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

PINNACLE HEALTH & REHAB AT N BERWICK

NORTH BERWICK, ME · 64 certified beds · Last Life Safety survey January 27, 2026

CMS Certification Number 205086 · first certified January 1993

Ownership

Independently operated (no chain recorded by CMS) · For profit - Individual

Ownership changed August 5, 2019 (change of ownership)to PINNACLE GROUP OF HUDSON VALLEY III LLC from CH WRIGHT INC

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

25 citations — more than 79% 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

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

The latest survey found 4 citations; the earlier surveys in the window averaged 10.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens February 2027 — about 5 months from now. This facility’s last Life Safety survey was January 2026. 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

7 of the 25 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 25 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	25
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
August 23, 2023	10
October 30, 2024	11
January 27, 2026	4

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
E-0015	Address subsistence needs for staff and patients.	2	2026-01-27
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	2	2026-01-27
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2024-10-30
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	2	2026-01-27
K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel.	1	2023-08-23
K-0300	Meet other general requirements that are deficient.	1	2023-08-23
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	1	2024-10-30
K-0324	Provide properly protected cooking facilities.	1	2023-08-23

What the citations cover

Citations by CMS category

Smoke Deficiencies 7
Emergency Preparedness Deficiencies 7
Gas, Vacuum, and Electrical Systems Deficiencies 6
Egress Deficiencies 3
Other 2

Citations by CMS category
Category	Citations
Smoke Deficiencies	7
Emergency Preparedness Deficiencies	7
Gas, Vacuum, and Electrical Systems Deficiencies	6
Egress Deficiencies	3
Miscellaneous Deficiencies	1
Services Deficiencies	1

Every citation on file

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

January 27, 2026 — 4 citations

Citations issued on January 27, 2026
Tag	What the surveyor checks	Status
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (February 13, 2026)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (February 20, 2026)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (February 26, 2026)
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 (January 27, 2026)

October 30, 2024 — 11 citations

Citations issued on October 30, 2024
Tag	What the surveyor checks	Status
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (October 30, 2024)
E-0009	Include a process for Emergency Preparedness collaboration.	Deficient, Provider has date of correction (November 13, 2024)
E-0013	Develop Emergency Preparedness policies and procedures.	Deficient, Provider has date of correction (October 30, 2024)
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 (November 8, 2024)
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 (November 8, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (November 13, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (December 2, 2024)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (November 15, 2024)
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 (November 4, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (November 4, 2024)
K-0919	Meet requirements for the use of electrical equipment.	Deficient, Provider has date of correction (October 29, 2024)

August 23, 2023 — 10 citations

Citations issued on August 23, 2023
Tag	What the surveyor checks	Status
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (October 13, 2023)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (October 13, 2023)
K-0232	Have corridors or aisles that are unobstructed and are at least 8 feet in width.	Deficient, Provider has date of correction (October 13, 2023)
K-0300	Meet other general requirements that are deficient.	Deficient, Provider has date of correction (October 13, 2023)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (October 13, 2023)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (October 13, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (October 13, 2023)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (October 13, 2023)
K-0911	Meet requirements for the installation and maintenance of electrical systems.	Deficient, Provider has date of correction (October 13, 2023)
K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel.	Deficient, Provider has date of correction (October 13, 2023)

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