Stillwater Health Care
335 Stillwater Ave, Bangor, ME 04401 · Penobscot County · 63 certified beds · avg 59 residents/day · certified since Jan 1, 1993
Part of chain: FIRST ATLANTIC HEALTHCARE (10 facilities, chain avg rating 3.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
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)
▲ Actual harm, one-off · Jan 16, 2025 · 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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Feb 6, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Aug 9, 2023 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Sep 11, 2023 (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 |
|---|---|---|
| Feb 27, 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. |
| Feb 27, 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. |
| Feb 27, 2026 | 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. |
| Feb 27, 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 |
| Feb 27, 2026 | 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. |
| Feb 27, 2026 | 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. |
| Feb 27, 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. |
| Feb 27, 2026 | B · Minimal risk, 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). |
| Feb 27, 2026 | B · Minimal risk, 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. |
| Jan 16, 2025 | ▲ G · Actual 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. · from a complaint |
| Jan 16, 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. |
| Jan 16, 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. · from a complaint |
| Jan 16, 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. |
| Jan 16, 2025 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Jan 16, 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. |
| Jan 16, 2025 | 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 16, 2025 | E · Potential for harm, repeated | 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. |
| Jan 16, 2025 | B · Minimal risk, repeated | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Jan 16, 2025 | B · Minimal risk, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| May 7, 2024 | 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 7, 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. · from a complaint |
| Mar 26, 2024 | 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. · from a complaint |
| Mar 26, 2024 | 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. · from a complaint |
| Nov 29, 2023 | 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. |
| Nov 29, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Nov 29, 2023 | B · Minimal risk, repeated | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Nov 29, 2023 | B · Minimal risk, repeated | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Aug 9, 2023 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (10 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 1 | G ▲ |
| 2024 | 4 | 0 | E |
| 2025 | 10 | 1 | G ▲ |
| 2026 | 9 | 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)
1 fine totaling $11,190.
| Date | Type | Amount / length |
|---|---|---|
| Jan 16, 2025 | Fine | $11,190 |
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) | 4.42 | 4.60 | 3.95 | bottom 47% in Maine; top 25% in the U.S. |
| Registered Nurse hours | 1.21 | 1.11 | 0.69 | top 37% in Maine; top 9% in the U.S. |
| Weekend total nurse staffing | 3.87 | 4.16 | 3.50 | bottom 31% in Maine; top 27% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.75 | 0.73 | 0.48 | top 47% in Maine; top 13% in the U.S. |
| Total nursing staff turnover (%) | 31.9 | 46.7 | 45.8 | top 10% in Maine; top 18% in the U.S. |
| RN turnover (%) | 13.3 | 40.2 | 42.9 | top 6% in Maine; top 7% 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 4.11, RN 1.12, weekend 3.60. 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: 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 |
|---|---|---|---|---|
| Forum Management LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 06/11/2010 |
| Bernard, Kimberly | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2024 |
| Bernard, Kimberly | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2024 |
| Bernard, Kimberly | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Bowden, Kenneth | Individual | ADP of the SNF | NOT APPLICABLE | 06/30/2010 |
| Coffin, Craig | Individual | ADP of the SNF | NOT APPLICABLE | 06/30/2019 |
| Eastern Maine Medical Center | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2018 |
| First Atlantic Corporation | Organization | ADP of the SNF | NOT APPLICABLE | 06/30/2010 |
| First Atlantic Healthcare INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/30/2010 |
| First Atlantic Healthcare INC | Organization | ADP of the SNF | NOT APPLICABLE | 03/04/2025 |
| Forum Management LLC | Organization | General Partnership Interest | NOT APPLICABLE | 06/11/2010 |
| Fridman, Fred | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/11/2024 |
| Fridman, Fred | Individual | ADP of the SNF | NOT APPLICABLE | 07/11/2024 |
| Maine Medical Consultants PC | Organization | ADP of the SNF | NOT APPLICABLE | 07/11/2024 |
| Otis-Higgins, Andrea | Individual | Corporate Officer | NOT APPLICABLE | 05/11/2015 |
| Otis-Higgins, Andrea | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/11/2015 |
| Otis-Higgins, Andrea | Individual | ADP of the SNF | NOT APPLICABLE | 05/11/2015 |
| Pelkey, Wanda | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2024 |
| Pelkey, Wanda | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2024 |
| Pelkey, Wanda | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
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?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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 |
|---|---|---|---|---|---|
| Eastside Center for Health & Rehabilitation, LLC | 0.8 mi | Bangor, ME | ★★☆☆☆ | 2/5 | |
| Ross Manor | 1.1 mi | Bangor, ME | ★★★★★ | 4/5 | |
| Maine Veterans Home - Bangor | 1.2 mi | Bangor, ME | ★★★☆☆ | 2/5 | |
| Westgate Center for Rehab & Alzheimers Care | 2.0 mi | Bangor, ME | ★★★★★ | 4/5 | |
| Bangor Nursing & Rehabilitation Center | 2.3 mi | Bangor, ME | ★☆☆☆☆ | 1/5 | |
| Brewer Center for Health & Rehabilitation, LLC | 2.8 mi | Brewer, ME | ★★★★☆ | 4/5 | |
| Orono Commons | 6.3 mi | Orono, ME | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 205116.