St Mary's D'youville Pavilion
102 Campus Ave, Lewiston, ME 04240 · Androscoggin County · 210 certified beds · avg 165 residents/day · certified since Feb 7, 1984
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: ★☆☆☆☆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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Apr 15, 2026 · F-0689 · triggered by a complaint
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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: May 25, 2026 (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 25, 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 |
| Apr 15, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Apr 15, 2026 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Nov 21, 2025 | 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. · from a complaint |
| Mar 28, 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 28, 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. |
| Mar 28, 2025 | 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. |
| Mar 28, 2025 | E · Potential for harm, repeated | 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. |
| Mar 28, 2025 | 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. |
| Mar 28, 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 28, 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. |
| Mar 28, 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. |
| Mar 28, 2025 | D · Potential for harm, one-off | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Jan 2, 2025 | 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 |
| Jan 26, 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. |
| Jan 26, 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. |
| Jan 26, 2024 | 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. |
| Jan 26, 2024 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jan 26, 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. |
| Jan 26, 2024 | 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 26, 2024 | 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. |
| Jan 26, 2024 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Jan 26, 2024 | 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. |
| Jan 26, 2024 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Jan 26, 2024 | 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. |
| Jan 26, 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. |
| Mar 9, 2022 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Mar 9, 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (12 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 2 | 0 | D |
| 2024 | 12 | 0 | E |
| 2025 | 11 | 0 | E |
| 2026 | 3 | 1 | J ▲ |
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)
1 fine totaling $22,205, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Apr 15, 2026 | Fine | $22,205 |
| Apr 15, 2026 | Payment Denial | 4 days from May 21, 2026 |
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) | 4.19 | 4.60 | 3.95 | bottom 32% in Maine; top 32% in the U.S. |
| Registered Nurse hours | 1.22 | 1.11 | 0.69 | top 35% in Maine; top 9% in the U.S. |
| Weekend total nurse staffing | 4.10 | 4.16 | 3.50 | top 45% in Maine; top 20% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.17 | 0.73 | 0.48 | top 9% in Maine; top 4% in the U.S. |
| Total nursing staff turnover (%) | 50.0 | 46.7 | 45.8 | bottom 42% in Maine; bottom 38% in the U.S. |
| RN turnover (%) | 37.2 | 40.2 | 42.9 | top 42% in Maine; top 42% 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 4.01, RN 1.17, weekend 3.93. 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: 2/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Covenant Health | Organization | 5% or Greater Indirect Ownership Interest | 100% | 01/29/1992 |
| St. Marys Health System | Organization | 5% or Greater Direct Ownership Interest | 100% | 09/16/1983 |
| Anthoine, Mark | Individual | Corporate Director | NOT APPLICABLE | 06/01/2008 |
| Anthoine, Mark | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2008 |
| Davila, Jeffrey | Individual | Corporate Director | NOT APPLICABLE | 05/29/2019 |
| Geiger, David | Individual | Corporate Director | NOT APPLICABLE | 05/29/2019 |
| Grubbs, Stephen | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/23/2019 |
| Grubbs, Stephen | Individual | ADP of the SNF | NOT APPLICABLE | 05/19/2025 |
| Isaacson, John | Individual | Corporate Director | NOT APPLICABLE | 03/30/2022 |
| McManus, Kathy | Individual | Corporate Director | NOT APPLICABLE | 11/03/2016 |
| Ouellette, Steven | Individual | Corporate Director | NOT APPLICABLE | 05/29/2019 |
| Wood, Joseph | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Wood, Joseph | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2025 |
| Wood, Joseph | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Wood, Joseph | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "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?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "How do you learn about each resident's background and history, and how does that shape their care?"
- "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 |
|---|---|---|---|---|---|
| Russell Park Rehabilitation & Living Center | 0.3 mi | Lewiston, ME | ★☆☆☆☆ | 1/5 | |
| Montello Manor | 1.3 mi | Lewiston, ME | ★☆☆☆☆ | 1/5 | |
| Marshwood Center | 1.9 mi | Lewiston, ME | ★★★☆☆ | 3/5 | |
| Odd Fellows Health Care Center | 2.3 mi | Auburn, ME | ★★★☆☆ | 3/5 | |
| Clover Health Care | 2.6 mi | Auburn, ME | ★☆☆☆☆ | 1/5 | SFF |
| Market Square Health Care Center, LLC | 17.7 mi | South Paris, ME | ★☆☆☆☆ | 1/5 | |
| Mid Coast Senior Health Center | 17.8 mi | Brunswick, ME | ★★★★★ | 5/5 | |
| Horizons Living and Rehab Center | 17.9 mi | Brunswick, ME | ★★★★☆ | 3/5 | |
| Norway Center for Health & Rehabilitation, LLC | 18.0 mi | Norway, ME | ★★★★★ | 4/5 | |
| Hawthorne House | 19.0 mi | Freeport, ME | ★★★★☆ | 3/5 | |
| Maine Veterans Home - So Paris | 19.3 mi | South Paris, ME | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 205053.