Quick answers
- Where is Sandy River Center?
- 119 Livermore Falls Road, Farmington, ME 04938, in Franklin County, Maine.
- What is the phone number of Sandy River Center?
- (207) 778-6591, as listed by Medicare (CMS).
- What is the Medicare star rating of Sandy River Center?
- Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
- Has Sandy River Center been fined?
- Medicare lists 1 fine totaling $14,069.
- What did inspectors find at Sandy River Center?
- In its last three inspection cycles (October 28, 2022 to November 25, 2025), Medicare lists 44 health citations; the most serious was level J. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (October 28, 2022 to November 25, 2025), Sandy River Center had 44 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 1 of them was level G or higher (actual harm or immediate jeopardy). It was fined $14,069 in total (1 fine, the latest on July 30, 2025). Nurse staffing is 3.51 hours per resident per day; the Maine average is 4.39 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: September 18, 2025 — 9 health citations
Inspections in this cycle: September 18, 2025 (standard health inspection); November 25, 2025 (complaint investigation).
Show 9 citations (levels A to F, no actual harm)
F0584 Level E
“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.”
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0730 Level B
“Observe each nurse aide's job performance and give regular training.”
F0732 Level B
“Post nurse staffing information every day.”
Previous cycle: August 8, 2024 — 17 health citations
Inspections in this cycle: August 8, 2024 (standard health inspection); July 30, 2025 (complaint investigation); September 18, 2025 (complaint investigation).
F0692 Level J
“Provide enough food/fluids to maintain a resident's health.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 16 less serious citations (levels A to F)
F0725 Level F
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0578 Level E
“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.”
F0584 Level E
“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.”
F0645 Level E
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0695 Level E
“Provide safe and appropriate respiratory care for a resident when needed.”
F0761 Level E
“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.”
F0809 Level E
“Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0814 Level E
“Dispose of garbage and refuse properly.”
F0842 Level E
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0868 Level E
“Have the Quality Assessment and Assurance group have the required members and meet at least quarterly”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0757 Level D
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Earlier cycle: October 28, 2022 — 18 health citations
Inspections in this cycle: October 28, 2022 (standard health inspection); October 3, 2023 (complaint investigation); April 29, 2024 (complaint investigation); August 8, 2024 (complaint investigation).
Show 18 citations (levels A to F, no actual harm)
F0584 Level E
“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.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0842 Level E
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0558 Level E
“Reasonably accommodate the needs and preferences of each resident.”
F0582 Level E
“Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.”
F0623 Level E
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0684 Level E
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0758 Level E
“Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0554 Level D
“Allow residents to self-administer drugs if determined clinically appropriate.”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0756 Level D
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0732 Level B
“Post nurse staffing information every day.”
F0868 Level B
“Have the Quality Assessment and Assurance group have the required members and meet at least quarterly”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (20)
E0015 Level F
“Address subsistence needs for staff and patients.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0211 Level D
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0271 Level D
“Have exits that are accessible at all times.”
K0923 Level D
“Have proper medical gas storage and administration areas.”
K0211 Level D
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0222 Level D
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0911 Level D
“Meet requirements for the installation and maintenance of electrical systems.”
K0916 Level D
“Have a battery powered remote alarm panel in a location accessible by operating personnel.”
K0918 Level D
“Have generator or other power source capable of supplying service within 10 seconds.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0923 Level D
“Have proper medical gas storage and administration areas.”
E0015 Level C
“Address subsistence needs for staff and patients.”
Fines and payment denials
Total fines over about the last three years: $14,069 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| July 30, 2025 | Fine | $14,069 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Maine | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.99 | 1.06 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.37 | 0.46 | 0.86 |
| Nurse aide hours per resident per day | 2.15 | 2.87 | 2.35 |
| Total nurse staff hours per resident per day | 3.51 | 4.39 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.28 | 3.93 | 3.43 |
| RN hours per resident per day on the weekend | 0.80 | 0.72 | 0.48 |
| Nursing staff turnover (per year) | 45.0% | 45.3% | 45.3% |
| RN turnover (per year) | 40.0% | 39.2% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.5 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 183 nursing homes: Genesis Healthcare.
Legal business name: Farmington Operations LLC.
Owners and managers Medicare lists (10)
| Name | Role | Share | Since |
|---|---|---|---|
| Genesis Healthcare of Maine LLC | Direct owner | 100% | October 2, 2012 |
| Fc-Gen Operations Investment LLC | Indirect owner | — | April 1, 2011 |
| Gen Operations I LLC | Indirect owner | — | April 1, 2011 |
| Gen Operations II LLC | Indirect owner | — | April 1, 2011 |
| Genesis Healthcare Inc | Indirect owner | — | February 2, 2015 |
| Genesis Healthcare LLC | Indirect owner | — | April 1, 2011 |
| Genesis Holdings LLC | Indirect owner | — | February 2, 2015 |
| GHC Holdings LLC | Indirect owner | — | August 1, 2008 |
| Sun Healthcare Group Inc | Indirect owner | — | November 15, 2022 |
| Whitman, Arnold | Indirect owner | — | November 15, 2022 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 82 |
| Average residents per day | 76 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | Genesis Healthcare |
| Legal business name | Farmington Operations LLC |
| First approved by Medicare/Medicaid | 1991-10-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 119 Livermore Falls Road, Farmington, ME 04938 |
| County | Franklin County |
| State | Maine |
| Phone | (207) 778‑6591 |
| CMS Certification Number | 205069 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Orchard Park Rehab & Living Center3.5 mi · Farmington, ME · 2 of 5 stars
- Edgewood Rehab & Living Center3.9 mi · Farmington, ME · 3 of 5 stars
- Pinnacle Health & Rehab Canton15 mi · Canton, ME · 1 of 5 stars
- Maplecrest Rehab & Living Center18 mi · Madison, ME · 1 of 5 stars
- Rumford Community Home21 mi · Rumford, ME · 3 of 5 stars
Nearest hospital emergency rooms
- MaineHealth Franklin Hospital0.1 mi · Farmington, ME · Critical Access Hospital
- Rumford Hospital20 mi · Rumford, ME · Critical Access Hospital
- Redington Fairview General Hospital24 mi · Skowhegan, ME · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13