Market Square Health Care Center, LLC

Name: Market Square Health Care Center, LLC
Address: 3 MARKET SQUARE, South Paris, ME, 04281, US
Telephone: 2077437086

3 Market Square, South Paris, ME 04281 · Oxford County · 76 certified beds · avg 68 residents/day · certified since Apr 1, 1992

Part of chain: NORTH COUNTRY ASSOCIATES (9 facilities, chain avg rating 2.6★)

1/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.10

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

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 (47)

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
May 14, 2026	E · Potential for harm, repeated	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.
May 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.
May 14, 2026	E · Potential for harm, repeated	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
May 14, 2026	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. · from a complaint
May 14, 2026	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.
May 14, 2026	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
May 14, 2026	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.
May 14, 2026	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
May 14, 2026	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 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. · from a complaint
May 14, 2026	E · Potential for harm, repeated	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
May 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. · from a complaint
May 14, 2026	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.
May 14, 2026	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.
May 14, 2026	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
May 14, 2026	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
May 14, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
May 14, 2026	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
May 14, 2026	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.
May 14, 2026	D · Potential for harm, one-off	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.
Mar 5, 2025	F · Potential for harm, facility-wide	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.
Mar 5, 2025	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.
Mar 5, 2025	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.
Mar 5, 2025	E · Potential for harm, repeated	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Mar 5, 2025	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Mar 5, 2025	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.
Mar 5, 2025	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Mar 5, 2025	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.
Mar 5, 2025	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.
Mar 5, 2025	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.
Mar 5, 2025	D · Potential for harm, one-off	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.
Mar 5, 2025	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Mar 5, 2025	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.
Dec 19, 2024	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. · from a complaint
Dec 19, 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
Dec 19, 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. · from a complaint
Nov 5, 2024	F · Potential for harm, facility-wide	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · from a complaint
Oct 7, 2024	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. · from a complaint
Oct 7, 2024	E · Potential for harm, repeated	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · from a complaint
Aug 3, 2022	F · Potential for harm, facility-wide	The facility did not have enough support staff to safely and effectively run its food and nutrition service.
Aug 3, 2022	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 3, 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.
Aug 3, 2022	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Aug 3, 2022	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Aug 3, 2022	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Aug 3, 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.
Aug 3, 2022	B · Minimal risk, repeated	The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (13 → 20).

Year	Citations	Worst severity that year
2022	8	F
2024	6	F
2025	13	F
2026	20	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 26% in Maine; top 12% in the U.S.
Registered Nurse hours	0.62	1.11	0.69	bottom 4% in Maine; top 46% in the U.S.
Weekend total nurse staffing	4.34	4.16	3.50	top 37% in Maine; top 15% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.36	0.73	0.48	bottom 12% in Maine; bottom 45% in the U.S.
Total nursing staff turnover (%)	49.4	46.7	45.8	bottom 43% in Maine; bottom 38% in the U.S.
RN turnover (%)	53.8	40.2	42.9	bottom 24% in Maine; bottom 30% 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 4.60, RN 0.56, weekend 3.91. Staffing rating: 4/5.

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: 4/5 · long-stay residents: 4/5 · short-stay residents: 5/5

Who owns this facility

For profit - Individual

Owner / manager	Type	Role	Stake	Since
Orestis, John	Individual	5% or Greater Direct Ownership Interest	100%	11/15/2014
Cyr, Glen	Individual	W-2 Managing Employee	NOT APPLICABLE	01/01/2008
Orestis, John	Individual	Corporate Officer	NOT APPLICABLE	11/15/2014

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"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
Norway Center for Health & Rehabilitation, LLC	1.6 mi	Norway, ME	★★★★★	4/5
Maine Veterans Home - So Paris	2.1 mi	South Paris, ME	★★★★★	5/5
Clover Health Care	16.4 mi	Auburn, ME	★☆☆☆☆	1/5	SFF
Odd Fellows Health Care Center	16.7 mi	Auburn, ME	★★★☆☆	3/5
Montello Manor	17.4 mi	Lewiston, ME	★☆☆☆☆	1/5
St Mary's D'youville Pavilion	17.7 mi	Lewiston, ME	★☆☆☆☆	1/5
Russell Park Rehabilitation & Living Center	17.7 mi	Lewiston, ME	★☆☆☆☆	1/5
Pinnacle Health & Rehab Canton	17.9 mi	Canton, ME	★★☆☆☆	2/5
Marshwood Center	19.4 mi	Lewiston, ME	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in South Paris →

Facility data as of CMS processing date 2026-08-01. CCN 205076.

The Care File

Visit checklist — Market Square Health Care Center, LLC

3 Market Square, South Paris, ME 04281 · 2077437086

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 205076 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)