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Nursing HomeMedicaid

Mainegeneral Rehab & Long Term Care - Gray Birch

Strong Medicare quality ratings; families often praise compassionate nursing staff. Still worth an in-person visit.

37 Gray Birch Drive, Augusta, ME 0433077 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.2/5

based on 5 Google reviews

5
4
3
2
1
Mainegeneral Rehab & Long Term Care - Gray Birch Nursing Home in Augusta, ME — Street View
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What this means for your family

Given the conflicting reports, it is essential to conduct a thorough tour and ask specific questions about how the facility tracks and verifies medication administration. While some families have had excellent experiences with the rehab team, you should ensure that your loved one's care plan includes clear protocols for communication between nursing shifts.

Google Reviews

Google Reviews

5 reviews on Google
Reviews for Gray Birch are highly polarized, ranging from praise for compassionate care to severe warnings regarding medication management and communication. While some families report excellent outcomes and a dedicated staff, others have raised significant concerns about the consistency of nursing care and adherence to medical regimens.

Quality Themes

Tap a score for details
FoodN/AStaff6.0CleanN/AActivitiesN/AMeds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Compassionate nursing staff
  • Effective rehabilitation outcomes
  • Supportive environment for recovery

Concerns

  • Inconsistent medication administration and poor communication (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.52016(2)1.02018(1)5.02024(1)1.02025(1)

Distribution · 5 analyzed

5
2
4
1
3
0
2
0
1
2

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given that Gray Birch has a 4-star staffing rating, how do you ensure that communication remains consistent and proactive between the nursing team and family members?
  • 2Could you walk me through the specific protocols in place for medication administration to ensure accuracy and timely delivery for residents?
  • 3With the facility's strong focus on rehabilitation outcomes, how do you integrate those therapeutic goals into the daily social and recreational activities for residents?
  • 4In the event of a sudden change in a resident's health status, what is your process for notifying the family and coordinating with their primary care physician?
  • 5How does your team work to maintain a supportive and compassionate environment while managing the complexities of long-term care for all 77 residents?
  • 6What steps are being taken to address recent feedback regarding administrative communication to ensure families feel well-informed about their loved one's care plan?

Personalized based on this facility's data


Key Review Excerpts

The nursing care was not up to basic standers, there was no consistency in dispensing medications or communication between each other.

Rehab patient's family member · 2018☆☆☆☆

Thank you for giving my mother some of the finest compassionate care My family has ever witnessed. The staff at this facility gave my mother a very positive experience and got her back to her fullest potential quickly.

Long-term resident's family · 2024★★★★★

They have a very good staff love them all.

General visitor · 2016☆☆☆☆
Source: 5 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.72hrs
OK
Registered nurses for medical care
Total Nursing
4.95hrs
OK
All nurses + aides combined
Staff Turnover
55%
Lower is better (< 30% = good)
RN Turnover
58%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

8

measures

Worse Than Avg

7

measures

Mixed Results

2

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.8%
Better than Avg
Here
7.8%
US
15.3%
ME
26.9%
Kennebec
26.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility28.0%
Worse than Avg
Here
28.0%
US
14.4%
ME
25.3%
Kennebec
24.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility18.1%
Better than Avg
Here
18.1%
US
19.4%
ME
29.2%
Kennebec
29.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility7.7%
Better than Avg
Here
7.7%
US
12.1%
ME
11.2%
Kennebec
16.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.6%
Better than Avg
Here
98.6%
US
93.4%
ME
91.4%
Kennebec
96.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility22.5%
Worse than Avg
Here
22.5%
US
15.4%
ME
20.6%
Kennebec
18.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility93.4%
Better than Avg
Here
93.4%
US
81.8%
ME
71.7%
Kennebec
78.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility88.7%
Better than Avg
Here
88.7%
US
79.7%
ME
74.5%
Kennebec
75.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.7%
Worse than Avg
Here
1.7%
US
1.6%
ME
1.3%
Kennebec
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
1penalties
Near state avg (11.3)
2 complaint-triggered
$9,770 in fines

This facility has 27 deficiencies across recent surveys, with families filing complaints that triggered investigations into resident protection and medical records. The most recurring issues involve care planning problems, building safety violations (blocked exits, fire doors), and infection control failures. While all deficiencies show correction dates, the pattern of repeated problems across multiple surveys in care planning and safety suggests ongoing operational challenges families should investigate during visits.

Jan 14, 2026Routine
9
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0226Potential for harm · IsolatedCorrected

Egress Deficiencies

Have horizontal exits used in accordance with safety requirements.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0814Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0755Minimal · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Aug 7, 2024Routine
14
0583Potential for harm · PatternCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0698Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

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.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0641Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

May 22, 2024Complaint
2
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

May 24, 2023Routine
9
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0867Potential for harm · IsolatedCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Federal Penalties

Fine

May 24, 2023

$9,770

Ownership & Operations

Who Operates This Facility

Owner / Operator

Mainegeneral Rehab & Long Term Care - Gray Birch

Organization Type

nonprofit

Ownership & Management

Owners

Mainegeneral Health

Owner · Organization

100%

Key personnel

Alexander, MarciOfficer / DirectorBrann, TerrenceOfficer / DirectorBullock, ScottOfficer / DirectorDiefenderfer, JohnOfficer / DirectorHeersink, DeirdreOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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