Pinnacle Health & Rehab at South Portland
42 Anthoine St, So Portland, ME 04106 · Cumberland County · 73 certified beds · avg 66 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: 3/5
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 (25)
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 |
|---|---|---|
| Sep 17, 2025 | 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. |
| Sep 17, 2025 | E · Potential for harm, repeated | 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. |
| Sep 17, 2025 | E · Potential for harm, repeated | 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. |
| Sep 17, 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. |
| Sep 17, 2025 | E · Potential for harm, repeated | 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. |
| Sep 17, 2025 | 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. |
| Sep 17, 2025 | E · Potential for harm, repeated | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Sep 17, 2025 | 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. |
| Sep 17, 2025 | D · Potential for 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. |
| Sep 17, 2025 | 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. |
| Sep 17, 2025 | 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. |
| Sep 17, 2025 | 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. |
| Jul 30, 2024 | 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. · from a complaint |
| Jul 30, 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 |
| Dec 8, 2022 | 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. |
| Dec 8, 2022 | E · Potential for harm, repeated | 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. |
| Dec 8, 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. |
| Dec 8, 2022 | 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. |
| Dec 8, 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. |
| Dec 8, 2022 | 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. |
| Dec 8, 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. |
| Dec 8, 2022 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Dec 8, 2022 | B · Minimal risk, 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. |
| Dec 5, 2019 | 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. |
| Dec 5, 2019 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (9 → 12).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 2 | 0 | D |
| 2022 | 9 | 0 | E |
| 2024 | 2 | 0 | D |
| 2025 | 12 | 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) | 4.41 | 4.60 | 3.95 | bottom 45% in Maine; top 26% in the U.S. |
| Registered Nurse hours | 0.62 | 1.11 | 0.69 | bottom 5% in Maine; top 45% in the U.S. |
| Weekend total nurse staffing | 4.14 | 4.16 | 3.50 | top 42% in Maine; top 19% 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 (%) | 41.7 | 46.7 | 45.8 | top 33% in Maine; top 41% in the U.S. |
| RN turnover (%) | 25.0 | 40.2 | 42.9 | top 22% in Maine; top 20% 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 4.06, RN 0.57, weekend 3.81. 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
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Nachfolger, Israel | Individual | 5% or Greater Direct Ownership Interest | 99% | 07/08/2019 |
| Nachfolger, Miriam | Individual | Direct Ownership Interest | NOT APPLICABLE | 07/08/2019 |
| Anthoine St Realty LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2020 |
| Berman, Ari | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2024 |
| Berman, Ari | Individual | ADP of the SNF | NOT APPLICABLE | 03/23/2025 |
| Ketchum, Jeffrey | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2020 |
| Ketchum, Jeffrey | Individual | ADP of the SNF | NOT APPLICABLE | 03/23/2025 |
| Nachfolger, Israel | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2020 |
| Nachfolger, Israel | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2020 |
| Nachfolger, Israel | Individual | Trustee of the SNF | NOT APPLICABLE | 07/08/2019 |
| Nachfolger, Israel | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2020 |
| Nachfolger, Miriam | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2020 |
| Nachfolger, Miriam | Individual | General Partnership Interest | NOT APPLICABLE | 07/08/2019 |
| Nachfolger, Miriam | Individual | Trustee of the SNF | NOT APPLICABLE | 07/08/2019 |
| Nachfolger, Miriam | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2020 |
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 you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "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 |
|---|---|---|---|---|---|
| Seaside Healthcare LLC | 3.3 mi | Portland, ME | ★★★★☆ | 4/5 | |
| Cedars Nursing Care Center | 3.9 mi | Portland, ME | ★★★★☆ | 4/5 | |
| Barron Center | 4.6 mi | Portland, ME | ★★★★☆ | 4/5 | |
| Fallbrook Commons | 5.0 mi | Portland, ME | ★★★☆☆ | 2/5 | |
| Piper Shores | 5.1 mi | Scarborough, ME | ★★★★★ | 4/5 | |
| Springbrook Center | 5.6 mi | Westbrook, ME | ★★☆☆☆ | 1/5 | |
| Maine Veterans Home - Scarborough | 6.5 mi | Scarborough, ME | ★★★★★ | 5/5 | |
| Sedgewood Commons | 7.4 mi | Falmouth, ME | ★★★☆☆ | 3/5 | |
| Pine Point Center | 7.5 mi | Scarborough, ME | ★★☆☆☆ | 2/5 | |
| Gorham House | 9.4 mi | Gorham, ME | ★★★★★ | 3/5 | |
| Brentwood Center for Health & Rehabilitation, LLC | 11.3 mi | Yarmouth, ME | ★☆☆☆☆ | 1/5 | |
| Coastal Manor | 12.3 mi | Yarmouth, ME | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 205121.