Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

ODD FELLOWS HEALTH CARE CENTER

AUBURN, ME · 26 certified beds · Last Life Safety survey March 20, 2025

CMS Certification Number 205170 · first certified March 1994

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within ME

49 citations — more than 99% of the 78 certified nursing homes in ME. Compared within ME rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 32 citations; the earlier surveys in the window averaged 8.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (April 2026 to June 2026). Most ME facilities have been surveyed by September 2027. This facility’s last Life Safety survey was March 2025. Facilities in ME are typically surveyed 13–15 months after the last one (median 14), measured over 115 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

14 of the 49 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 49 Life Safety citations above. The Physical Environment Index

F-0584 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.
F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in ME, and nationally. Surveyors differ markedly between states, so the ME figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	49
Median facility in ME	17
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
October 29, 2020	3
December 21, 2022	14
March 20, 2025	32

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0754	Provide properly sized and located linen or trash receptacles.	2	2025-03-20
K-0541	Install properly constructed and protected linen or trash chutes.	2	2025-03-20
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	2	2025-03-20
K-0923	Have proper medical gas storage and administration areas.	2	2025-03-20
K-0911	Meet requirements for the installation and maintenance of electrical systems.	2	2025-03-20
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	2	2025-03-20
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	2	2025-03-20
E-0015	Address subsistence needs for staff and patients.	2	2025-03-20

What the citations cover

Citations by CMS category

Emergency Preparedness Deficiencies 14
Miscellaneous Deficiencies 8
Egress Deficiencies 8
Smoke Deficiencies 7
Other 12

Citations by CMS category
Category	Citations
Emergency Preparedness Deficiencies	14
Miscellaneous Deficiencies	8
Egress Deficiencies	8
Smoke Deficiencies	7
Gas, Vacuum, and Electrical Systems Deficiencies	7
Construction Deficiencies	3
Services Deficiencies	2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 20, 2025 — 32 citations

Citations issued on March 20, 2025
Tag	What the surveyor checks	Status
E-0007	Address patient/client population and determine types of services needed.	Deficient, Provider has date of correction (August 8, 2025)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (August 8, 2025)
E-0023	Establish policies and procedures for medical documentation.	Deficient, Provider has date of correction (May 4, 2025)
E-0025	Create arrangements with other facilities to receive patients.	Deficient, Provider has date of correction (May 4, 2025)
E-0029	Develop a communication plan.	Deficient, Provider has date of correction (May 4, 2025)
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has date of correction (May 4, 2025)
E-0031	Provide emergency officials' contact information.	Deficient, Provider has date of correction (May 4, 2025)
E-0032	Provide primary/alternate means for communication.	Deficient, Provider has date of correction (May 4, 2025)
E-0033	Establish methods for sharing information.	Deficient, Provider has date of correction (May 4, 2025)
E-0034	Provide a means of sharing information on occupancy/needs.	Deficient, Provider has date of correction (May 4, 2025)
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (May 4, 2025)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (August 15, 2025)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (August 8, 2025)
K-0131	Meet requirements for sections of health care facilities separated by fire resistive construction.	Deficient, Provider has date of correction (August 15, 2025)
K-0133	Install a two-hour-resistant firewall separation.	Deficient, Provider has date of correction (August 15, 2025)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (March 19, 2025)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (May 15, 2025)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (April 18, 2025)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (May 29, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (April 11, 2025)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (March 29, 2025)
K-0541	Install properly constructed and protected linen or trash chutes.	Deficient, Provider has date of correction (June 27, 2025)
K-0700	Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.	Deficient, Provider has date of correction (March 20, 2025)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (August 8, 2025)
K-0751	Have restrictions on the use of flammable curtains.	Deficient, Provider has date of correction (March 19, 2025)
K-0754	Provide properly sized and located linen or trash receptacles.	Deficient, Provider has date of correction (August 8, 2025)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (August 15, 2025)
K-0911	Meet requirements for the installation and maintenance of electrical systems.	Deficient, Provider has date of correction (April 20, 2025)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (May 4, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (August 8, 2025)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (August 8, 2025)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (March 19, 2025)

December 21, 2022 — 14 citations

Citations issued on December 21, 2022
Tag	What the surveyor checks	Status
K-0163	Install noncombustible or limited-combustible interior walls.	Deficient, Provider has date of correction (January 13, 2023)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (January 13, 2023)
K-0226	Have horizontal exits used in accordance with safety requirements.	Deficient, Provider has date of correction (January 13, 2023)
K-0300	Meet other general requirements that are deficient.	Deficient, Provider has date of correction (January 13, 2023)
K-0311	Have an enclosure around a vertical opening shaft.	Deficient, Provider has date of correction (January 13, 2023)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (January 13, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (January 13, 2023)
K-0364	Install properly constructed windows in hallway walls or doors.	Deficient, Provider has date of correction (January 13, 2023)
K-0541	Install properly constructed and protected linen or trash chutes.	Deficient, Provider has date of correction (January 13, 2023)
K-0753	Have restrictions on the use of highly flammable decorations.	Deficient, Provider has date of correction (January 13, 2023)
K-0754	Provide properly sized and located linen or trash receptacles.	Deficient, Provider has date of correction (January 13, 2023)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (January 13, 2023)
K-0911	Meet requirements for the installation and maintenance of electrical systems.	Deficient, Provider has date of correction (January 13, 2023)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (January 13, 2023)

October 29, 2020 — 3 citations

Citations issued on October 29, 2020
Tag	What the surveyor checks	Status
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (December 31, 2020)
K-0232	Have corridors or aisles that are unobstructed and are at least 8 feet in width.	Deficient, Provider has date of correction (December 31, 2020)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has plan of correction (December 31, 2020)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.