Mainegeneral Rehab & Long Term Care - Gray Birch
37 Gray Birch Drive, Augusta, ME 04330 · Kennebec County · 77 certified beds · avg 67 residents/day · certified since Aug 25, 1983
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · May 24, 2023 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jul 8, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (28)
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 |
|---|---|---|
| Jun 30, 2026 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint |
| Jan 14, 2026 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jan 14, 2026 | E · Potential for harm, repeated | 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. |
| Jan 14, 2026 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 14, 2026 | D · Potential for harm, one-off | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| Jan 14, 2026 | D · Potential for harm, one-off | 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. |
| Jan 14, 2026 | D · Potential for harm, one-off | The facility did not dispose of garbage and refuse properly. |
| Jan 14, 2026 | B · Minimal risk, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Aug 7, 2024 | E · Potential for harm, repeated | The facility did not keep residents' personal and medical information private and confidential. |
| Aug 7, 2024 | E · Potential for harm, repeated | 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. |
| Aug 7, 2024 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Aug 7, 2024 | E · Potential for harm, repeated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Aug 7, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Aug 7, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Aug 7, 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 7, 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 7, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 7, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Aug 7, 2024 | 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 22, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| May 22, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| May 24, 2023 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| May 24, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| May 24, 2023 | E · Potential for harm, repeated | 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 24, 2023 | E · Potential for harm, repeated | 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. |
| May 24, 2023 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| May 24, 2023 | 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. |
| May 24, 2023 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (11 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 1 | G ▲ |
| 2024 | 13 | 0 | E |
| 2026 | 8 | 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) | 5.10 | 4.60 | 3.95 | top 27% in Maine; top 12% in the U.S. |
| Registered Nurse hours | 1.49 | 1.11 | 0.69 | top 13% in Maine; top 5% in the U.S. |
| Weekend total nurse staffing | 4.50 | 4.16 | 3.50 | top 24% in Maine; top 12% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.95 | 0.73 | 0.48 | top 21% in Maine; top 7% in the U.S. |
| Total nursing staff turnover (%) | 48.0 | 46.7 | 45.8 | bottom 46% in Maine; bottom 42% in the U.S. |
| RN turnover (%) | 36.0 | 40.2 | 42.9 | top 37% in Maine; top 40% 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 4.73, RN 1.38, weekend 4.18. 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: 1/5 · long-stay residents: 1/5 · short-stay residents: 2/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Mainegeneral Health | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/1997 |
| Alexander, Marci | Individual | Corporate Director | NOT APPLICABLE | 12/10/2007 |
| Alexander, Marci | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/10/2007 |
| Brann, Terrence | Individual | Corporate Director | NOT APPLICABLE | 04/01/2025 |
| Brann, Terrence | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2015 |
| Brann, Terrence | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2015 |
| Bullock, Scott | Individual | Corporate Director | NOT APPLICABLE | 03/07/2024 |
| Diefenderfer, John | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Heersink, Deirdre | Individual | Corporate Director | NOT APPLICABLE | 04/03/2024 |
| Heersink, Deirdre | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2010 |
| Heersink, Deirdre | Individual | ADP of the SNF | NOT APPLICABLE | 04/22/2025 |
| Howell, Nathan | Individual | Corporate Director | NOT APPLICABLE | 07/01/2023 |
| Howell, Nathan | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2023 |
| Howell, Nathan | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| Labbe Trufant, Nicole | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Martin, Melissa | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2023 |
| Martin, Melissa | Individual | ADP of the SNF | NOT APPLICABLE | 04/22/2025 |
| Peachey, Gary | Individual | Corporate Director | NOT APPLICABLE | 09/30/2016 |
| Pelletier, Michele | Individual | Corporate Director | NOT APPLICABLE | 01/09/2023 |
| Pizzo, Gregory | Individual | Corporate Director | NOT APPLICABLE | 10/01/1989 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you learn about each resident's background and history, and how does that shape their care?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can I see where garbage is stored and how often it's removed?"
- "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 |
|---|---|---|---|---|---|
| Mainegeneral Rehab & Long Term Care - Glenridge | 1.8 mi | Augusta, ME | ★★★★★ | 4/5 | |
| Augusta Center for Health & Rehabilitation, LLC | 2.3 mi | Augusta, ME | ★★★☆☆ | 3/5 | |
| Maine Veterans Home - Augusta | 4.6 mi | Augusta, ME | ★★★★★ | 4/5 | |
| Lakewood a Continuing Care Center | 17.5 mi | Waterville, ME | ★★☆☆☆ | 2/5 | |
| Oak Grove Center | 18.1 mi | Waterville, ME | ★☆☆☆☆ | 1/5 | SFF |
| Waterville Center for Health and Rehab | 20.0 mi | Waterville, ME | ★☆☆☆☆ | 1/5 | SFF |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 205054.