Franklin County, Maine · Nursing home
Sandy River Center
3 of 5 overall from CMS
119 Livermore Falls Road, Farmington, ME 04938
At a glance
- Overall rating 3 of 5 Below the state average of 3.1
- Nurse time per resident, per day 3.44 hours Below the state average of 4.34
- Nursing staff who left in a year 46.1% Below the state average of 46.7%
- Health citations in 3 years 45 1 at the harm level or above
- Fines in 3 years $14,069 1 fine
- Certified beds in use 93.7% of 82 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Sandy River Center is a 82-bed nursing home in Farmington, Maine (Franklin County). CMS rates it 3 of 5 stars overall as of Aug 2026. It reports 3.44 nurse staffing hours per resident per day, below the Maine average of 4.34. CMS lists 1 fine totaling $14,069 in the past three years.
- Certified beds
- 82
- Residents per day (average)
- 76.8
- Certified since
- 1991 (35 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Genesis Healthcare (184 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Questions to ask Sandy River Center
Chosen from this home's public data.
- CMS lists 1 fine totaling $14,069 in the past three years. What changed after the most recent one?Penalties in CMS data
- Registered nurse time is 0.88 hours per resident per day; the Maine average is 1.05. Is an RN on site overnight?RN staffing in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 3 of 5 Maine average 3.1
- Health inspections 3 of 5 Maine average 2.9
- Staffing 4 of 5 Maine average 4.1
- Quality measures 4 of 5 Maine average 2.8
The vertical line marks the Maine average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.44 h Maine average 4.34
- Nurse aides 2.11 h Maine average 2.83
- Licensed practical nurses 0.45 h Maine average 0.45
- Registered nurses 0.88 h Maine average 1.05
- All staff, weekends 3.25 h Maine average 3.92
How much nurse staffing is enough? All bars share one scale, 0 to 7 hours. The vertical line marks the Maine average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover46.1%
- Maine average46.7%
- Registered nurse turnover37.5%
- Maine average40.2%
- Administrators who left0
Inspection history
Inspectors cited 45 health deficiencies in the past three years. Of these, 1 was at the immediate jeopardy level; the rest were graded as no actual harm. 13 followed a complaint investigation. The most recent citation at the harm level or above was on Jul 30, 2025: Provide enough food/fluids to maintain a resident's health.
| Inspection date | Health | Fire safety |
|---|---|---|
| Sep 18, 2025 | 9 | 6 |
| Aug 8, 2024 | 17 | 9 |
| Oct 28, 2022 | 19 | 5 |
Maine homes averaged 11.0 health deficiencies in the latest cycle; the national average is 9.3.
Health citations, past three years (45)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint inspection · Quality of Life and Care · Deficient, Provider has date of correction (Jan 5, 2026)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint inspection · Pharmacy Service · Deficient, Provider has date of correction (Jan 5, 2026)
-
EPotential for more than minimal harm, pattern
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.
Complaint inspection · Resident Rights · Deficient, Provider has date of correction (Oct 20, 2025)
-
EPotential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 20, 2025)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Complaint inspection · Nutrition and Dietary · Deficient, Provider has date of correction (Oct 20, 2025)
Show 25 more
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 20, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 20, 2025)
-
BPotential for minimal harm, pattern
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services · Deficient, Provider has date of correction (Oct 20, 2025)
-
BPotential for minimal harm, pattern
Post nurse staffing information every day.
Nursing and Physician Services · Deficient, Provider has date of correction (Oct 20, 2025)
-
JImmediate jeopardy, isolated
Provide enough food/fluids to maintain a resident's health.
Complaint inspection · Quality of Life and Care · Past Non-Compliance
-
FPotential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint inspection · Nursing and Physician Services · Deficient, Provider has date of correction (Sep 9, 2024)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights · Deficient, Provider has date of correction (Sep 9, 2024)
-
EPotential for more than minimal harm, pattern
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.
Resident Rights · Deficient, Provider has date of correction (Sep 9, 2024)
-
EPotential for more than minimal harm, pattern
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 9, 2024)
-
EPotential for more than minimal harm, pattern
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 9, 2024)
-
EPotential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 9, 2024)
-
EPotential for more than minimal harm, pattern
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 9, 2024)
-
EPotential for more than minimal harm, pattern
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.
Complaint inspection · Pharmacy Service · Deficient, Provider has date of correction (Sep 9, 2024)
-
EPotential for more than minimal harm, pattern
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Nutrition and Dietary · Deficient, Provider has date of correction (Sep 9, 2024)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Sep 9, 2024)
-
EPotential for more than minimal harm, pattern
Dispose of garbage and refuse properly.
Nutrition and Dietary · Deficient, Provider has date of correction (Sep 9, 2024)
-
EPotential for more than minimal harm, pattern
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 9, 2024)
-
EPotential for more than minimal harm, pattern
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration · Deficient, Provider has date of correction (Sep 9, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 9, 2024)
-
DPotential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has date of correction (Sep 9, 2024)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Sep 9, 2024)
-
EPotential for more than minimal harm, pattern
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.
Complaint inspection · Resident Rights · Deficient, Provider has date of correction (Jun 7, 2024)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Complaint inspection · Nutrition and Dietary · Deficient, Provider has date of correction (Jun 7, 2024)
-
EPotential for more than minimal harm, pattern
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint inspection · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 15, 2023)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint inspection · Quality of Life and Care · Deficient, Provider has date of correction (Nov 15, 2023)
Showing the 30 most recent of 45.
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Jul 30, 2025 | Fine | $14,069 |
Maine homes averaged 0.4 fines and $7,431 in fine amounts; the national averages are 0.9 and $31,093.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Maine
- Size26 of 78 by certified beds
- Maine average residents per day65.2
- ChainGenesis Healthcare
- Chain average overall rating2.4 of 5
- Resident or family councilResident
- Homes in Franklin County3
Common questions
What is the CMS star rating for Sandy River Center?
Sandy River Center has an overall rating of 3 of 5 stars from CMS as of Aug 2026. Its health inspection rating is 3, staffing is 4 and quality measures is 4.
How many beds does Sandy River Center have?
Sandy River Center has 82 certified beds. It averages 76.8 residents per day, about 93.7% of its certified beds.
How much nursing care do residents get at Sandy River Center?
The home reports 3.44 hours of nurse staffing per resident per day, including 0.88 hours from registered nurses. The Maine average is 4.34 hours and 1.05 hours from registered nurses.
Has Sandy River Center been fined?
Yes. CMS lists 1 fine totaling $14,069 in the past three years.
Does Sandy River Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Nearest nursing homes
- 2 of 5 Orchard Park Rehab & Living Center 38beds 71.6%in use 4.30nurse hours a day
- 2 of 5 Edgewood Rehab & Living Ctr 33beds 86.7%in use 4.38nurse hours a day
- 2 of 5 Pinnacle Health & Rehab Canton 47beds 81.3%in use 4.14nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Franklin County
Who to call in Maine
These offices serve residents of every nursing home in Maine.
- Long-term care ombudsman Maine Long-Term Care Ombudsman Program 1-800-499-0229 A free advocate for residents and their families.
- File a complaint about a nursing home Division of Licensing and Certification 1-800-383-2441 The state agency that inspects nursing homes.
Maine staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Aug 1, 2026. CMS Certification Number 205069. Check the official record on Medicare.gov
See something shown incorrectly? Tell us. To change the underlying record, the home must contact CMS or its state survey agency.