Nursing Care Index

Horizons Living And Rehab Center

Brunswick, Cumberland County, Maine · CCN 205085 · For-profit (Corporation) · not part of a chain

CMS rates Horizons Living And Rehab Center 4 of 5 overall as of August 2026. 65 certified beds, 59 residents a day on average. 20 citations on record from the current inspection cycles; no fines on record.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★☆ 4 of 5
Health inspections★★★☆☆ 3 of 5
Staffing★★★★★ 5 of 5
Quality measures★★☆☆☆ 2 of 5
Quality: long-stay / short-stay1 / 3 of 5

Staffing

Total nurse staffing4.70909 hours per resident per day
Registered nurses1.00454 hours per resident per day
Weekend total3.93117 hours per resident per day
Nursing staff turnover24% (registered nurses 8.3%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2024-08-28 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · tag F0623
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-10-12
2024-08-28 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies · tag F0625
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-10-12
2024-08-28 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · tag F0678
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-10-12
2024-08-28 Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · tag F0730
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-10-12
2024-08-28 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · tag F0835
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-10-12
2024-08-28 Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies · tag F0940
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-10-12
2024-08-28 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · tag F0947
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-10-12
2024-08-28 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · tag F0558
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-12
2024-08-28 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-12
2024-08-28 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-12
2024-08-28 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · tag F0585
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2024-10-12
2022-05-11 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 · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-07-06
2022-05-11 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 · tag F0584
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-07-06
2022-05-11 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-07-06
2022-05-11 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-07-06
2022-05-11 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2022-07-06
2022-05-11 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · tag F0732
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2022-07-06
2019-10-24 Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · tag F0583
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-11-26
2019-10-24 Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · tag F0730
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2019-11-26
2019-10-24 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · tag F0947
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2019-11-26

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Rousseau, Mitchell
Individual
5% or greater direct ownership interest100%2011-06-14
Berman, Kirsten
Individual
adp of the snf2025-03-17
Davison, Lesley
Individual
adp of the snf2025-01-21
Davison, Peter
Individual
adp of the snf2011-06-15
Rousseau, Mitchell
Individual
adp of the snf2011-06-15
Rousseau, Mitchell
Individual
corporate officer2011-06-15
Berman, Kirsten
Individual
operational/managerial control2023-01-01
Davison, Lesley
Individual
operational/managerial control2025-01-21
Davison, Peter
Individual
operational/managerial control2011-06-15

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Cumberland County.