Maplecrest Rehabilitation & Living Center

    174 Main St, Madison, ME 04950
    • 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
    • Coordination with health care providers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

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

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

    Reviews

    3.00·(8)

    Overall rating

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

      2.0
    • Staff

      1.8
    • Meals

      5.0
    • Amenities

      3.0
    • Value

      3.0

    Pros

    • Attentive resident care
    • Good food quality
    • Comforting environment for families

    Cons

    • Inconsistent quality of clinical care
    • Inadequate rehabilitation and therapy services
    • Inadequate staffing levels
    • Delays in responding to resident needs
    • Inconsistent personal-grooming and hygiene assistance
    • Weak personal-property security controls
    • Staff conduct and resident dignity
    • Limited discharge and transfer advocacy
    • Remote location for some families

    Summary of reviews

    The reviews present a mixed picture of Maplecrest Rehabilitation & Living Center with clear strengths alongside several recurring operational concerns. Positive comments emphasize that some residents receive attentive care and that dining is a notable strength; families in certain cases described the environment as comforting and supportive. These positive experiences indicate the facility can provide a good standard of day-to-day residential care and meal service for some residents.

    Care quality appears inconsistent. Multiple comments indicate lapses in clinical follow-up and rehabilitation—specifically, dissatisfaction with physical therapy intensity and outcomes. Reviewers also described delays in staff response to resident needs (for example, extended waits outside rooms), which suggests gaps in day-to-day caregiving workflows and call-response procedures. There are also repeated mentions of inconsistent assistance with grooming and personal hygiene, which points to variability in basic care processes.

    Staffing and culture emerged as a central theme. Observations include understaffing, poor employee treatment, and concerns about staff conduct toward residents and families. These factors are commonly associated with lower morale and can contribute to variability in care and responsiveness. Some families also perceived a prioritization of administrative or financial tasks over resident experience. The combination of perceived low staffing and conduct concerns warrants targeted managerial attention to training, supervision, and workforce stability.

    Facility-level operational issues include alleged instances of missing personal items and weak controls around resident belongings; this raises security and property-safeguarding concerns. Sanitation- and cleanliness-related complaints focused on grooming and room-level upkeep rather than building-wide infrastructure, suggesting gaps in routine housekeeping and personal-care scheduling. Geographic distance was noted as a practical limitation for families living roughly two hours away, which may affect visitation and oversight.

    Management and care coordination issues are highlighted by family reports that social-work or discharge-planning staff were reluctant or inflexible about transfers to other facilities. This, combined with the other patterns above, indicates opportunities for improvement in family communication, transfer advocacy, and clinical-operations transparency. Prospective residents and families should seek direct, up-to-date information about staffing ratios, therapy plans and frequency, property-safeguarding policies, response-time expectations, and the facility’s approach to residents’ dignity and emotional support prior to placement.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

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

    Location

    Maplecrest Rehabilitation & Living Center is located at 174 Main St, Madison, ME, 04950.

    About Maplecrest Rehabilitation & Living Center

    Maplecrest Rehabilitation & Living Center sits right in downtown Madison, Maine, and provides a safe place for folks who need medical supervision and regular help. Care at Maplecrest is based on each resident's needs, so some folks get long-term nursing, some get postacute transitional care, and others come for short stays or therapy. The facility employs licensed nurses, licensed medical practitioners, nursing assistants, and physical therapists, all working together, and the place runs under North Country Associates. There's plenty of help with medication, mobility, daily care, and transportation, and someone's always on hand. Security is a big focus, with protected areas to keep everyone safe, especially those who might wander. The staff helps with daily activities like eating, bathing, moving around, and going to appointments. They offer pain management, wound care, intravenous therapy, and post-surgical care. Rehab services include help with speech, swallowing, strength, and mobility, plus inpatient and outpatient therapy. There's support for families too, with teaching about medications and care at home. Adult Day Health Services allow people living at home to come for social connection, exercise, group activities, and a meal, with educational and physical programs. Maplecrest has hospice for end-of-life support and holds religious services every week. Folks can use optional amenities like private phone lines, cable TV, a barber shop, and a beauty salon. The center has regular social gatherings, group discussions, community suppers, holiday events, day trips, and outings for shopping or lunch. There's often job openings for certified nursing assistants (CNAs) with training programs offered, and shifts that suit different schedules. The staff here values kindness and teamwork, and they put a strong focus on safety and health while encouraging involvement with family and the wider Madison community.

    People often ask...

    Maplecrest Rehabilitation & Living Center offers assisted living, memory care, and skilled nursing.

    The full address for this community is 174 Main St, Madison, ME 04950.

    No, Maplecrest Rehabilitation & Living 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 number249965
    Facility typeNursing Home

    Inspection Reports

    21

    Reports

    11

    Type A Citations

    0

    Type B Citations

    15

    Complaints

    3

    Years

    09 Jul 2025Complaint
    An investigation found serious deficiencies in reporting and investigating potential abuse, along with multiple issues affecting resident care and facility operations.
    • Type A§483.12(c)(4)Investigation, Reporting and Corrective Action for Alleged Violations
    09 Jul 2025Complaint
    An investigation identified multiple deficiencies including inadequate privacy and environmental conditions, failure to promptly report investigations, improper implementation of care plans, and weak infection prevention and control measures.
    • §483.10(i)(4); §483.10(i)(5); §483.10(i)(6); §483.10(i)(7)Privacy, lighting, temperature, and sound control requirements
    • §483.12(c)(4)Investigations: reporting results to the administrator and authorities
    • §483.21(b)(2); §483.21(b)(3)Comprehensive care plan and related services
    • §483.80(e); §483.80(d)Infection prevention and control and transmission-based precautions
    • §483.60(i)(1); §483.60(i)(2); §483.60(i)(3)Pharmacy services; storage and handling of medications
    07 Jul 2025Renewal
    Found numerous noncompliance deficiencies across emergency preparedness, life safety, fire protection, and electrical systems, including training gaps, missing drills, inadequate emergency lighting and signage, obstructed corridors, and improper equipment storage.
    • 42 CFR 483.73(d)Emergency preparedness training and testing
    • NFPA 101 Means of Egress - GeneralMeans of egress - General
    • NFPA 101 Emergency LightingEmergency lighting
    • NFPA 101 Exit SignageExit signage
    • NFPA 25 / NFPA 13Sprinkler system - maintenance and testing
    • NFPA 10 / NFPA 101Portable fire extinguishers - inspection
    • NFPA 101 19.3.6Corridor - Doors
    • NFPA 101 19.7.1.4-19.7.1.7Fire drills
    • NFPA 110 / NFPA 99Electrical systems – essential electric system
    • NFPA 99 / NFPA 70Electrical equipment - power cords and extension cords
    • NFPA 99 / NFPA 70Gas equipment - storage of oxygen cylinders
    • NFPA 99 / NFPA 70Gas equipment - cylinder storage signage and labeling
    09 Apr 2025Complaint
    Determined substantial compliance with applicable long-term care requirements after investigation.
    16 Jan 2025Complaint
    Conducted an off-site desk review of the incident and complaint follow-up and determined substantial compliance with long-term care requirements.
    08 Jan 2025Complaint
    Concluded substantial compliance with federal requirements for long-term care facilities after a desk review.
    11 Dec 2024Complaint
    Investigated a rights violation and a care-planning deficiency; found that a resident's bathing choices were not followed and a knee immobilizer was not addressed in the care plan.
    • 483.10(f)(1)Self-determination
    • 483.21(b)(1)Comprehensive Care Plans
    11 Dec 2024Complaint
    Determined that a resident's bathing choice was not respected and a care plan was not updated to address a knee immobilizer and related needs.
    • §483.10(f)Self-Determination (resident rights to choose activities and aspects of life in the facility)
    • §483.21(b)(3)The services provided or arranged by the facility, as outlined by the comprehensive care plan, must be culturally competent and trauma-informed
    28 Oct 2024Complaint
    Identified a deficiency in developing and implementing comprehensive care plans; steps were outlined to update care plans for affected residents and to monitor for recurrence.
    • 483.21(b)(1)(3)Develop/Implement Comprehensive Care Plan
    28 Oct 2024Complaint
    Investigated found care plans were not updated or implemented for two residents, resulting in gaps in individualized care.
    • §483.21(b)(1)(3)Develop/Implement Comprehensive Care Plan
    10 Jun 2024Renewal
    Determined the provider was in substantial compliance with federal long-term care requirements after an unannounced on-site visit.
    30 Apr 2024Renewal
    Found substantial compliance after review of the recertification survey and desk audit. The findings indicated adherence to federal long-term care requirements and the Life Safety Code.
    19 Apr 2024Complaint
    Identified multiple deficiencies in medication administration, resident communications/privacy, transfer/notice procedures, resident assessments, and the facility environment. Observations showed gaps in staff training, documentation, and follow-up on resident needs.
    • Type A483.10(c)(7)Resident Self-Admin Meds-Clinically Appropriate CFR(s): 483.10(c)(7)
    • Type A483.10(g)(14)(i)-(iv)Notify of Changes (Injury/Decline/Room, etc.) CFR(s): 483.10(g)(14)(i)-(iv)
    • Type A483.10(g)(6)-(9)Right to Forms of Communication w/ Privacy CFR(s): 483.10(g)(6)-(9)
    • Type A483.10(g)(14)(i)-(iv)Notify of Changes (Injury/Decline/Room, etc.) CFR(s): 483.10(g)(14)(i)-(iv)
    • Type A483.15(c)(3)-(6)(8)Notice Requirements Before Transfer/Discharge CFR(s): 483.15(c)(3)-(6)-(8)
    • Type A483.20(f)(1)-(4)Encoding/Transmitting Resident Assessments CFR(s): 483.20(f)(1)-(4)
    • Type A483.10(i)(1)-(7)Food Procurement Store/Prepare/Serve-Sanitary CFR(s): 483.10(i)(1)-(7)
    • Type A483.10(i)(1)-(7)Safe/Clean/Comfortable/Homelike Environment CFR(s): 483.10(i)(1)-(7)
    • Type A483.95(g)(1)-(4)Nurse Aide Perform Review- 12 hr/yr In-Service CFR(s): 483.95(g)
    • Type A483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices CFR(s): 483.25(d)(1)-(2)
    • 483.65(a)(1)General Compliance (example placeholder if applicable)
    19 Apr 2024Complaint
    Investigated a complaint and found numerous deficiencies across medication management, resident rights, care planning, hospital transfer processes, infection control, and facility operations.
    • §483.10(c)(7)The right to self-administer medications
    • §483.10(e)(3)Reasonable Accommodations Needs/Preferences
    • §483.10(g)(6)-(9)The right to forms of communication w/ privacy
    • §483.10(g)(12)Advance directives information
    • §483.10(g)(14)-(15)Notification of Changes
    • §483.10(i)(1)-(7)Safe Environment
    • §483.15(c)(3)-(6)(8)Notice before transfer/discharge
    • §483.15(d)(1)-(2)Bed-hold notice
    • §483.20(f)(1)-(4)Encoding/Transmitting Resident Assessments
    • §483.21(b)(1)(3)Comprehensive Care Plans
    • §483.24(c)(1)Activities
    • §483.25(d)(1)-(2)Accidents
    • §483.35(d)(7)Regular in-service education
    • §483.45(g)-(h)(1)-(2)Label/Store Drugs and Biologicals
    • §483.60(i)Food safety requirements
    • §483.80(a)-(f)Infection Prevention & Control
    • §483.95(g)(1)-(4)In-service training for nurse aides
    17 Apr 2024Renewal
    Investigated egress-related deficiencies, including trash stored in an exit corridor and mislabeling of exit doors, with follow-up signage corrections noted for some doors.
    • NFPA 101Means of Egress - General
    • NFPA 101Egress Doors
    • NFPA 101Exit Signage
    • NFPA 101Exit Signage / Corridor - Doors
    17 Apr 2024Renewal
    Identified life-safety deficiencies related to means of egress, including door hardware on egress doors, exit signage, and corridor door construction.
    • NFPA 101 2012 edition Chapter 7Means of Egress - Exit Doors
    • NFPA 101 2012 edition sections 7.2.1.5.3 and 7.2.1.6.2Egress locking arrangements
    • NFPA 101 2012 edition 7.10Exit Signage
    • NFPA 101 2012 edition 19.3.6.3; 42 CFR Parts 403, 418, 460, 482, 483, 485Corridor - Doors
    21 Nov 2023Complaint
    Determined substantial compliance with applicable requirements for long-term care facilities.
    06 Sept 2023Complaint
    Concluded substantial compliance with applicable federal requirements after an on-site review.
    15 Aug 2023Complaint
    Investigated the allegation and determined substantial compliance with applicable long-term care requirements.
    13 Jun 2023Complaint
    Investigated complaints and concluded substantial compliance.
    12 Jun 2023Infection Control
    Found incomplete reporting of COVID-19 data to NHSN during a seven-day period, violating CMS/CDC reporting requirements. The failure to report could cause more than minimal harm to residents.
    • CFR 483.80(g)(1)-(ix)(2)COVID-19 reporting to NHSN

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

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