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

SPRINGBROOK CENTER

WESTBROOK, ME · 123 certified beds · Last Life Safety survey July 19, 2024

CMS Certification Number 205068 · first certified July 1991

Ownership

Operated by GENESIS HEALTHCARE · For profit - Corporation

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

17
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
8
Inspection & testing records
Of the citations on file

Position within ME

17 citations — more than 46% 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 3 citations; the earlier surveys in the window averaged 7. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (August 2025 to October 2025). Most ME facilities have been surveyed by December 2026. This facility’s last Life Safety survey was July 2024. 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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Which alerts

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.

Physical environment (health survey)

7 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 17 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • 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.

This facility17ME median17National median11
Citations on file over three years, compared
MeasureCitations
This facility17
Median facility in ME17
Median facility nationally11

Survey history

Citations at each Life Safety survey
42021-06102023-0432024-07
Citations at each Life Safety survey
Survey dateCitations
June 24, 20214
April 27, 202310
July 19, 20243

Most-cited tags

Most-cited tags at this facility
K-03633K-02112K-03532K-09111K-03741K-03511K-07611K-03241
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.32024-07-19
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.22024-07-19
K-0353Inspect, test, and maintain automatic sprinkler systems.22023-04-27
K-0911Meet requirements for the installation and maintenance of electrical systems.12023-04-27
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12021-06-24
K-0351Install an approved automatic sprinkler system.12023-04-27
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12023-04-27
K-0324Provide properly protected cooking facilities.12023-04-27

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Egress Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Miscellaneous Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Egress Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies2
Miscellaneous Deficiencies1

Every citation on file

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

July 19, 2024 — 3 citations

Citations issued on July 19, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (July 23, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (July 23, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 19, 2024)

April 27, 2023 — 10 citations

Citations issued on April 27, 2023
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (June 21, 2023)
K-0222Add 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 (June 21, 2023)
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.Deficient, Provider has date of correction (June 13, 2023)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (June 21, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (June 13, 2023)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (June 13, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 13, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 13, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (June 13, 2023)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (June 13, 2023)

June 24, 2021 — 4 citations

Citations issued on June 24, 2021
TagWhat the surveyor checksStatus
K-0321Ensure 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 (July 26, 2021)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 26, 2021)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (July 26, 2021)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (July 26, 2021)

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