Pinnacle Health & Rehab at N Berwick

Name: Pinnacle Health & Rehab at N Berwick
Address: 47 ELM ST, North Berwick, ME, 03906, US
Telephone: 2076762242

47 Elm St, North Berwick, ME 03906 · York County · 64 certified beds · avg 57 residents/day · certified since Jan 1, 1993

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.64

Nurse hours/resident/day (adjusted)

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

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

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 (12)

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
Jan 27, 2026	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.
Oct 30, 2024	F · Potential for harm, facility-wide	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.
Oct 30, 2024	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.
Oct 30, 2024	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.
Oct 30, 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.
Oct 30, 2024	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Aug 23, 2023	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 23, 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.
Aug 23, 2023	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.
Aug 23, 2023	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.
Aug 23, 2023	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 23, 2023	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (5 → 1).

Year	Citations	Worst severity that year
2023	6	E
2024	5	F
2026	1	D

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)	4.64	4.60	3.95	top 40% in Maine; top 20% in the U.S.
Registered Nurse hours	0.83	1.11	0.69	bottom 19% in Maine; top 25% in the U.S.
Weekend total nurse staffing	4.07	4.16	3.50	top 50% in Maine; top 21% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.24	0.73	0.48	bottom 1% in Maine; bottom 19% in the U.S.
Total nursing staff turnover (%)	38.1	46.7	45.8	top 28% in Maine; top 31% in the U.S.
RN turnover (%)	33.3	40.2	42.9	top 30% in Maine; top 33% 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 3.85, RN 0.69, weekend 3.37. 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: 2/5 · short-stay residents: 2/5

Who owns this facility

For profit - Individual

Owner / manager	Type	Role	Stake	Since
Nachfolger, Israel	Individual	5% or Greater Direct Ownership Interest	99%	01/14/2019
Nachfolger, Miriam	Individual	Direct Ownership Interest	NOT APPLICABLE	01/14/2019
Bouchard, Andrea	Individual	Operational/Managerial Control	NOT APPLICABLE	07/03/2023
Bouchard, Andrea	Individual	ADP of the SNF	NOT APPLICABLE	04/02/2025
Elm St Realty LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/01/2020
Nachfolger, Israel	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/01/2020
Nachfolger, Israel	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2020
Nachfolger, Israel	Individual	Trustee of the SNF	NOT APPLICABLE	02/01/2020
Nachfolger, Israel	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2020
Nachfolger, Miriam	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/01/2020
Nachfolger, Miriam	Individual	General Partnership Interest	NOT APPLICABLE	01/14/2019
Nachfolger, Miriam	Individual	Trustee of the SNF	NOT APPLICABLE	01/14/2019
Nachfolger, Miriam	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2020
Sivakumar, Siva	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Sivakumar, Siva	Individual	ADP of the SNF	NOT APPLICABLE	03/23/2025

Questions to ask on your visit

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

"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"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?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"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
Pinnacle Health & Rehab at Sanford	8.5 mi	Sanford, ME	★★★★★	5/5
Dover Center for Health & Rehabilitation	9.8 mi	Dover, NH	★★★★☆	4/5
Summer Commons	10.0 mi	Sanford, ME	★★★★★	4/5
Langdon Place of Dover	10.3 mi	Dover, NH	★★★★★	4/5
Rochester Manor	10.8 mi	Rochester, NH	★★☆☆☆	2/5
Birch Healthcare Center	10.8 mi	Rochester, NH	★★☆☆☆	3/5
River Ridge Center	11.2 mi	Kennebunk, ME	★☆☆☆☆	1/5	SFF
Saint Ann Rehabilitation and Nursing Center	11.5 mi	Dover, NH	★★★★☆	4/5
Kennebunk Center for Health & Rehabilitation, LLC	11.6 mi	Kennebunk, ME	★★☆☆☆	2/5
Riverside Rest Home	11.6 mi	Dover, NH	★★★★★	4/5
Durgin Pines	12.6 mi	Kittery, ME	★★★★★	5/5
Edgewood Centre (the)	16.6 mi	Portsmouth, NH	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in North Berwick →

Facility data as of CMS processing date 2026-08-01. CCN 205086.

The Care File

Visit checklist — Pinnacle Health & Rehab at N Berwick

47 Elm St, North Berwick, ME 03906 · 2076762242

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

Questions for the administrator:

☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "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?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "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 205086 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)