St Andre Health Care Facility
407 Pool St, Biddeford, ME 04005 · York County · 96 certified beds · avg 80 residents/day · certified since Jan 1, 1993
Part of chain: COVENANT HEALTH (8 facilities, chain avg rating 3.0★)
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 (11)
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 13, 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. |
| Jun 13, 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. |
| Jun 13, 2025 | 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. |
| Jun 13, 2025 | D · Potential for harm, one-off | The facility did not dispose of garbage and refuse properly. |
| Jul 13, 2022 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Jul 13, 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. |
| Jul 13, 2022 | 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. |
| Jul 13, 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. |
| Jul 13, 2022 | 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. |
| Jul 13, 2022 | 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. |
| Nov 21, 2019 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 1 | 0 | D |
| 2022 | 6 | 0 | D |
| 2025 | 4 | 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) | 4.85 | 4.60 | 3.95 | top 35% in Maine; top 16% in the U.S. |
| Registered Nurse hours | 1.30 | 1.11 | 0.69 | top 27% in Maine; top 7% in the U.S. |
| Weekend total nurse staffing | 4.35 | 4.16 | 3.50 | top 36% in Maine; top 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.93 | 0.73 | 0.48 | top 23% in Maine; top 7% in the U.S. |
| Total nursing staff turnover (%) | 33.7 | 46.7 | 45.8 | top 16% in Maine; top 21% in the U.S. |
| RN turnover (%) | 16.0 | 40.2 | 42.9 | top 8% in Maine; top 9% 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 4.24, RN 1.14, weekend 3.81. 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: 3/5 · short-stay residents: 1/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Alaimo, Stephen | Individual | W-2 Managing Employee | NOT APPLICABLE | 06/29/2015 |
| Alaimo, Stephen | Individual | Corporate Officer | NOT APPLICABLE | 06/29/2015 |
| Castillo, Nicole | Individual | W-2 Managing Employee | NOT APPLICABLE | 05/18/2018 |
| Castillo, Nicole | Individual | Corporate Officer | NOT APPLICABLE | 05/18/2018 |
| Castillo, Nicole | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/18/2018 |
| Hogan, Michael | Individual | W-2 Managing Employee | NOT APPLICABLE | 04/04/2008 |
| Hogan, Michael | Individual | Corporate Officer | NOT APPLICABLE | 04/04/2008 |
| Hogan, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/04/2008 |
| Thieme, Victoria | Individual | Corporate Director | NOT APPLICABLE | 01/01/2016 |
| Valenza, Joseph | Individual | Corporate Director | NOT APPLICABLE | 01/01/2016 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can I see where garbage is stored and how often it's removed?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "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 |
|---|---|---|---|---|---|
| Seal Rock Healthcare | 1.4 mi | Saco, ME | ★★☆☆☆ | 2/5 | |
| Southridge Rehab & Living Ctr | 2.9 mi | Biddeford, ME | ★★★☆☆ | 3/5 | |
| Pine Point Center | 6.7 mi | Scarborough, ME | ★★☆☆☆ | 2/5 | |
| Maine Veterans Home - Scarborough | 7.9 mi | Scarborough, ME | ★★★★★ | 5/5 | |
| Kennebunk Center for Health & Rehabilitation, LLC | 8.7 mi | Kennebunk, ME | ★★☆☆☆ | 2/5 | |
| Piper Shores | 8.7 mi | Scarborough, ME | ★★★★★ | 4/5 | |
| River Ridge Center | 9.0 mi | Kennebunk, ME | ★☆☆☆☆ | 1/5 | SFF |
| Pinnacle Health & Rehab at South Portland | 13.4 mi | So Portland, ME | ★★★☆☆ | 3/5 | |
| Springbrook Center | 13.5 mi | Westbrook, ME | ★★☆☆☆ | 1/5 | |
| Gorham House | 14.2 mi | Gorham, ME | ★★★★★ | 3/5 | |
| Barron Center | 14.6 mi | Portland, ME | ★★★★☆ | 4/5 | |
| Seaside Healthcare LLC | 16.0 mi | Portland, ME | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 205108.