 |
| 18 Sep 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 | 20 Oct 2025 |
| 18 Sep 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 | 20 Oct 2025 |
| 18 Sep 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 20 Oct 2025 |
| 18 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 20 Oct 2025 |
| 18 Sep 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 20 Oct 2025 |
| 18 Sep 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | B | Standard survey | 20 Oct 2025 |
| 18 Sep 2025 | F0732 | Post nurse staffing information every day. | B | Standard survey | 20 Oct 2025 |
| 30 Jul 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | J | Complaint investigation | Past Non-Compliance |
| 8 Aug 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 9 Sep 2024 |
| 8 Aug 2024 | 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 | 9 Sep 2024 |
| 8 Aug 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 | Standard survey | 9 Sep 2024 |
| 8 Aug 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 9 Sep 2024 |
| 8 Aug 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 | Standard survey | 9 Sep 2024 |
| 8 Aug 2024 | 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 | 9 Sep 2024 |
| 8 Aug 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 9 Sep 2024 |
| 8 Aug 2024 | 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 | Complaint investigation | 9 Sep 2024 |
| 8 Aug 2024 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Standard survey | 9 Sep 2024 |
| 8 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 9 Sep 2024 |
| 8 Aug 2024 | F0814 | Dispose of garbage and refuse properly. | E | Standard survey | 9 Sep 2024 |
| 8 Aug 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 9 Sep 2024 |
| 8 Aug 2024 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard survey | 9 Sep 2024 |
| 8 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 9 Sep 2024 |
| 8 Aug 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 9 Sep 2024 |
| 8 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 9 Sep 2024 |
| 29 Apr 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 | 7 Jun 2024 |
| 29 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 7 Jun 2024 |
| 3 Oct 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 15 Nov 2023 |
| 3 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 15 Nov 2023 |
| 3 Oct 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 15 Nov 2023 |
| 12 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 6 Oct 2023 |
| 28 Oct 2022 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 6 Dec 2022 |
| 28 Oct 2022 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard survey | 6 Dec 2022 |
| 28 Oct 2022 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 6 Dec 2022 |
| 28 Oct 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 6 Dec 2022 |
| 28 Oct 2022 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Standard survey | 6 Dec 2022 |
| 28 Oct 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 6 Dec 2022 |
| 28 Oct 2022 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 6 Dec 2022 |
| 28 Oct 2022 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 6 Dec 2022 |
| 28 Oct 2022 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 6 Dec 2022 |
| 28 Oct 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 6 Dec 2022 |
| 28 Oct 2022 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 6 Dec 2022 |
| 28 Oct 2022 | F0732 | Post nurse staffing information every day. | B | Standard survey | 6 Dec 2022 |
| 28 Oct 2022 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | B | Standard survey | 6 Dec 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 30 Jul 2025 | Fine | $14,069 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Maine average. Turnover: nursing staff 46.1%, RNs 37.5%; 0 administrators 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 | 14.6% | 24.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.4% | 3.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 25.4% | 25.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.8% | 4.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.9% | 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, corporation. Legal business name: Farmington Operations Llc. Chain: Genesis Healthcare (184 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Genesis Healthcare of Maine LLC | 5% or greater direct ownership interest | 100% | 10/02/2012 |
| Fc-Gen Operations Investment LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 04/01/2011 |
| Gen Operations I LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 04/01/2011 |
| Genesis Healthcare Inc | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/02/2015 |
| Genesis Healthcare LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 04/01/2011 |
| Genesis Holdings LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/02/2015 |
| Ghc Holdings LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 08/01/2008 |
| Sun Healthcare Group Inc | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 11/15/2022 |
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 Franklin County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Edgewood Rehab & Living Ctr | Farmington | 33 | 2 | 2 | 4 | 31 | 93.9 | — | 20 Aug 2025 |
| Orchard Park Rehab & Living Center | Farmington | 38 | 2 | 2 | 4 | 36 | 94.7 | — | 25 Jun 2026 |
All 3 facilities in Franklin County
Questions and answers
How many deficiencies has Sandy River Center been cited for?
45 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Maine median is 29 per facility.
Has Sandy River Center been fined?
Yes. CMS lists fines totalling $14K in the period covered.
How does staffing at Sandy River Center compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Maine median of 4.2 and a national average of 3.9.
Who operates Sandy River Center?
It is part of the Genesis Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Genesis Healthcare of Maine LLC, Fc-Gen Operations Investment LLC and Gen Operations I LLC. Individual owners and managers are not listed on this site.
When was Sandy River Center last inspected?
The most recent survey or investigation in the CMS record is dated 25 Nov 2025; the most recent standard health survey was 18 Sep 2025.
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.