Sandy River Center

    119 Livermore Falls Rd, Farmington, ME 04938
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Compassionate, clean, rehab-focused and welcoming

    I'm very pleased with the compassionate, attentive staff and caring nurses - they consistently went above and beyond for my family member. The facility feels clean, welcoming, and rehab-focused, with great activities, strong family support and thoughtful management. Visits feel safe and easy thanks to helpful staff and good security. Overall a wonderful place I would recommend.

    Loved one of resident
    Jul 2026

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    Reviews

    4.05·(77)

    Overall rating

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

      3.2
    • Staff

      4.0
    • Meals

      2.8
    • Amenities

      3.0
    • Value

      1.0

    Pros

    • Compassionate and friendly direct-care staff
    • Attentive crisis and medical-support responses by some staff
    • Engaging activities and holiday programming
    • Rehab-focused care with positive outcomes for some residents
    • Helpful and accommodating admissions personnel
    • Secure, electronic visitor sign-in options
    • Good roommate matching and privacy practices
    • Warm, family-oriented atmosphere on several units
    • Occasional strong nursing responsiveness
    • Supportive social and recreational staff
    • Clean and well-maintained common areas in some reports
    • Assistance with paperwork and care coordination
    • Spiritual and communal programming (hymn singing, events)
    • Staff training offerings (e.g., insulin administration)

    Cons

    • Inconsistent staffing levels and frequent short-staffing
    • Delays in responding to call bells and assistance requests
    • Medication-administration delays and documentation gaps
    • Gaps in clinical-incident response and family communication
    • Incontinence-care delays and extended brief-product use
    • Housekeeping and kitchen sanitation lapses
    • Inconsistent meal quality, temperature control, and menu variety
    • Variable rehabilitation and discharge-planning practices
    • Fall-prevention and transfer-safety practice weaknesses
    • Leadership instability and high staff turnover
    • Financial and billing communication problems
    • Inconsistent visitor-process usability and facility readiness

    Summary of reviews

    The reviews present a polarized picture of Sandy River Center: many accounts praise individual caregivers, activity programming, and successful short-term rehabilitation stays, while a substantial subset of reviews raises operational and clinical concerns. This mix suggests that resident experience may vary considerably by unit, shift, or individual staff assignment.

    Care quality: Positive descriptions highlight attentive, compassionate hands-on care and successful rehabilitation outcomes for some residents. However, a number of reviews describe delays in clinical response (long waits for assistance and medication), missed postoperative checks, and inconsistent therapy delivery. A few reviewers alleged specific clinical incidents, including a retained surgical staple and delayed notification of pressure-related wounds; these are serious claims that families should verify through records and discussion with clinical leadership. There are also recurring incontinence-care delays and extended use of brief products noted, which align with broader concerns about timely personal-care assistance.

    Staff and culture: Direct-care staff are frequently described as friendly and caring, and several reviewers singled out individual aides and nurses for above-and-beyond efforts. At the same time, many comments point to chronic short staffing, high turnover, and limited training, producing overworked employees and inconsistent service. Reviews also mention variable communication tone and instances where family notification about falls or clinical changes was delayed or absent. These patterns indicate strengths at the floor level but systemic strain that affects reliability.

    Dining and nutrition: Some visitors and residents enjoyed meals and special events, while others reported inconsistent food quality, repeated menu items, sugar- and salt-heavy offerings, and meals served at inappropriate temperatures. Tray and dish cleanliness and kitchen sanitation were raised as concerns in multiple accounts. Families with specific dietary needs should confirm menu options and monitoring processes before placement.

    Activities and facilities: The center receives positive feedback for activity programming, holiday events, and community engagement; residents and visitors often describe a warm, social atmosphere. Facility features such as electronic sign-in and security are appreciated by many. At the same time, there are isolated facility issues noted — room-temperature control problems, uneven cleanliness between units, and occasional delays in room readiness on admission.

    Management and operations: Reviews point to mixed experiences with administration. Some families praised admissions staff and helpful managers; others reported poor follow-through, inadequate incident reporting, and billing or insurance communication problems. Staffing reductions, changes in leadership, and automated operational processes were cited as contributors to variability in care. Taken together, these comments suggest leadership and staffing stability are key areas for improvement.

    Notable patterns and guidance: The overarching pattern is variability — strong, compassionate caregiving exists alongside operational weaknesses that affect timeliness, sanitation, and communication. Prospective residents and families should tour the specific unit, observe staffing levels across shifts, ask for current staffing and turnover metrics, review incident-communication protocols, inspect meal service and housekeeping practices, and confirm rehabilitation and discharge-planning procedures. Where serious clinical concerns are alleged, request clinical records and clarify incident-investigation processes with facility leadership and the resident’s healthcare proxy.

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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

    Map showing location of Sandy River Center

    Sandy River Center is located at 119 Livermore Falls Rd, Farmington, ME, 04938.

    About Sandy River Center

    Sandy River Center is a senior living facility at 119 Livermore Falls Road in Farmington, Maine, that has 82 certified beds, a staff that gives about 3.16 nurse hours per resident per day, and 35 private rooms in a building surrounded by tall pines and close to a nature trail, offering residents some scenic views. This place has indoor common areas, a beauty salon, family visits, and a bird feeder, and rooms with private balconies or patios, cable TV, an alarm system if needed, and both private and semi-private layouts to choose from. Residents can bring pets if possible, and the environment stays smoke-free. People often say that the staff and nurses are friendly and make an effort to know the residents, and folks can join in birthday events, bingo, bake sales, and other activities meant for socializing, or attend religious services with a visiting priest, plus family can visit any time. Meals here include home-cooked options, though there have been requests for fresher fruit, less canned food, and some more variety in dishes like chicken or fish, and there's also meal service for all residents, along with laundry, housekeeping, phone, mail, and wireless internet provided for everyone. The center caters to different health needs, with skilled nurses, Certified Nurse Assistants, an on-site medical director, regular attending physicians, and a range of therapists offering physical, occupational, and speech therapy, plus services like wound care, neurological rehab, orthopedic rehab, IV therapy, and pain management, with specialized dementia care, respite care after surgery or sickness, palliative care, hospice, and home health support also offered. Safety features include an elevator and ramps, a 24-hour emergency response system, medication checks, X-ray diagnostics, podiatry, and care planning, along with help for VA patients and options for long-term, short-term, or post-hospital stays. Residents can join cultural, educational, and religious activities on and offsite, and the place encourages people to keep as independent and as healthy as they can, offering outings, scenic strolls, and a place to just be comfortable with others their age. Sandy River Center is connected to Genesis Healthcare, it has managerial staff: Diane Morris since December 2023, Avery Osella and Joanne Shaw since March 2024. The facility's inspections documented 49 deficiencies, including 16 in August 2024, with one related to infection control, and there were citations about not having enough staff on some shifts and not completely meeting every standard for a clean, safe environment. Nurse turnover rate is near 52%. Some folks have said they wish there were more and better qualified, caring aides, especially CNAs. The community takes Medicare, Medicaid, private pay, and insurance, and keeps an open atmosphere with both private and social spaces, and has always kept its focus on resident needs but has areas where improvement's still needed.

    People often ask...

    Sandy River Center offers assisted living, memory care, and skilled nursing.

    There are 4 photos of Sandy River Center on Mirador.

    The full address for this community is 119 Livermore Falls Rd, Farmington, ME 04938.

    No, Sandy River Center 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 number249906
    Facility typeNursing Home

    Inspection Reports

    29

    Reports

    8

    Type A Citations

    0

    Type B Citations

    26

    Complaints

    3

    Years

    18 Feb 2025Complaint
    Concluded substantial compliance with applicable federal requirements for long-term care; no deficiencies were cited.
    16 Jan 2025Complaint
    Investigated a complaint and found the provider did not meet minimum staffing requirements on several days, resulting in noncompliance with state staffing rules.
    • 9.A.4 Minimum Staffing RulesMinimum staffing requirements
    16 Jan 2025Complaint
    Determined substantial compliance with applicable requirements. No deficiencies were cited.
    15 Oct 2024Complaint
    Found no deficiencies cited after the revisit; determined compliance with applicable long-term care requirements.
    04 Sept 2024Complaint
    Identified no regulatory deficiencies during the complaint investigation.
    23 Aug 2024Renewal
    Determined substantial compliance after a Federal Recertification Survey.
    08 Aug 2024Complaint
    Identified deficiencies across resident rights, care planning, safety, infection control, nutrition, staffing, and record-keeping following an on-site survey.
    • §483.10(c)(6); §483.10(c)(8); §483.10(g)(12)Request/Refuse/Discontinue Treatment; Formulate Advance Directives
    • §483.10(i)Safe/Clean/Comfortable/Homelike Environment
    • §483.20(k)(1)-(3)PREADMISSION SCREENING FOR MD & ID (PASARR)
    • §483.21(b)(1)-(3)Develop/Implement Comprehensive Care Plan
    • §483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
    • §483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices
    • §483.25(i)Respiratory Care and Suctioning
    • §483.35(a)(1)-(2)Sufficient Nursing Staff
    • §483.40(b)Treatment/Srvcs Mental/Psychosocial Concerns
    • §483.45(d)(1)-(6)Drug Regimen is Free from Unnecessary Drugs
    • §483.45(g)-(h)Label/Store Drugs and Biologicals
    • §483.60(f)Frequency of Meals/Snacks at Bedtime
    • §483.60(i)Food Safety - Storage/Preparation/Serving
    • §483.60(i)(4)Dispose of Garbage and Refuse Properly
    • §483.20(f)(5); §483.70(i)Resident Records - Identifiable Information
    • §483.75(g); §483.80(c)QAPI/QAA Program and Infection Preventionist
    • §483.80(a); §483.80(e)Infection Prevention & Control
    08 Aug 2024Complaint
    Investigated found staffing levels routinely below the required minimums on multiple days, with fewer direct care staff on duty than mandated for day shifts.
    • 9.A.4. Minimum Staffing RulesMinimum Staffing Rules
    06 Aug 2024Renewal
    Observed multiple life-safety deficiencies related to egress, locking arrangements, sprinkler maintenance, and power systems during a past survey.
    • Type ANFPA 101; 2012 Edition; Sections 7.7.1Means of Egress - General
    • Type ANFPA 101Special Needs Locking Arrangements
    • Type ANFPA 101Continued From page 4
    • Type ANFPA 101Continued From page 5
    • Type ANFPA 101Continued From page 6
    • Type ANFPA 101Continued From page 11
    • Type ANFPA 101; NFPA 110; NFPA 99Electrical Systems - Other
    • Type ANFPA 101; NFPA 110; NFPA 70Continued From page 13
    06 Aug 2024Renewal
    Investigated a deficiency in life-safety and safety systems with several issues found in locking, extinguishers, egress, and electrical/emergency power systems.
    • Safety Code, 2012 Edition, Sections 7.7.1Initial life-safety observations
    • NFPA 101 Life Safety Code, 2012 EditionSpecial Needs Locking Arrangements
    • NFPA 10, 2012 EditionPortable Fire Extinguishers
    • NFPA 25; NFPA 10; NFPA 101, 2011/2012 EditionsInstallation, Testing and Maintenance of Water-Based Fire Protection Systems
    • NFPA 10, 2012 EditionMonthly Inspection of Fire Extinguishers
    • NFPA 101; CFRs (NFPA 101)Maintenance Personnel Verification
    • NFPA 110; NFPA 101Emergency Power and Electrical Systems
    • NFPA 70; NFPA 101; NFPA 110Electrical and Annunciator Systems
    16 Jul 2024Complaint
    Determined substantial compliance after a follow-up visit addressing prior federal deficiencies cited in complaints.
    29 Apr 2024Complaint
    Investigated a complaint and found deficiencies in environmental conditions, including lighting and temperature, plus issues with food labeling and sanitation.
    • 42 CFR 483.10(i)(5)-(7)Adequate lighting, temperature, and sound levels
    • 42 CFR 483.60(i)(1)-(2)Food storage and labeling/sanitation
    29 Apr 2024Complaint
    Found sanitation and food safety deficiencies, including unclean refrigeration and improper food storage and dating.
    • §483.10(i)(1)-(7)Safe/Clean/Comfortable/Homelike Environment
    • §483.60(i)(1)-(2)Food Procurement, Store/Prepare/Serve-Sanitary
    17 Apr 2024Complaint
    Concluded substantial compliance with applicable federal requirements.
    20 Mar 2024Complaint
    Determined the provider was in substantial compliance with applicable long-term care requirements after investigating the complaints.
    04 Mar 2024Complaint
    Determined that the provider was not in substantial compliance with staffing regulations due to insufficient direct-care staff based on census data from multiple dates.
    • 9.A.4.AMinimum Staffing Rules
    04 Mar 2024Complaint
    Determined substantial compliance with applicable federal requirements.
    20 Nov 2023Complaint
    Concluded substantial compliance with the applicable long-term care regulations following the follow-up visit. No deficiencies were cited.
    20 Nov 2023Complaint
    Determined the facility was in substantial compliance after a follow-up visit addressing deficiencies cited in a prior complaint investigation.
    16 Nov 2023Complaint
    Investigated two complaints and concluded substantial compliance with applicable long-term care requirements after review. No deficiencies were cited.
    24 Oct 2023Complaint
    Determined substantial compliance after investigating a complaint.
    03 Oct 2023Complaint
    Investigated a complaint and identified past deficiencies related to resident care and medical record integrity, indicating noncompliance with required federal standards.
    • §483.24(a)(2)ADL care provided for dependent residents
    • §483.70(i)Medical records (retention, accessibility, confidentiality)
    03 Oct 2023Complaint
    Investigated a complaint and identified deficiencies in timely ADL/incontinence care, failure to follow wound care orders, and incomplete resident records related to pressure ulcers.
    • 483.24(a)(2)ADL Care Provided for Dependent Residents
    • 483.25(b)(1)Treatment/Svcs to Prevent/Heal Pressure Ulcer
    • 483.20(f)(5), 483.70(i)(1)-(5)Resident Records - Identifiable Information
    12 Sept 2023Complaint
    Concluded noncompliance with quality of care standards due to failure to complete medication reconciliation for a hospital-admitted resident, resulting in incomplete/incorrect medication orders.
    • 42 CFR 483.25Quality of Care
    12 Sept 2023Complaint
    Identified deficiencies in medication reconciliation and updating orders during transitions of care, including failure to reconcile and issue new orders at a visit.
    • Medication reconciliation and transition of care
    12 Sept 2023Complaint
    Verified substantial compliance; found no deficiencies.
    06 Sept 2023Complaint
    Investigated a complaint and found no regulatory deficiencies.
    20 Jul 2023Complaint
    Investigated complaints found that several ordered medications were not administered and elopement risk precautions were not properly evaluated.
    • 42 CFR 483.25Quality of Care
    • 42 CFR 483.25Free of Accident Hazards/Supervision/Devices
    20 Jul 2023Complaint
    Investigated a medication administration lapse and safety concerns related to elopement risk, with multiple undocumented or non-administered medications and gaps in supervision.
    • §483.25(d)(1)-(d)(2)Quality of care

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