Horizons Living and Rehab Center
29 Maurice Drive, Brunswick, ME 04011 · Cumberland County · 65 certified beds · avg 59 residents/day · certified since Jan 1, 1993
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (20)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 28, 2024 | E · Potential for harm, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Aug 28, 2024 | E · Potential for harm, repeated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Aug 28, 2024 | E · Potential for harm, repeated | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. |
| Aug 28, 2024 | E · Potential for harm, repeated | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Aug 28, 2024 | E · Potential for harm, repeated | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. |
| Aug 28, 2024 | E · Potential for harm, repeated | The facility did not develop, carry out, or maintain an effective training program for all new and existing staff members. |
| Aug 28, 2024 | E · Potential for harm, repeated | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. |
| Aug 28, 2024 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Aug 28, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Aug 28, 2024 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 28, 2024 | C · Minimal risk, facility-wide | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| May 11, 2022 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| May 11, 2022 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| May 11, 2022 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| May 11, 2022 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| May 11, 2022 | B · Minimal risk, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| May 11, 2022 | B · Minimal risk, repeated | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Oct 24, 2019 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Oct 24, 2019 | B · Minimal risk, repeated | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Oct 24, 2019 | B · Minimal risk, repeated | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (6 → 11).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 3 | 0 | D |
| 2022 | 6 | 0 | E |
| 2024 | 11 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Maine avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.24 | 4.60 | 3.95 | top 17% in Maine; top 10% in the U.S. |
| Registered Nurse hours | 1.12 | 1.11 | 0.69 | top 46% in Maine; top 12% in the U.S. |
| Weekend total nurse staffing | 4.37 | 4.16 | 3.50 | top 35% in Maine; top 14% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.52 | 0.73 | 0.48 | bottom 26% in Maine; top 31% in the U.S. |
| Total nursing staff turnover (%) | 24.0 | 46.7 | 45.8 | top 2% in Maine; top 6% in the U.S. |
| RN turnover (%) | 8.3 | 40.2 | 42.9 | top 2% in Maine; top 3% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.71, RN 1.00, weekend 3.93. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 1/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Rousseau, Mitchell | Individual | 5% or Greater Direct Ownership Interest | 100% | 06/14/2011 |
| Berman, Kirsten | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| Berman, Kirsten | Individual | ADP of the SNF | NOT APPLICABLE | 03/17/2025 |
| Davison, Lesley | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/21/2025 |
| Davison, Lesley | Individual | ADP of the SNF | NOT APPLICABLE | 01/21/2025 |
| Davison, Peter | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/15/2011 |
| Davison, Peter | Individual | ADP of the SNF | NOT APPLICABLE | 06/15/2011 |
| Rousseau, Mitchell | Individual | Corporate Officer | NOT APPLICABLE | 06/15/2011 |
| Rousseau, Mitchell | Individual | ADP of the SNF | NOT APPLICABLE | 06/15/2011 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "How often do you evaluate your nurse aides and what ongoing training do they receive?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "What training do new hires get before working with residents, and what ongoing training do all staff receive?"
- "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Mid Coast Senior Health Center | 0.1 mi | Brunswick, ME | ★★★★★ | 5/5 | |
| Winship Green Center for Health & Rehab, LLC | 8.4 mi | Bath, ME | ★★★☆☆ | 3/5 | |
| Hawthorne House | 9.2 mi | Freeport, ME | ★★★★☆ | 3/5 | |
| Coastal Manor | 12.5 mi | Yarmouth, ME | ★★☆☆☆ | 2/5 | |
| Brentwood Center for Health & Rehabilitation, LLC | 13.1 mi | Yarmouth, ME | ★☆☆☆☆ | 1/5 | |
| Sedgewood Commons | 16.4 mi | Falmouth, ME | ★★★☆☆ | 3/5 | |
| Marshwood Center | 16.8 mi | Lewiston, ME | ★★★☆☆ | 3/5 | |
| Gregory Wing of St Andrews Village | 17.2 mi | Boothbay Harbor, ME | ★★★☆☆ | 3/5 | |
| St Mary's D'youville Pavilion | 17.9 mi | Lewiston, ME | ★☆☆☆☆ | 1/5 | |
| Russell Park Rehabilitation & Living Center | 18.0 mi | Lewiston, ME | ★☆☆☆☆ | 1/5 | |
| Odd Fellows Health Care Center | 18.2 mi | Auburn, ME | ★★★☆☆ | 3/5 | |
| Clover Health Care | 18.5 mi | Auburn, ME | ★☆☆☆☆ | 1/5 | SFF |
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Facility data as of CMS processing date 2026-08-01. CCN 205085.