Pinnacle Health & Rehab at N Berwick — nursing home in North Berwick, ME

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 64 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
CMS Certification Number: 205086
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 1, 1993
Ownership type: For profit - Individual
Operator (legal business name): Pinnacle Group of Hudson Valley III LLC
CMS chain: Not part of a CMS-reported chain
Phone: (207) 676-2242
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Jan 27, 2026

Citations

37

12 health · 25 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D15	E7	F15
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

StaffingNot ratedfn 2

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 205086
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 64
First approved: Jan 1, 1993
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Maine.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jan 27, 2026	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jan 27, 2026	Health	Health Standard	1	Potential harm	—	Open →
Oct 30, 2024	Fire safety	Fire Safety Standard	11	Potential harm	—	Open →
Oct 30, 2024	Health	Health Standard	5	Potential harm	—	Open →
Aug 23, 2023	Fire safety	Fire Safety Standard	10	Potential harm	—	Open →
Aug 23, 2023	Health	Health Standard	6	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D15	E7	F15
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Jan 27, 2026	E-0015	Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Feb 13, 2026
Jan 27, 2026	E-0037	Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Feb 20, 2026
Jan 27, 2026	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 26, 2026
Jan 27, 2026	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 27, 2026
Jan 27, 2026	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 29, 2026
Oct 30, 2024	E-0006	Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Oct 30, 2024
Oct 30, 2024	E-0009	Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Nov 13, 2024
Oct 30, 2024	E-0013	Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Oct 30, 2024
Oct 30, 2024	K-0222	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. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 8, 2024
Oct 30, 2024	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 8, 2024
Oct 30, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 13, 2024
Oct 30, 2024	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 2, 2024
Oct 30, 2024	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 15, 2024
Oct 30, 2024	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 4, 2024
Oct 30, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 4, 2024
Oct 30, 2024	K-0919	Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 29, 2024
Oct 30, 2024	F-0584	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 · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Nov 29, 2024
Oct 30, 2024	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Nov 25, 2024
Oct 30, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Nov 19, 2024
Oct 30, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Nov 25, 2024
Oct 30, 2024	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Nov 25, 2024
Aug 23, 2023	E-0015	Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness	E · Potential harm Pattern	Corrected Oct 13, 2023
Aug 23, 2023	E-0041	Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Oct 13, 2023
Aug 23, 2023	K-0232	Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 13, 2023
Aug 23, 2023	K-0300	Meet other general requirements that are deficient. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 13, 2023
Aug 23, 2023	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 13, 2023
Aug 23, 2023	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 13, 2023
Aug 23, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 13, 2023
Aug 23, 2023	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 13, 2023
Aug 23, 2023	K-0911	Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 13, 2023
Aug 23, 2023	K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 13, 2023
Aug 23, 2023	F-0584	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 · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 29, 2023
Aug 23, 2023	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 29, 2023
Aug 23, 2023	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 29, 2023
Aug 23, 2023	F-0761	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 · Medication management	E · Potential harm Pattern	Corrected Sep 29, 2023
Aug 23, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Sep 29, 2023
Aug 23, 2023	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 29, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.9

StaffingNot ratedstate 4.1

Quality measuresstate 3

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffingNot reported

State avg 4.39US avg 3.90

Registered nurse (RN)Not reported

State avg 1.06US avg 0.69

Licensed practical nurseNot reported

State avg 0.46US avg 0.86

Nurse aideNot reported

State avg 2.87US avg 2.35

Weekend total nurseNot reported

State avg 3.93US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: — (case-mix index —).

Staff turnover

Total nursing staff turnoverNot reported

State avg 45.3%US avg 45.3%

Registered nurse turnoverNot reported

State avg 39.2%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jan 27, 2026
Cycle 1 health score: 4
Total weighted score: 17

Operating entity

Pinnacle Group of Hudson Valley III LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

15

Organizations

1

Individuals

14

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Israel Nachfolger	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	99%	Jan 14, 2019
Miriam Nachfolger	Individual	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Jan 14, 2019

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Israel Nachfolger	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	99%	Jan 14, 2019
Miriam Nachfolger	Individual	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Jan 14, 2019
Miriam Nachfolger	Individual	Partner	GENERAL PARTNERSHIP INTEREST	not provided	Jan 14, 2019
Israel Nachfolger	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Feb 1, 2020
Miriam Nachfolger	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Feb 1, 2020
Andrea Bouchard	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 3, 2023
Israel Nachfolger	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2020
Siva Sivakumar	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2024
Israel Nachfolger	Individual	Trustee	TRUSTEE OF THE SNF	not provided	Feb 1, 2020
Miriam Nachfolger	Individual	Trustee	TRUSTEE OF THE SNF	not provided	Jan 14, 2019
Elm St Realty LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2020
Andrea Bouchard	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 2, 2025
Israel Nachfolger	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2020
Miriam Nachfolger	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2020
Siva Sivakumar	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 23, 2025

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 47 Elm St, North Berwick, ME 03906
ZIP: 03906
County: York County FIPS 23031
State: Maine
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Pinnacle Health & Rehab at Sanford 1142 Main St, Sanford, ME 04073 CCN 205082	13.7 km	86	Feb 26, 2025	37	—
Dover Center for Health & Rehabilitation 307 Plaza Drive, Dover, NH 03820 CCN 305018	15.7 km	112	Jun 17, 2026	25	—
Summer Commons 21 June Street, Sanford, ME 04073 CCN 205012	16.1 km	64	Aug 27, 2025	35	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	205086	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	205086	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 205086

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction