BREAKWATER COMMONS

ROCKLAND, ME · 96 beds · For profit - Limited Liability company

9 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 1-star health inspection rating (lowest possible)
  • 1 citation(s) where residents suffered actual harm
  • 75% total nursing staff turnover

Green Flags

  • 4-star staffing rating

Quick Facts

★☆☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
21
1.9x state avg
Deficiencies
$11,998
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

May 27, 2025

5 deficiencyies
F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F0865 Potential Harm Scope/Severity: D

Administration Deficiencies

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Have a plan that describes the process for conducting QAPI and QAA activities.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0940 Potential Harm Scope/Severity: D

Administration Deficiencies

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Develop, implement, and/or maintain an effective training program for all new and existing staff members.

January 22, 2025

15 deficiencyies
F0578 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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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.

F0657 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0684 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0695 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Provide safe and appropriate respiratory care for a resident when needed.

F0730 Potential Harm Scope/Severity: D

Nursing and Physician Services Deficiencies

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Observe each nurse aide's job performance and give regular training.

F0761 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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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.

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0868 Potential Harm Scope/Severity: D

Administration Deficiencies

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Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0883 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Develop and implement policies and procedures for flu and pneumonia vaccinations.

F0887 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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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.

F0947 Potential Harm Scope/Severity: E

Nursing and Physician Services Deficiencies

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Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F0584 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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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.

F0637 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Assess the resident when there is a significant change in condition

See full violation history →

Staffing

0.85
RN hrs/res/day
0.82
LPN hrs/res/day
3.20
CNA hrs/res/day
4.48
Weekend hrs/res/day
75%
Total nurse turnover
74%
RN turnover

A nurse checks on each resident roughly every 4.9 hours on average.

Fines & Penalties

  • Fine Aug 27, 2023
    $3,529
  • Fine Aug 6, 2023
    $8,469
Total $11,998

Ownership

For profit - Limited Liability company Independent (not part of a chain)
  • BREAKWATER COMMONS OPERATIONS, LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 09/01/2021

    100% Organization
  • CYR, GLEN

    CORPORATE DIRECTOR

    Since since 07/19/2023

    Individual
  • ORESTIS, JOHN

    CORPORATE DIRECTOR

    Since since 07/19/2023

    Individual
  • RICHARDS, MARY

    CORPORATE DIRECTOR

    Since since 07/19/2023

    Individual
  • TYLER, MICHAEL

    CORPORATE DIRECTOR

    Since since 07/19/2023

    Individual
  • URY, WILLIAM

    CORPORATE DIRECTOR

    Since since 07/19/2023

    Individual
  • CHADWICK, CARL

    W-2 MANAGING EMPLOYEE

    Since since 07/19/2023

    Individual
  • BRESHNAHAN, RICHARD

    5% OR GREATER SECURITY INTEREST

    Since since 07/19/2023

    Individual
  • CROSS, ROYCE

    5% OR GREATER SECURITY INTEREST

    Since since 07/19/2023

    Individual
  • HARSTAD, PAUL

    5% OR GREATER SECURITY INTEREST

    Since since 07/19/2023

    Individual