Orchard Park Rehabilitation

    107 Orchard St, Farmington, ME 04938
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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    Tour Type

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.56·(9)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.0
    • Staff

      2.3
    • Meals

      3.6
    • Amenities

      1.0
    • Value

      3.6

    Pros

    • Compassionate nursing staff
    • Dedicated caregiving team
    • Positive hospice and end-of-life support
    • Friendly bedside manner and personal attention
    • Family gratitude and appreciation

    Cons

    • Medication-management controls weaknesses
    • Insufficient staff accountability and complaint resolution
    • Inadequate supply management for linens and continence products
    • Temperature- and HVAC-control failures
    • Staff communication tone and supervision
    • Safety and injury-prevention process gaps
    • Inconsistent admission and onboarding experience
    • Allegations of discriminatory conduct

    Summary of reviews

    Overall impression: Reviews present a mixed picture. Many families and visitors praise individual caregivers for compassion, attention, and supportive hospice services, while other accounts describe operational and oversight problems that affect resident comfort and safety.

    Care quality: Caregiver-level interactions are frequently described as warm and attentive; hospice support and bedside manner were singled out as strengths. At the same time, reviewers raised medication-management concerns, including unsecured medications and inconsistencies in administration, which suggest gaps in pharmacy and nursing controls. There are also mentions of signs of injury and of delays or lapses in monitoring that point to potential weaknesses in safety and injury-prevention processes.

    Staff and culture: Staff are often characterized as dedicated and caring, and several reviews express gratitude for specific caregivers. However, there are contrasting accounts about staff conduct and supervision: some reviewers described confrontational or intimidating interactions and instances of a poor communication tone. There are also indications of insufficient accountability and delayed management follow-through when concerns are raised. Separately, there are allegations of discriminatory conduct that have been raised by reviewers and which, if substantiated, would warrant investigation.

    Dining and activities: Review summaries do not provide a consistent picture of dining quality or activity programming. There is insufficient information to draw conclusions about meal service, menu variety, or organized activities; prospective families should request current menus, activity schedules, and direct observations during a tour.

    Facilities and supplies: Multiple comments indicate problems with climate control (a consistently hot environment and lack of air conditioning) and with supply management for linens and continence products (insufficient sheets, pads, and appropriately sized briefs). These issues affect resident comfort and suggest gaps in facilities maintenance and supply-chain processes.

    Management and patterns: A recurring theme is uneven responsiveness from management when concerns are raised. Reviewers describe delays in corrective action and call for regulatory review in at least one instance. Together with medication-control issues, supply shortages, and HVAC failures, these patterns point to operational weaknesses that may require managerial and systems-level attention.

    Guidance for families: If considering this facility, families should observe care interactions in person, review recent inspection and complaint records, ask about medication-administration protocols and audit practices, inquire how temperature control and laundry/continence supplies are maintained, and discuss complaint escalation processes. Request names and roles of on-site leadership and current staffing levels to better understand day-to-day operations.

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    Medicare Ratings

    2·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Orchard Park Rehabilitation is located at 107 Orchard St, Farmington, ME, 04938.

    About Orchard Park Rehabilitation

    Orchard Park Rehabilitation sits in a quiet residential area not far from Farmington Village on a peaceful street corner, and the building has a full sprinkler system for safety, while offering a mix of independent living, assisted living, short-term skilled nursing, rehabilitation, and long-term nursing home care. The community has 38 certified beds and usually has about 27 residents each day, so you'll find a small, close-knit feel, and there are studio rooms with unique layouts for different needs, including apartments for people who want more independence or assisted care. This facility is not a part of a hospital and doesn't offer full continuing care retirement services, but it does participate in Medicare and Medicaid, also accepting private insurance and funds depending on what someone needs. Services include nursing care, medication help, meals made with input from a registered dietitian, housekeeping, laundry, personal care, help with getting to doctors or shopping, and a caregiver login portal for communication.

    Staffing includes registered nurses, licensed practical nurses, and certified nursing assistants, giving about 4.31 nurse hours per resident per day, which falls close to average, even though the nurse turnover rate of 72.1% is higher than the Maine average. Residents get assessments and personalized care plans, plus special programs for transitional help, post-acute care, and therapies such as physical, occupational, and speech therapy; they can also join group activities like discussion groups, exercise, musical concerts, shopping trips, pet visits, and seasonal celebrations, including Halloween parties. There are family councils and resident councils so people have a chance to share feedback or concerns, and there are protocols to monitor health issues like pressure sores, pain, infections, and restraint use, along with high vaccination rates for flu (100%) and pneumonia (98%).

    Orchard Park Rehabilitation is a for-profit community managed by North Country Associates, a group known for skilled nursing and rehabilitation in New England, and offers employment resources for caregivers, CNA candidates, and ongoing staff training, including dementia and Alzheimer's care. Inspection reports show some high points, like A+ ratings and generally few deficiencies, but there are also documented issues in areas like immediate care planning, resident rights, and infection control, including four infection-related deficiencies and a history of 21 total deficiencies over time. The Centers for Medicare & Medicaid Services gives it a 4-star nursing home rating, and most reviewers rate their experience around 8 out of 10. Orchard Park isn't perfect, but it does keep a wide mix of health and support services under one roof, focusing on care for seniors in a neighborhood setting.

    People often ask...

    Orchard Park Rehabilitation offers assisted living, memory care, and skilled nursing.

    The full address for this community is 107 Orchard St, Farmington, ME 04938.

    No, Orchard Park Rehabilitation does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Maine, the DHHS Division of Licensing & Certification licenses assisted living and residential care facilities, posting statements of deficiency and plans of correction.

    License number250003
    Facility typeNursing Home

    Inspection Reports

    19

    Reports

    46

    Citations

    8

    Complaints

    3

    Years

    06 Mar 2025Renewal
    Concluded there were no deficiencies after a follow-up review indicating compliance with applicable requirements.
    05 Feb 2025Renewal
    Identified deficiencies in fall reporting, resident care, medication management, and ongoing quality-improvement activities, with several unwitnessed falls and gaps in documentation.
    • 483.10(g)(14)(i)-(v)(15)Notify of Changes
    • 483.25Quality of Care
    • 483.45(d)(1)-(6)Drug Regimen is Free from Unnecessary Drugs
    • 483.75(c)(d)(e)(g)(2)(i)(ii)QAPI/QA Improvement Activities
    • 483.75(c)(d)(e)(g)(2)(i)(ii)QAPI/QA Improvement Activities
    05 Feb 2025Renewal
    Found deficiencies in timely notification after falls, inadequate post-fall monitoring, insulin dosing outside orders, and weak QA oversight. These issues led to repeated citations for quality and safety problems.
    • 42 CFR 483.10(g)(14)(i)-(iv)(15)Notify of Changes
    • 42 CFR 483.25Quality of Care
    • 42 CFR 483.45(d)(1)-(6)Unnecessary Drugs
    • 42 CFR 483.75(c)(d)(e)(g)(2)(i)(ii)QAPI/QAA Improvement Activities
    21 Jan 2025Renewal
    Concluded that a long-term care facility was in substantial compliance with emergency preparedness requirements.
    11 Dec 2024Complaint
    Found deficiencies in multiple areas including environment, care planning, ADL support, safety, respiratory care, medication management, food safety, and infection control.
    • CFR 483.10(i)Safe/Clean/Comfortable/Homelike Environment
    • CFR 483.21(a)Baseline Care Plan
    • CFR 483.24(a)(2)ADL Care Provided for Dependent Residents
    • CFR 483.25Quality of Care
    • CFR 483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices
    • CFR 483.25(i)Respiratory/Tracheostomy Care and Suctioning
    • CFR 483.45(d)Drug Regimen is Free from Unnecessary Drugs
    • CFR 483.60(i)Food Procurement,Store/Prepare/Serve-Sanitary
    • CFR 483.80(a)Infection Prevention & Control
    • CFR 483.80(a)(3)Antibiotic Stewardship Program
    • CFR 483.80(d)COVID-19 Immunization
    11 Dec 2024Renewal
    Determined not in substantial compliance with emergency preparedness requirements, including testing and drills.
    • 42 CFR 483.73(d)Emergency Preparedness
    11 Dec 2024Renewal
    Identified multiple life-safety deficiencies including failure to conduct required emergency exercises, obstructed means of egress, unsafe corridor doors, hazardous-area enclosure issues, improper fire drills, and sprinkler system maintenance deficiencies.
    • 42 CFR 483.73(d)(2)Emergency preparedness – additional full-scale exercise/testing not conducted
    • NFPA 101 Life Safety Code – Means of EgressMeans of Egress
    • NFPA 101 Life Safety Code – Hazardous Areas/EnclosuresHazardous Areas - Enclosure
    • NFPA 101 Life Safety Code – Door Closures/Smoke PenetrationCorridor - Doors
    • NFPA 101 Fire Drills/TestingFire Drills
    • NFPA 25; NFPA 101Sprinkler System – Maintenance and Testing
    11 Dec 2024Complaint
    Investigated a complaint and performed on-site visits that revealed noncompliance with federal long term care requirements and multiple deficiencies in resident care, infection control, and facility environment.
    • §483.10(i)(4)–(i)(7)Privacy/Lighting/Temperature/Noise in residents' environment
    • §483.21(a)(1)–(a)(3)Baseline care plans and resident care planning
    • §483.25(a)(2)Quality of care
    • §483.80(a)(1)–(a)(5)Infection prevention and control
    • §483.60(i)(1)(2)Food safety requirements
    17 Jun 2024Complaint
    Investigated complaints and determined substantial compliance with federal long-term care requirements.
    22 May 2024Complaint
    Investigated a complaint and determined substantial compliance with long-term care requirements.
    12 Dec 2023Renewal
    Determined substantial compliance after a follow-up visit.
    11 Dec 2023Infection Control
    Found incomplete COVID-19 reporting to NHSN during a required weekly period.
    • CFR 483.80(g)(1)-(2)Reporting to NHSN (COVID-19)
    25 Oct 2023Renewal
    Found substantial compliance with federal regulations after a desk audit.
    12 Oct 2023Complaint
    Inspections revealed multiple deficiencies in housekeeping, safety, and infection control, with numerous unclean conditions and hazards noted across resident areas and support spaces.
    • §483.10(i)(1)-(7); §483.80Housekeeping, maintenance and infection prevention deficiencies
    12 Oct 2023Complaint
    Investigated a complaint/visit found multiple deficiencies in accommodations, safety, sanitation, infection control, and water management.
    • CFR 483.10(e)(3)Reasonable Accommodations Needs/Preferences
    • CFR 483.10(i)Safe/Clean/Comfortable/Homelike Environment
    • CFR 483.25(d)Safe/Accident Hazards/Supervision/Devices
    • CFR 483.60(i)Food Procurement, Store/Prepare/Serve-Sanitary
    • CFR 483.80Infection Prevention & Control
    11 Oct 2023Renewal
    Found multiple deficiencies, including unsafe exit pavement, improper storage of gas equipment, and missing annual fire-door inspections.
    • —Exit pathway condition
    • —Annual fire door inspection
    • —Gas equipment storage
    11 Oct 2023Renewal
    Identified multiple life-safety deficiencies with egress, door inspections, electrical systems, and storage of gases and cylinders.
    • —
    • —
    • —
    • —
    29 Aug 2023Complaint
    Investigated a complaint and determined substantial compliance with applicable long-term care requirements.
    01 Aug 2023Complaint
    Determined substantial compliance with applicable federal long-term care requirements.

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    Mirador Living is not affiliated with the owner or operator(s) of Orchard Park Rehabilitation. The information above has not been verified or approved by the owner or operator. For exact information, please contact Orchard Park Rehabilitation directly. There is no cost for this service. We are compensated by the community you select.

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