Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Aroostook Health Center during CMS and state inspections, most recent first.
The facility failed to implement a comprehensive Water Management Plan to prevent Legionella growth, lacking necessary control measures and documentation. Additionally, two residents with Foley catheters had their urinary drainage bags resting on the floor, contrary to the facility's infection control policy, as confirmed by staff.
The facility failed to maintain sanitary conditions in the kitchen, with wet stacked dishware and insufficient sanitizer concentration in the three-bay sink. Additionally, expired chocolate pudding was used in medication administration, with an LPN unaware of its expiration status. The Food Service Supervisor confirmed the pudding was used three days beyond its expiration date.
The facility failed to notify physicians when residents were eligible for the PCV20 vaccine and did not offer Pneumococcal vaccinations upon admission or annually as per CDC guidelines. A resident's last vaccine was in 2015, another in 2016, and a third in 2014, with no evidence of physician notification or timely consent for vaccination.
A deficiency was noted when a CNA failed to communicate respectfully with residents during a Bingo game. The CNA argued with a resident, ignored their attempts to communicate, and spoke sharply to another resident. This behavior was confirmed by the DON, indicating a failure to uphold resident dignity and respect.
A facility failed to update a PASRR for a resident with a current diagnosis of PTSD. The PASRR Level I Screen did not include the PTSD diagnosis and was not forwarded to the State-designated authority for a Level II assessment. This was confirmed during an interview with the DON.
A resident's care plan was not updated to reflect current needs for fall prevention. Despite the care plan indicating the use of padded hip protectors due to osteoporosis, staff confirmed the resident does not wear them. This discrepancy was identified during a review of the care plan.
A facility failed to assess and address a resident's PTSD, resulting in a deficiency in trauma-informed care. The resident's clinical record lacked details on PTSD causes, triggers, and preventive measures. The Clinical Supervisor confirmed the absence of a specific care plan and Trauma Assessment for the resident.
A facility failed to label opened insulin and inhalers with an open date in a medication cart on the South wing. A surveyor and an LPN observed an opened Basaglar Kwik Pen (Lantus, insulin) and a Spiriva Respimat inhaler without open or discard dates. Interviews with the LPN and Clinical Supervisor confirmed the lack of labeling, acknowledging that the medications should have been labeled according to manufacturer's directions.
The facility failed to maintain accurate advanced directives for two residents, leading to discrepancies in their code status. One resident's record showed conflicting DNAR and Full Code instructions, while another's physician order for Full Code contradicted their advanced directive to not be kept alive. These inconsistencies were confirmed by staff and surveyors.
The facility failed to provide adequate oral care for three residents, as observed during a complaint investigation. One resident with dentures reported infrequent cleaning due to staff discomfort, while another with natural teeth had not received oral care that day, resulting in bad breath. A third resident's dentures were unclean before a meal. Care plans indicated the need for assistance, but oral care was not completed as planned.
Deficiencies in Water Management and Infection Control
Penalty
Summary
The facility failed to fully develop and implement a Water Management Plan to prevent the growth and spread of Legionella and other water-borne pathogens. The plan lacked a Control Measures section that identified monitoring procedures, control limits, and corrective actions. There was no written documentation of areas checked to ensure control measures were within normal limits or evidence that the program was reviewed to verify and validate its effectiveness. The last water test for Legionella was conducted in June 2023, and the facility discovered that the contract for testing had been canceled, with a new contract only established on October 17, 2024. Additionally, the facility's maintenance staff performed daily temperature checks and water flushing, but these actions were not documented. The facility also failed to maintain an Infection Control Program to prevent catheter-associated urinary tract infections (CAUTI) for two residents with Foley catheters. The facility's policy stated that urine collection containers should not rest on the floor or a grossly contaminated surface. However, observations revealed that the urinary catheter drainage bags of two residents were resting on the floor, which was confirmed by the Director of Nursing, the Administrator, and a charge nurse. These observations indicated a failure to adhere to the facility's policy and maintain proper infection control practices.
Sanitation and Expired Food Deficiencies in Kitchen and Medication Administration
Penalty
Summary
The facility failed to maintain sanitary conditions in the kitchen, as observed during a survey. On one occasion, mixing bowls and a colander were found wet stacked, which is not in accordance with sanitary storage practices. Additionally, the facility did not correctly follow the three-step process for manually washing, rinsing, and sanitizing dishware. The sanitizing solution in the three-bay sink was found to be at an insufficient concentration on two separate days, with test strips indicating a level of 170 PPM instead of the required 272 PPM. The test strips used were also expired, which may have contributed to inaccurate readings. The automatic dispenser system managed by Eco Lab was found to have a malfunctioning pump and a cracked aspirator, leading to incorrect sanitizer levels. Furthermore, the facility did not ensure that food was removed from use by its expiration date. A surveyor observed an open container of chocolate pudding on a medication cart, which was used to administer medications to residents, including one identified as R41. The pudding was given to residents three days beyond its expiration date. The LPN responsible was unaware of the pudding's expiration status, and the Food Service Supervisor later confirmed that pudding used for medications is only good for five days from the date made.
Failure to Notify Physicians and Offer Pneumococcal Vaccinations
Penalty
Summary
The facility failed to notify the physician when residents were eligible to receive the PCV20 vaccine and did not ensure that residents were offered Pneumococcal vaccinations upon admission, annually, or in accordance with CDC recommendations. This deficiency was identified for three out of five residents reviewed for immunizations. The facility's policy, last revised on May 2, 2023, required that long-term care patients be screened for influenza and Pneumococcal immunization upon admission and annually thereafter. However, the facility did not adhere to this policy. For Resident #19, the clinical record indicated that the last Pneumococcal vaccine was received in 2015, and the PneumoRecs VaxAdvisor website recommended a dose of PCV20 or PCV21 at least five years after the last dose. Similarly, Resident #33's record showed the last vaccine was in 2016, with the same recommendation. Resident #14's record indicated a dose of PPSV23 was given in 2014, and the VaxAdvisor recommended a dose of PCV15, PCV20, or PCV21 at least one year later. The Director of Nursing confirmed that there was no evidence the provider was notified about the eligibility of Residents #19 and #33 for the vaccine, and for Resident #14, the consent for the vaccine was only sent to the family recently, not at the time of admission.
Deficiency in Resident Communication and Dignity
Penalty
Summary
A deficiency was identified in the facility's handling of resident interactions, specifically concerning the manner in which a Certified Nursing Assistant (CNA) communicated with residents during a Bingo game. On October 15, 2024, at 2:00 p.m., a surveyor observed CNA1 engaging in an argument with a resident, subsequently ignoring the resident's attempts to communicate while continuing to call Bingo numbers. Additionally, when another resident asked a question, CNA1 responded with irritation and a sharp tone, instructing the resident to have patience. These actions were confirmed in an interview with the Director of Nursing, who acknowledged that the residents were not spoken to in a dignified manner, highlighting a failure to maintain and promote resident dignity and respect.
Failure to Update PASRR for Resident with PTSD
Penalty
Summary
The facility failed to ensure that a Pre-Admission Screening and Resident Review (PASRR) was updated for a resident with a current diagnosis of Post Traumatic Stress Disorder (PTSD). During a review of the resident's clinical record, it was found that the PASRR Level I Screen, dated April 25, 2024, did not include the resident's current diagnosis of PTSD. The PASRR Level I Screen had a letter attached indicating no reason for a Level II assessment, but it lacked evidence of being updated and resubmitted to include the PTSD diagnosis. Consequently, the PASRR was not forwarded to the State-designated authority to determine if a Level II assessment was necessary. On October 16, 2024, during an interview with the Director of Nursing, it was confirmed that the resident's diagnosis of PTSD was not included on the PASRR for a Level II determination.
Failure to Update Care Plan for Fall Prevention
Penalty
Summary
The facility failed to update the care plan of a resident, identified as Resident #19, to reflect their current needs regarding fall prevention. The resident's care plan, last revised on October 9, 2024, included interventions for osteoporosis, such as wearing padded hip protectors to prevent hip fractures. However, during interviews conducted on October 16, 2024, both a Certified Nursing Assistant and a Clinical Supervisor confirmed that the resident does not wear hip protectors. This discrepancy was noted during a review of the resident's care plan, indicating that it was not updated to reflect the resident's current needs for fall prevention.
Deficiency in Trauma-Informed Care for Resident with PTSD
Penalty
Summary
The facility failed to adequately assess and address a resident's diagnosis of Post-Traumatic Stress Disorder (PTSD), leading to a deficiency in providing trauma-informed care. The resident, identified as R16, was admitted with an active diagnosis of PTSD, as noted in the Minimum Data Set (MDS) 3.0. However, the clinical record lacked information on the causes of R16's PTSD, potential triggers for re-traumatization, and measures to avoid such triggers. During an interview, the Clinical Supervisor acknowledged the absence of a care plan specifically addressing PTSD, confirming that no Trauma Assessment had been completed for R16. Additionally, a review of the Clinical Admission form revealed that it did not specify the causes of PTSD, potential triggers, or preventive measures, further highlighting the deficiency in trauma-informed care for the resident.
Failure to Label Opened Medications
Penalty
Summary
The facility failed to ensure that opened insulin and inhalers were labeled with an open date in one of the medication/treatment carts located in the South wing. During an observation, a surveyor and an LPN found an opened Basaglar Kwik Pen (Lantus, insulin) for Resident #6 that lacked an open or discard date. Lantus is effective for 28 days once opened and kept at room temperature. Additionally, an opened Spiriva Respimat inhaler for Resident #32 was also found without an open or discard date. The Spiriva Respimat inhaler is good for 3 months after first use or when the locking mechanism is engaged, whichever comes first. In interviews conducted shortly after the observations, both the LPN and the Clinical Supervisor confirmed that the medications were not labeled with an open or discard date. The Clinical Supervisor acknowledged that the Basaglar Kwik Pen Lantus and the Spiriva Respimat inhaler should have been labeled with an open date and discard date to ensure they were used according to the manufacturer's directions.
Inaccurate Advanced Directives in Resident Records
Penalty
Summary
The facility failed to ensure the accuracy of residents' advanced directives regarding code status in their electronic medical records. For one resident, the medical chart indicated a Do Not Attempt Resuscitation (DNAR) status, yet the electronic record contained conflicting instructions, stating both DNAR and Full Code, which means providing CPR. This discrepancy was confirmed by a surveyor during an interview with the Registered Nurse and the Clinical Supervisor, who acknowledged the unclear code status and the need for clarification with the provider. Another resident's electronic record showed a physician order for Full Code status, which contradicted the resident's advanced directive signed prior to admission, indicating a wish not to be kept alive with treatment. This inconsistency was confirmed during an interview with the Clinical Supervisor and a surveyor, who noted the mismatch between the signed physician orders and the resident's advanced directives.
Failure to Provide Adequate Oral Care
Penalty
Summary
The facility failed to provide adequate oral care for three out of six residents observed during a complaint investigation. On the day of the investigation, a surveyor noted that the facility was not offering or providing daily oral care to residents. One resident with dentures reported that staff rarely cleaned their dentures, citing that some staff members were uncomfortable handling false teeth. This resident expressed difficulty in cleaning their dentures independently due to physical limitations and a desire for daily cleaning to prevent food from getting stuck and causing an unpleasant taste. Another resident with natural teeth was observed to have not received oral care that day, as evidenced by bad breath and the resident's inability to recall the last time staff assisted with brushing. This resident's care plan included oral care under dental and nutritional problems, indicating a need for assistance. A third resident with dentures was also observed to have unclean dentures before a meal, with visible substances on and between the teeth. This resident's care plan required staff to provide mouth care as part of personal hygiene, with the resident needing limited to extensive assistance. The surveyor confirmed with the Director of Nursing and the Administrator that oral care was not completed as care planned for these residents.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Mars Hill
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Maine Veterans Home - Caribou | 23.8 mi | — | 5 | 0 |
| Caribou Rehab And Nursing Center | 25.3 mi | — | 1 | 0 |
| Madigan Estates | 27.2 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.