Skilled nursing facility · CMS certification number 205012

SUMMER COMMONS

SANFORD, Maine · Medicare and Medicaid

Certified beds, as filed in Care Compare: 64

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$15,288,631	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,349,568	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,939,063	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,652,326	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$286,737	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$370,522	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$657,259	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $657,259 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	94	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	34,404	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,260	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	16,812	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	14,667	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	32,739	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	36	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	37	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	102	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	175	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	454.38	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	187.08	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1434041, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 1 August 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$13,264,103	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,275,200	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,988,903	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,751,559	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$762,656	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$913,830	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$151,174	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $151,174 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	94	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,775	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	146	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.76	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	447.35	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	224.49	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1390795, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 August 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$11,116,398	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,551,269	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,565,129	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,905,475	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,340,346	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,096,158	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,244,188	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,244,188 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	94	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,957	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	167	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	23.28	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	675.42	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	161.42	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1362786, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 May 2021 to 31 December 2021 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 16 September 2022.

None of these figures is carried on this report.

CMS report record 1331659, read from the public cost report file SNF10FY2021.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
BRESHNAHAN, RICHARD	5% OR GREATER SECURITY INTEREST	Individual	NOT APPLICABLE	since 09/13/2019
HARSTAD, PAUL	5% OR GREATER SECURITY INTEREST	Individual	NOT APPLICABLE	since 09/13/2019
PONCHER, LYLE	5% OR GREATER SECURITY INTEREST	Individual	NOT APPLICABLE	since 09/13/2019
PRESCOTT, ROGER	5% OR GREATER SECURITY INTEREST	Individual	NOT APPLICABLE	since 09/13/2019
STEINER, JOHN	5% OR GREATER SECURITY INTEREST	Individual	NOT APPLICABLE	since 09/13/2019
URY, WILLIAM	5% OR GREATER SECURITY INTEREST	Individual	NOT APPLICABLE	since 09/13/2019
RICHARDS, MARY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 05/01/2021
TYLER, MICHAEL	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 09/13/2019
CYR, GLEN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 05/01/2021
ORESTIS, JOHN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 05/12/2021
NORTH COUNTRY ASSOCIATES, INC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 05/01/2021
ORESTIS, JOHN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/01/2021

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of SANFORD SENIOR CARE OPERATIONS, LLC (enrollment ID O20210426002667).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
JOHN STEINER	Individual	5% OR GREATER SECURITY INTEREST	5.32	9/13/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LYLE PONCHER	Individual	5% OR GREATER SECURITY INTEREST	15.2	9/13/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
PAUL HARSTAD	Individual	5% OR GREATER SECURITY INTEREST	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/13/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RICHARD BRESHNAHAN	Individual	5% OR GREATER SECURITY INTEREST	15.2	9/13/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROGER PRESCOTT	Individual	5% OR GREATER SECURITY INTEREST	7.6	9/13/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
WILLIAM URY	Individual	5% OR GREATER SECURITY INTEREST	9.63	9/13/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARY JANE RICHARDS	Individual	CORPORATE DIRECTOR	25	5/1/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MICHAEL C TYLER	Individual	CORPORATE DIRECTOR	25	9/13/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GLEN G CYR	Individual	CORPORATE OFFICER	25	5/1/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOHN C ORESTIS	Individual	CORPORATE OFFICER	50	5/12/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOHN C ORESTIS	Individual	OPERATIONAL/MANAGERIAL CONTROL	50	5/1/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NORTH COUNTRY ASSOCIATES, INC	Organization	OPERATIONAL/MANAGERIAL CONTROL	50	5/1/2021	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

1 July 2026: RICHARD BRESHNAHAN no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RICHARD BRESHNAHAN appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv

Recent changes on this record

1 July 2026: RICHARD BRESHNAHAN no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RICHARD BRESHNAHAN appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
1 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
22 August 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
16 September 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	27 August 2025	27 August 2025	6	6
2	16 November 2022	16 November 2022	9	11
3	11 December 2019	11 December 2019	3	0

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

18 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
27 August 2025	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	B	No	Deficient, Provider has date of correction	3 October 2025
27 August 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	E	Yes	Deficient, Provider has date of correction	3 October 2025
27 August 2025	Health	F 0761	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.	D	No	Deficient, Provider has date of correction	3 October 2025
27 August 2025	Health	F 0868	Administration Deficiencies	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly	B	No	Deficient, Provider has date of correction	3 October 2025
27 August 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	3 October 2025
27 August 2025	Health	F 0881	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	D	No	Deficient, Provider has date of correction	3 October 2025
24 January 2024	Health	F 0727	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	D	Yes	Deficient, Provider has date of correction	6 February 2024
16 November 2022	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	No	Deficient, Provider has date of correction	23 December 2022
16 November 2022	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	23 December 2022
16 November 2022	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	23 December 2022
16 November 2022	Health	F 0758	Pharmacy Service Deficiencies	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.	D	No	Deficient, Provider has date of correction	23 December 2022
16 November 2022	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	E	No	Deficient, Provider has date of correction	23 December 2022
16 November 2022	Health	F 0761	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.	E	No	Deficient, Provider has date of correction	23 December 2022
16 November 2022	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	B	No	Deficient, Provider has date of correction	23 December 2022
16 November 2022	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	23 December 2022
16 November 2022	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	23 December 2022
11 December 2019	Health	F 0758	Pharmacy Service Deficiencies	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.	D	No	Deficient, Provider has date of correction	24 January 2020
11 December 2019	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	E	No	Deficient, Provider has date of correction	24 January 2020

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	SANFORD SENIOR CARE OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid Services	1972-09-08
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	York
Telephone Number	2072061360
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	64
Average Number of Residents per Day	61.2
Overall Rating	5
Health Inspection Rating	4
QM Rating	3
Long-Stay QM Rating	1
Short-Stay QM Rating	5
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 1 July 2026: RICHARD BRESHNAHAN no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for SUMMER COMMONS

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Maine at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 205012.