The 10 Worst Nursing Homes in Maine

  Worst Nursing Homes in Maine By City

Every city in Maine has its own set of challenges and standards when it comes to nursing home care. To help you find the information most relevant to your location, we've compiled city-specific rankings of the worst-rated nursing homes. Click on the links below to explore the detailed lists for each city.

Worst Nursing Homes in Portland

• Friendship Health Center (342.25)
• Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2025-03-31)
• Provide or get specialized rehabilitative services as required for a resident. (2024-12-13)
• Cascade Terrace Post Acute (229.25)
• Keep residents' personal and medical records private and confidential. (2025-05-29)
• Allow residents to self-administer drugs if determined clinically appropriate. (2025-05-29)
• Gracelen Care Center (213.75)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2025-01-28)
• Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (2025-01-28)
• Signature Health of Portland Rehab and Wellness Cent (188)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-08-31)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-08-31)
• Avamere Crestview of Portland (164)
• Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (2024-10-22)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-10-22)
• Cedar Crossings (145.75)
• 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. (2025-03-06)
• Provide or obtain dental services for each resident. (2025-03-06)
• Fernhill Rehabilitation and Care (140)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2025-05-14)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2025-05-14)
• Glisan Post Acute (125.25)
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2025-04-11)
• 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. (2024-12-27)
• Porthaven Post Acute (122.75)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2025-05-02)
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (2025-05-02)
• Coastal Palms Nursing and Rehabilitation (116.25)
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (2024-09-20)
• Keep residents' personal and medical records private and confidential. (2024-09-20)

Worst Nursing Homes in Bangor

• Maine Veterans Home - Bangor (188.75)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2025-04-17)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2025-04-17)
• Bangor Nursing and Rehabilitation Center (136)
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2025-01-30)
• 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. (2025-01-30)
• Eastside Center For Health and Rehabilitation, LLC (78.75)
• To conduct inspection, testing and maintenance of fire doors by qualified individuals. (2025-03-21)
• Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. (2025-03-21)
• Ross Manor (75)
• Have generator or other power source capable of supplying service within 10 seconds. (2025-06-12)
• Install a fire alarm system that can be heard throughout the facility. (2025-06-12)
• Stillwater Health Care (74)
• Have generator or other power source capable of supplying service within 10 seconds. (2025-02-18)
• Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. (2025-02-17)
• Westgate Center For Rehab and Alzheimers Care (35)
• Observe each nurse aide's job performance and give regular training. (2025-04-30)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2025-04-30)
• Slate Belt Health and Rehabilitation Center (13)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2025-03-19)
• Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2025-03-19)

Worst Nursing Homes in Lewiston

• Idaho State Veterans Home - Lewiston (133.5)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-07-15)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2024-07-15)
• Montello Manor (127.25)
• Reasonably accommodate the needs and preferences of each resident. (2025-03-28)
• 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. (2025-03-28)
• Orchard View Post Acute (124.25)
• 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. (2024-11-13)
• Provide enough food/fluids to maintain a resident's health. (2024-11-13)
• Russell Park Rehabilitation and Living Center (110)
• Reasonably accommodate the needs and preferences of each resident. (2024-09-18)
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (2024-09-18)
• Marshwood Center (76)
• 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. (2025-01-28)
• Reasonably accommodate the needs and preferences of each resident. (2025-01-28)
• St Mary's D'youville Pavilion (70.5)
• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (2025-05-01)
• 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. (2025-05-01)
• Cascadia of Lewiston (65)
• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (2025-05-18)
• Allow residents to self-administer drugs if determined clinically appropriate. (2025-05-18)
• Royal Plaza Health and Rehabilitation of Cascadia (37)
• Ensure that residents are free from significant medication errors. (2025-05-19)
• Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2025-05-19)
• Lewiston Transitional Care of Cascadia (24)
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (2024-07-12)
• Provide care and assistance to perform activities of daily living for any resident who is unable. (2024-07-12)
• Life Care Center of Lewiston (19)
• Provide care and assistance to perform activities of daily living for any resident who is unable. (2022-09-22)
• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (2022-09-22)

Worst Nursing Homes in Sanford

• Healthcare and Rehab of Sanford (85)
• Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2025-05-30)
• 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. (2023-11-17)
• Liberty Commons Nsg and Rehab Ctr of Lee County (66.25)
• Ensure services provided by the nursing facility meet professional standards of quality. (2025-05-22)
• Ensure that residents are free from significant medication errors. (2025-05-22)
• Sanford Health and Rehabilitation Co (46.75)
• Install an approved automatic sprinkler system. (2025-07-04)
• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2025-06-13)
• Summer Commons (40)
• Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (2024-02-06)
• Conduct testing and exercise requirements. (2022-12-27)
• Pinnacle Health and Rehab at Sanford (30)
• Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. (2025-05-09)
• Meet requirements for the installation and maintenance of electrical systems. (2025-05-09)
• Westfield Rehabilitation and Health Center (18)
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2024-09-30)
• Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2024-08-20)

Worst Nursing Homes in Waterville

• Waterville Center For Health and Rehab (546.75)
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (2025-03-26)
• Honor the resident's right to manage his or her financial affairs. (2024-11-07)
• Oak Grove Center (203.75)
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (2025-06-19)
• 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. (2025-06-19)
• Ayden Healthcare of Waterville (106.5)
• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (2024-10-30)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2024-10-30)
• Astoria Place of Waterville (84)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2025-03-22)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-10-03)
• Lakewood A Continuing Care Center (71)
• 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. (2024-12-29)
• Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2024-12-29)
• Waterville Residential Care Center (31)
• Install smoke barrier doors that can resist smoke for at least 20 minutes. (2024-12-18)
• Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2024-11-30)

  Related Lists and Resources

While it's important to be aware of the lowest-rated facilities, we also provide resources to help you find the best care available. Check out our other lists to find top-rated nursing homes and facilities that excel in specific areas.

• Best Nursing Homes in Maine
• Analysis of Nursing Homes in Maine

  Making Informed Decisions

Understanding our rankings and how they are derived can empower you to make better choices for your loved ones. Remember, a low rating in one area doesn't necessarily mean a facility is entirely unsuitable; it's a starting point for further investigation.

  Tips for Evaluating Nursing Homes in Maine:

• Schedule visits to potential facilities
• Speak with staff and residents
• Review recent inspection reports
• Consider the specific needs of your loved one

Disclaimer: NursingHomeDatabase.com does not have a relationship, either commercial or otherwise, with any of the skilled nursing facilities referred to on this site. This is an independent resource that tries to make more and better information available to the public.

  More Resources for Families

Navigating the world of nursing home care can be overwhelming. Here are some resources to help you make the best decisions for your family:

• The Role of Family in Nursing Home Care
• Navigating Medicaid for Nursing Home Care
• How to Handle a Nursing Home Discharge
• Understanding Nursing Home Ratings and What They Mean
• Questions to Ask During a Nursing Home Visit

  How We Compile Nursing Home Ratings in Maine

Every month, we rank all of the skilled nursing facilities in Maine. These rankings are based on data provided by The Centers for Medicare & Medicaid measures ("CMS"), including the CMS 5-Star Rating System and the Health Inspection Scores. The list of the Worst Skilled Nursing Facilities in Maine is based on the weighted overall health inspection score which is a composite of CMS's three most recent skilled nursing home inspection scores weighted to give the most recent inspection more importance.

The CMS 5-Star Rating System rates skilled nursing facilities from one to five stars, with one star being the lowest and five stars being the highest. The rating system also rates Maine nursing homes across five different dimensions including overall rating, health inspection rating, quality measures rating, overall staffing rating, and RN staffing rating (RN is an acronym for Registered Nurse).

In addition to the 5-Star Rating System, CMS provides numerical metrics that summarize:

• Health Inspection Domain. The health inspection rating is based on the three most recent standard surveys for each nursing home, results from any complaint investigations during the most recent three-year period, and any repeat revisits needed to verify that required corrections have brought the facility back into compliance. CMS calculates a weighted deficiency score based on points assigned to health deficiencies identified in each active provider’s current health inspection survey and the two prior surveys (including revisits), as well as deficiency findings from the most recent three years of complaint investigations. More recent surveys are weighted more heavily than older surveys: the most recent period (cycle 1) is assigned a weighting factor of 1/2, the previous period (cycle 2) has a weighting factor of 1/3, and the second prior survey (cycle 3) has a weighting factor of 1/6. The weighted time period scores are then summed to create the survey score for each facility.
• Staffing Domain. Using multiple reporting methods, CMS calculates the amount of time that the nursing staff spends with residents. This is measured across multiple dimensions, one each for three different levels of nursing, including Registered Nurses (“RNs”), Licensed Practical Nurses (“LPNs”), and Certified Nursing Assistants (“CNAs”), plus one metric that totals all contributions. These metrics are expressed in hours per resident per day. CMS also provides state-level and national averages for the metrics to allow for additional comparisons.
• Quality Measures Domain. A set of quality measures (QMs) has been developed from MDS-based indicators to describe the quality of care provided in nursing homes. These measures address a broad range of functioning and health status in multiple care areas. The facility rating for the QM domain is based on performance on a subset of 11 (out of 18) of the QMs. Ratings for the QM domain are calculated using the three most recent quarters for which data are available. This time period specification was selected to increase the number of assessments available for calculating the QM rating, increasing the stability of estimates and reducing the number of facilities that do not have enough data to report QM ratings.
• Abuse Flag. Abuse is always a concern in skilled nursing facilities. To highlight the issue, CMS has extracted this feature as its own flag. Facilities with an actual abuse event or where the potential for abuse has been shown for the past two years are flagged. The Health Inspection Score is capped at 2-stars for nursing homes that have been flagged for abuse.

Skilled nursing facilities that are new and do not have at least two surveys completed are not rated by CMS. These facilities may have health inspection scores that can be used to evaluate the facility.

One complication in Maine nursing home inspections is the COVID-19 pandemic. Although inspections should be performed every 12 months, COVID has decreased this frequency. While CMS admits that only in “rare cases” do these inspections increase to 15 months, our analysis suggests that this time frame may be even longer. This report shows that the time between inspections is now just under 500 days (more than sixteen months). There are now hundreds of skilled nursing homes in the United States that have not been inspected in more than 24 months. This list shows the skilled nursing homes with the longest period since being inspected. According to the CMS data, these homes have not been inspected since 2018!