Elder Care Record

Maine › Androscoggin County › Lewiston

St Mary'S D'Youville Pavilion

102 Campus Ave, Lewiston, ME 04240

CCN 205053 · Non-profit, corporation · 210 certified beds · chain Covenant Health

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

St Mary'S D'Youville Pavilion is a Non-profit, corporation nursing home in Lewiston, Maine, certified for 210 beds and caring for about 165 residents a day.

CMS gives it 1 of 5 stars overall, below the Maine median of 3; the health inspection rating is 1, staffing 4 and quality measures 4.

Inspectors recorded 28 health deficiencies across the three most recent survey cycles (13, 13, 2 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 13.3 per 100 beds, fewer than the state median of 44.4.

CMS lists 2 penalties in the period covered: fines totalling $22K and 1 payment denial.

Reported nurse staffing is 4.0 hours per resident per day (1.2 RN), close to the Maine median of 4.2; nursing staff turnover is 50.0%.

28health deficiencies, 3 survey cycles1 at actual harm or worse
$22Kfines listed by CMS2 penalties in period
4.0nurse hours per resident per daystate median 4.2
79%occupancy (residents ÷ beds)165 residents a day

Compared with county, state and nation

MeasureThis facilityAndroscoggin Co. medianMaine medianUS average
Overall star rating1133.0
Health citations, 3 cycles28442928.7
Citations per 100 beds13.388.044.426.8
Total nurse hours per resident day4.04.24.23.9
RN hours per resident day1.21.01.00.7
Nursing staff turnover50.0%50.0%46.9%45.8%
Fines listed$22,205$14,518$0—

County and state figures are medians across facilities (6 in the county, 78 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)13
Cycle 213
Cycle 32

Dark bar: this facility. Grey bar: Maine average per facility for the same cycle, as published by CMS. Standard health survey dates: 28 Mar 2025, 26 Jan 2024.

Severity mix: J ×1 D ×17 E ×10

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
25 Jun 2026F0610Respond appropriately to all alleged violations.DComplaint investigation9 Aug 2026
15 Apr 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation25 May 2026
15 Apr 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation25 May 2026
21 Nov 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation (under dispute review)24 Sep 2025
28 Mar 2025F0584Honor 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.EStandard survey1 May 2025
28 Mar 2025F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey1 May 2025
28 Mar 2025F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard survey1 May 2025
28 Mar 2025F0699Provide care or services that was trauma informed and/or culturally competent.EStandard survey1 May 2025
28 Mar 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey1 May 2025
28 Mar 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey1 May 2025
28 Mar 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey1 May 2025
28 Mar 2025F0761Ensure 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.DStandard survey1 May 2025
28 Mar 2025F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard survey1 May 2025
2 Jan 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation27 Jan 2025
26 Jan 2024F0584Honor 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.EStandard survey8 Apr 2024
26 Jan 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey21 Mar 2024
26 Jan 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey21 Mar 2024
26 Jan 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey21 Mar 2024
26 Jan 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey8 Apr 2024
26 Jan 2024F0880Provide and implement an infection prevention and control program.EStandard survey21 Mar 2024
26 Jan 2024F0578Honor 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.DStandard survey21 Mar 2024
26 Jan 2024F0637Assess the resident when there is a significant change in conditionDStandard survey21 Mar 2024
26 Jan 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey21 Mar 2024
26 Jan 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey21 Mar 2024
26 Jan 2024F0758Implement 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.DStandard survey21 Mar 2024
26 Jan 2024F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard survey8 Apr 2024
9 Mar 2022F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey20 Apr 2022
9 Mar 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey20 Apr 2022

Penalties

DateTypeAmountDetail
15 Apr 2026Payment denial—4 days
15 Apr 2026Fine$22,205

Staffing

Total nursing4.01 h
Nurse aides2.46 h
LPN0.38 h
RN1.17 h
Weekend total3.93 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Maine average. Turnover: nursing staff 50.0%, RNs 37.2%; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMaine medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay30.0%24.7%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.7%0.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.5%1.8%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.7%3.8%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.3%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay30.0%25.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.9%4.0%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay19.6%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: non-profit, corporation. Legal business name: St Marys Regional Medical Center. Chain: Covenant Health (8 facilities).

OrganisationRole in the CMS recordInterestSince
St. Marys Health System5% or greater direct ownership interest100%09/16/1983
Covenant Health5% or greater indirect ownership interest100%01/29/1992

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 Androscoggin County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Marshwood CenterLewiston1083342926.9—18 Mar 2026
Odd Fellows Health Care CenterAuburn263342492.3—18 Feb 2026
Clover Health CareSFF CandidateAuburn1091145449.5$15K17 Feb 2026
Montello ManorLewiston3711449132.4$15K8 May 2026
Russell Park Rehabilitation & Living CenterLewiston501144488.0—21 May 2025

All 6 facilities in Androscoggin County

Questions and answers

How many deficiencies has St Mary'S D'Youville Pavilion been cited for?

28 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 St Mary'S D'Youville Pavilion been fined?

Yes. CMS lists fines totalling $22K in the period covered, plus 1 payment denial.

How does staffing at St Mary'S D'Youville Pavilion compare?

Reported total nurse staffing is 4.0 hours per resident per day against a Maine median of 4.2 and a national average of 3.9.

Who operates St Mary'S D'Youville Pavilion?

It is part of the Covenant Health chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include St. Marys Health System and Covenant Health. Individual owners and managers are not listed on this site.

When was St Mary'S D'Youville Pavilion last inspected?

The most recent survey or investigation in the CMS record is dated 25 Jun 2026; the most recent standard health survey was 28 Mar 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.