Nursing home
Sandy River Center
119 Livermore Falls Road, Farmington, ME 04938 · Map
For profit - Corporation · Part of Genesis Healthcare (193 facilities) · 82 certified beds
Sandy River Center is a Medicare-certified nursing home in Farmington, Maine. CMS rates it 2 out of 5 stars overall (3/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.26 hours per resident per day, below the Maine average of 4.35. Its most recent inspection on Sep 18, 2025 cited 10 deficiencies.
- 1 fine totaling $14,069In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Sandy River Center compares
This facility vs. the Maine and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Maine avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.26 | 4.35 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.80 | 1.03 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.98 | 2.86 | 2.34 | below avg |
| Nursing staff turnover | 43.9% | 49.3% | 46.4% | below avg |
| Deficiencies cited, last inspection | 10.0 | 11.3 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the November 25, 2025 inspection was corrected by January 5, 2026
Penalties in CMS records: 1 fine totaling $14,069, 1 total penalty.
What inspectors found at Sandy River Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Nov 25, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Nov 25, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Sep 18, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Sep 18, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Sep 18, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Sep 18, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Sep 18, 2025 · Full report (PDF) - Minimal
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Sep 18, 2025 · Full report (PDF) - Minimal
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · Sep 18, 2025 · Full report (PDF) - Immediate jeopardy
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Jul 30, 2025 · Full report (PDF) - Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Aug 8, 2024 · Full report (PDF) - Potential for harm
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 Deficiencies · Aug 8, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 119 Livermore Falls Road
Farmington, ME 04938 - CMS certification #
- 205069
- Ownership
- For profit - Corporation
- Certified beds
- 82
- Avg residents/day
- 75.1
- Provider type
- Medicare and Medicaid
- First certified
- 1991-10-01
- Chain
- Genesis Healthcare (193 facilities)
- Setting
- Rural
Part of Genesis Healthcare
Genesis Healthcare operates 193 nursing facilities across the United States. View all Genesis Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Sandy River Center using Google Maps.
Other public records
- Website says Respite stays, transportation, 3 meals a day, pets allowed
- Staff pay 1 federal wage case with violations found, since 2003
- Workplace safety 1 OSHA workplace safety inspection since 2023, 2 violations cited
Full public records, with dates and sources
Care and services
From the community’s website
What Sandy River Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Sandy River Center is a skilled nursing facility offering post-hospital, short-term rehabilitation as well as long-term and respite care.
(page, checked Oct 12, 2026) - Provides transportation.
Coordinated transportation
(page, checked Oct 12, 2026) - 3 meals a day.
3 good meals a day.
(page, checked Oct 12, 2026) - Pets allowed.
Pets Permitted
(page, checked Oct 12, 2026) - Apartment types named: private room, semi-private room.
Private and Semi-Private Rooms
(page, checked Oct 12, 2026) - Smoke-free.
Smoke free environment
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for May 3, 2003 to Apr 23, 2005. Violations found: Overtime. Back wages: $184 owed to 2 employees. Employer as DOL recorded it: Sandy River Center for Health Care and Rehabi (Wilson Stream Management, Inc.). Case 1411213.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Nov 8, 2023: programmed (planned) inspection, complete (health). Case closed Apr 29, 2024. 2 violations cited (1 serious, 1 other). Penalties: $22,627 proposed, $15,839 now. OSHA record. OSHA recorded the employer as Genesis Healthcare. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(f)(2)). Penalty $15,085 proposed, $15,085 now.
- Other than serious: Respiratory protection (respirators, N95 fit testing) (1910.134(g)(1)(i)(a)). Penalty $7,542 proposed, $754 now.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Mainehealth Franklin Hospital, Farmington. 0.1 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Orchard Park Rehab & Living Center, Farmington. 3.5 miles away, straight line.
- Nearest home health agency office
- Mainegeneral Community Care, Waterville. 26.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 2.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 04938 as rural (rural area).
- Dialysis within 15 miles
- Fmc Umbagog Kidney Center, Wilton, 4.3 miles away, straight line (CMS rating 4 of 5 stars)
- Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 04938.
- Nearest geriatric medicine practice
- Mainehealth, Farmington. 0.1 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective July 3, 1995), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively moderate, inland flooding relatively low, wildfire very low, tornado very low, heat wave very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Sandy River Center a good nursing home?
CMS gives Sandy River Center an overall rating of 2 out of 5 stars, including 3/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Sandy River Center staffed?
Sandy River Center reports 3.26 total nurse hours per resident per day, compared with the Maine average of 4.35.
Has Sandy River Center had inspection problems?
Its most recent CMS inspection cited 10 deficiencies.
How many beds does Sandy River Center have?
Sandy River Center is certified for 82 beds.