01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-04-17 | 8 | 2025-04-17 | 11 |
| Cycle 2 | 2024-05-16 | 15 | 2024-05-16 | 0 |
| Cycle 3 | 2023-02-16 | 15 | 2023-02-16 | 1 |
CMS CCN 2050642026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Ross Manor
758 Broadway · Bangor, ME 04401 · Penobscot County
Certified beds103CMS provider file
Recent citation rows50current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
50 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 7 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-04-17 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2025-05-232025-04-17 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-05-232025-04-17 · HEALTHF0684Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-05-232025-04-17 · HEALTHF0695Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-05-232025-04-17 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Correction field: Deficient, Provider has date of correction · 2025-05-232025-04-17 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-05-232025-04-17 · HEALTHF0842Severity B · pattern; potential for minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2025-05-232025-04-17 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-05-232025-04-17 · FIREK0271Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Have exits that are accessible at all times.
Correction field: Deficient, Provider has date of correction · 2025-04-292025-04-17 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-05-022025-04-17 · FIREK0341Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Correction field: Deficient, Provider has date of correction · 2025-06-122025-04-17 · FIREK0351Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2025-05-152025-04-17 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-05-092025-04-17 · FIREK0355Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2025-05-092025-04-17 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-05-022025-04-17 · FIREK0761Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2025-05-022025-04-17 · FIREK0914Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has date of correction · 2025-05-092025-04-17 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-06-122025-04-17 · FIREK0920Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-05-092025-02-05 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2025-03-11 · complaint2025-02-05 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-03-11 · complaint2025-02-05 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2025-03-11 · complaint2024-12-04 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-01-21 · complaint2024-09-12 · HEALTHF0760Severity G · isolated actual harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Past Non-Compliance · 2024-09-03 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-09-12 | Fine | $8,018 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- FIRST ATLANTIC CORPORATIONOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/14/1987
- COFFIN, CRAIGIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/30/2019
- OTIS-HIGGINS, ANDREAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/11/2015
- PELKEY, WANDAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2024
- FIRST ATLANTIC HEALTHCARE INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/14/1987
- EDGECOMB, JANETIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/01/2024
- FRIDMAN, FREDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/01/2024
- OTIS-HIGGINS, ANDREAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/11/2015
- PELKEY, WANDAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2024
- COFFIN, CRAIGIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 10/01/2024
- EASTERN MAINE MEDICAL CENTEROrganization · ADP OF THE SNFNOT APPLICABLE · since 09/25/2018
- FIRST ATLANTIC CORPORATIONOrganization · ADP OF THE SNFNOT APPLICABLE · since 07/14/1987
- FIRST ATLANTIC HEALTHCARE INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 02/23/2025
- MAINE MEDICAL CONSULTANTS PCOrganization · ADP OF THE SNFNOT APPLICABLE · since 07/11/2024
- BOWDEN, KENNETHIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/30/2019
- COFFIN, CRAIGIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/30/2019
- EDGECOMB, JANETIndividual · ADP OF THE SNFNOT APPLICABLE · since 11/01/2024
- FRIDMAN, FREDIndividual · ADP OF THE SNFNOT APPLICABLE · since 07/11/2024
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.34per resident day
RN hours1.12per resident day
Weekend nurse hours3.93per resident day
Staff turnover27.3%CMS reported field
06 / LOCAL RECORDS
Open the Bangor ledger →Other published facilities nearby
Bangor Nursing & Rehabilitation Center60 beds · CMS overall 1/582 citation rowsEastside Center For Health & Rehabilitation, Llc69 beds · CMS overall 2/538 citation rowsMaine Veterans Home - Bangor120 beds · CMS overall 3/543 citation rowsStillwater Health Care63 beds · CMS overall 4/547 citation rowsWestgate Center For Rehab & Alzheimers Care65 beds · CMS overall 5/519 citation rows