Dexter Health Care
A nursing home in Dexter, Maine 04930
64 Park Street, Dexter, Maine 04930. (207) 924-5516.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 3of 5 CMS’s overall rating
- 9 health citations at the latest inspection cycle Maine average: 10.6
- 4.19 nurse hours per resident per day Maine average: 4.39
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
9 health citations at the latest inspection cycle
The Maine average is 10.6.
Last standard inspection Sep 10, 2025.
Most serious in three years: actual harm (G), at a complaint inspection on Aug 26, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
28 citations in 5 months of the last 36. Last cited May 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 38 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 12 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
May 27, 2026: complaint inspection1 citation
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Dec 30, 2025: complaint inspection2 citations
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Provide and implement an infection prevention and control program.
Sep 10, 2025: standard inspection5 citations
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure that residents are free from significant medication errors.
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Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
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Provide and implement an infection prevention and control program.
Sep 10, 2025: standard and complaint inspection1 citation
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Aug 26, 2025: complaint inspection7 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
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Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Oct 31, 2024: standard inspection11 citations
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Ensure that residents are free from significant medication errors.
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Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Ensure the resident’s doctor reviews the resident’s care, writes, signs and dates progress notes and orders, at each required visit.
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Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
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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.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Provide and implement an infection prevention and control program.
Oct 31, 2024: standard and complaint inspection1 citation
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Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Nov 8, 2023: standard inspection10 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Assist a resident in gaining access to vision and hearing services.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide safe, appropriate pain management for a resident who requires such services.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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Provide timely, quality laboratory services/tests to meet the needs of residents.
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Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
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Provide and implement an infection prevention and control program.
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Allow residents to easily view the nursing home’s survey results and communicate with advocate agencies.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jan 1, 1993.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 53 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $10,033 in all.
- No Medicare payment denials in the last three years.
- 12 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Oct 31, 2024 | Fine | $10,033 |
Who does the caring?
4.19 nurse hours per resident per day
The Maine average is 4.39.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Maine average |
|---|---|---|
| Nurse hours per resident per day | 4.19 | 4.39 |
| Of which registered nurses | 0.60 | 1.06 |
| At weekends | 3.56 | 3.93 |
| Nursing staff turnover | 64.1% | 45.3% |
| Registered nurse turnover | 88.9% | 39.2% |
| Administrators who left | 0 | Not given |
Who owns it?
- Eastern Maine Medical Center owns 50% directly since Oct 1, 2018; First Atlantic Corporation owns 50% directly since Mar 29, 1988.
- Maine Medical Consultants PC and First Atlantic Corporation run it.
- 18 owners or officers are people: Andrea Otis-Higgins (corporate officer, 100%); Wanda Pelkey (corporate officer, 100%); Craig G Coffin (owns 5% or more through other companies, 66.67%); Craig G Coffin (owns a share through other companies, 66.67%); Kenneth W Bowden (owns 5% or more through other companies, 33.33%); Kenneth W Bowden (owns a share through other companies, 33.33%); Tammy Jost (runs it (operational or managerial control)); Tammy Jost (additional disclosable party (controls, leases property to, or provides services to the home)); Craig G Coffin (trustee); Craig G Coffin (additional disclosable party (controls, leases property to, or provides services to the home)); Kenneth W Bowden (trustee); Kenneth W Bowden (additional disclosable party (controls, leases property to, or provides services to the home)); Fred Fridman (runs it (operational or managerial control)); Fred Fridman (additional disclosable party (controls, leases property to, or provides services to the home)); Andrea Otis-Higgins (runs it (operational or managerial control)); Andrea Otis-Higgins (additional disclosable party (controls, leases property to, or provides services to the home)); Wanda Pelkey (runs it (operational or managerial control)); Wanda Pelkey (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of First Atlantic Healthcare (11 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Eastern Maine Medical Center | Owns 5% or more directly | 50% | Oct 1, 2018 |
| First Atlantic Corporation | Owns 5% or more directly | 50% | Mar 29, 1988 |
| Eastern Maine Medical Center | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2018 | |
| First Atlantic Healthcare Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 21, 2025 | |
| Maine Medical Consultants PC | Runs it (operational or managerial control) | Jul 11, 2024 | |
| Maine Medical Consultants PC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 19, 2025 | |
| First Atlantic Corporation | Runs it (operational or managerial control) | Mar 29, 1988 | |
| First Atlantic Corporation | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 29, 1988 |
How do residents fare?
- CMS rates its quality measures 2 of 5 (Maine average 3.0).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 3 of 5 |
| Health inspections | 3 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 2 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 30.8 miles, this one had the 6th most health citations at the latest inspection cycle (9; the middle value was 9).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Dexter Health Care This nursing home | 9 | |
| Hibbard Skilled Nursing & Rehabilitation Center | 10.9 | 20 |
| Sanfield Rehab & Living Center | 13.0 | 8 |
| Cedar Ridge Center | 26.7 | 8 |
| Westgate Center for Rehab & Alzheimer Care | 28.0 | 5 |
| Bangor Nursing & Rehabilitation Center | 28.0 | 25 |
| Ross Manor | 28.1 | 10 |
| Woodlawn Rehabilitation & Nursing Center | 28.3 | 29 |
| Stillwater Health Care | 29.1 | 9 |
| Eastside Center for Health & Rehabilitation, LLC | 29.9 | 15 |
| Maine Veterans Home - Bangor | 30.3 | 9 |
| Brewer Center for Health & Rehabilitation, LLC | 30.8 | 7 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.