Knox County, Maine · Nursing home
Breakwater Commons
2 of 5 overall from CMS
100 Commons Drive, Rockland, ME 04841
At a glance
- Overall rating 2 of 5 Below the state average of 3.1
- Nurse time per resident, per day 4.89 hours Above the state average of 4.34
- Nursing staff who left in a year 68.4% Above the state average of 46.7%
- Health citations in 3 years 57 None at the harm level or above
- Fines in 3 years $3,529 1 fine
- Certified beds in use 94.4% of 96 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.
Breakwater Commons is a 96-bed nursing home in Rockland, Maine (Knox County). CMS rates it 2 of 5 stars overall as of Aug 2026. It reports 4.89 nurse staffing hours per resident per day, above the Maine average of 4.34. CMS lists 1 fine totaling $3,529 in the past three years.
- Certified beds
- 96
- Residents per day (average)
- 90.6
- Certified since
- 1993 (33 yrs)
For profit - Limited Liability company Participates in Medicare and Medicaid
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 Breakwater Commons
Chosen from this home's public data.
- CMS lists 1 fine totaling $3,529 in the past three years. What changed after the most recent one?Penalties in CMS data
- The latest standard inspection (Apr 9, 2026) cited 13 health deficiencies; the Maine average is 11.0. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 68.4%, above the Maine average of 46.7%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Maine average 3.1
- Health inspections 2 of 5 Maine average 2.9
- Staffing 4 of 5 Maine average 4.1
- Quality measures 3 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 4.89 h Maine average 4.34
- Nurse aides 3.42 h Maine average 2.83
- Licensed practical nurses 0.59 h Maine average 0.45
- Registered nurses 0.87 h Maine average 1.05
- All staff, weekends 4.56 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 turnover68.4%
- Maine average46.7%
- Registered nurse turnover54.2%
- Maine average40.2%
- Administrators who left1
Inspection history
Inspectors cited 57 health deficiencies in the past three years. None was graded as actual harm or immediate jeopardy. 27 followed a complaint investigation.
| Inspection date | Health | Fire safety |
|---|---|---|
| Apr 9, 2026 | 13 | 9 |
| Jan 23, 2025 | 30 | 5 |
| Nov 1, 2023 | 14 | 18 |
Maine homes averaged 11.0 health deficiencies in the latest cycle; the national average is 9.3.
Health citations, past three years (57)
-
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 (May 8, 2026)
-
EPotential for more than minimal harm, pattern
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 8, 2026)
-
EPotential for more than minimal harm, pattern
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · Deficient, Provider has date of correction (May 8, 2026)
-
EPotential for more than minimal harm, pattern
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 8, 2026)
-
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.
Complaint inspection · Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 8, 2026)
Show 25 more
-
EPotential for more than minimal harm, pattern
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (May 8, 2026)
-
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 (May 8, 2026)
-
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 (May 8, 2026)
-
DPotential for more than minimal harm, isolated
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 (May 8, 2026)
-
DPotential for more than minimal harm, isolated
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 8, 2026)
-
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 (May 8, 2026)
-
DPotential for more than minimal harm, isolated
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care · Deficient, Provider has date of correction (May 8, 2026)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (May 8, 2026)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Complaint inspection · Infection Control · Deficient, Provider has date of correction (Jul 10, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Complaint inspection · Quality of Life and Care · Deficient, Provider has date of correction (Jul 10, 2025)
-
DPotential for more than minimal harm, isolated
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 (Aug 1, 2025)
-
DPotential for more than minimal harm, isolated
Have a plan that describes the process for conducting QAPI and QAA activities.
Complaint inspection · Administration · Deficient, Provider has date of correction (Aug 1, 2025)
-
DPotential for more than minimal harm, isolated
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Complaint inspection · Administration · Deficient, Provider has date of correction (Jul 10, 2025)
-
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 (Mar 4, 2025)
-
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 (Mar 4, 2025)
-
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.
Complaint inspection · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 4, 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 (Mar 4, 2025)
-
EPotential for more than minimal harm, pattern
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 4, 2025)
-
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 (Mar 4, 2025)
-
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.
Pharmacy Service · Deficient, Provider has no plan of correction
-
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 (Mar 4, 2025)
-
EPotential for more than minimal harm, pattern
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services · Deficient, Provider has date of correction (Mar 4, 2025)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint inspection · Resident Rights · Deficient, Provider has date of correction (Mar 4, 2025)
-
DPotential for more than minimal harm, isolated
Assess the resident when there is a significant change in condition
Complaint inspection · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 4, 2025)
-
DPotential for more than minimal harm, isolated
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services · Deficient, Provider has date of correction (Mar 4, 2025)
Showing the 30 most recent of 57.
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Aug 28, 2023 | Fine | $3,529 |
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
- Size20 of 78 by certified beds
- Maine average residents per day65.2
- ChainNone listed
- Resident or family councilBoth
- Homes in Knox County2
Common questions
What is the CMS star rating for Breakwater Commons?
Breakwater Commons has an overall rating of 2 of 5 stars from CMS as of Aug 2026. Its health inspection rating is 2, staffing is 4 and quality measures is 3.
How many beds does Breakwater Commons have?
Breakwater Commons has 96 certified beds. It averages 90.6 residents per day, about 94.4% of its certified beds.
How much nursing care do residents get at Breakwater Commons?
The home reports 4.89 hours of nurse staffing per resident per day, including 0.87 hours from registered nurses. The Maine average is 4.34 hours and 1.05 hours from registered nurses.
Has Breakwater Commons been fined?
Yes. CMS lists 1 fine totaling $3,529 in the past three years.
Does Breakwater Commons 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
- – not rated Windward Gardens 73beds 88.9%in use 3.96nurse hours a day
- 4 of 5 Cove's Edge Inc 76beds 54.3%in use 4.29nurse hours a day
- 3 of 5 Harbor Hill Center 40beds 93.0%in use 4.57nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Knox 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 205124. 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.