First Atlantic Healthcare

Phoebe J
PBJ Takeaway: First Atlantic Healthcare

10 Facilities1 States100% For-ProfitAvg. Overall Rating: 2.7Avg. Staffing Rating: 3.9Staffing Rating: 3.9

First Atlantic Healthcare operates 10 nursing homes across 1 state, all classified as for-profit. Its average CMS overall rating is 2.7 stars.

Across the portfolio, facilities report an average of 4.10 total nurse HPRD, including 0.80 RN hours, above the national ratio of 3.77 HPRD.

20% of First Atlantic Healthcare facilities meet PBJ320 high-riskPBJ320 assigns nursing homes as high-risk when CMS designates them as: Special Focus Facility (SFF), SFF candidate, 1-star overall rating, or with an abuse icon. criteria (e.g. special focus facility, one-star overall, abuse icon). CMS reports a total of 8 fines ($216,504) for the chain's nursing homes.

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First Atlantic Healthcare Key Metrics
Providers
10
States
1
Avg. Rating
2.7
Total Fines
$216,504
High-Risk FacilitiesPBJ320 assigns nursing homes as high-risk when CMS designates them as: Special Focus Facility (SFF), SFF candidate, 1-star overall rating, or with an abuse icon. – First Atlantic Healthcare
Special Focus Facilities (SFFs)
0
SFF Candidates
1
1-Star Overall
1
Cited for Abuse
1
Avg. CMS 5-Star Rating – First Atlantic Healthcare
Overall
2.7
Health Inspection
2.6
Staffing
3.9
Quality Measures
2.6
First Atlantic Healthcare Facilities

Nursing homes affiliated with this entity. Latest quarter staffing from CMS PBJ data. Click column headers to sort.

StateProviderCityTotal HPRDRN HPRDOverall RatingStaffing Rating
MEHibbard Skilled Nursing & Rehabilitation CenterDover Foxcroft4.040.8524
MERoss ManorBangor4.391.1755
MESeaside Nursing and Retirement HomePortland4.160.7644
MEHawthorne HouseFreeport4.680.9734
MESeal Rock Healthcare 1 star, SFF CandidateSaco4.250.7113
MEMarshall Health Care and RehabMachias3.721.1134
MEDexter Health Care AbuseDexter4.120.7024
MEStillwater Health CareBangor3.970.9534
MEKatahdin Health Care LlcMillinocket3.940.6934
MEWoodlawn Rehabilitation & Nursing CenterSkowhegan3.980.4623
Methodology

This dashboard uses CMS Payroll-Based Journal (PBJ) data (2017–2025), along with other public datasets (Provider Information, Affiliated Entity). State staffing standards via MACPAC (2022).

Metrics

  • Hours Per Resident Day (HPRD): Total staff hours ÷ average residents. Example: 350 hours for 100 residents = 3.5 HPRD.
  • Direct Care (excl. Admin, DON): Hours per resident day for direct care staff only (RN, LPN, CNA, NAtrn, MedAide), excluding administrative and supervisory roles.
  • Contract Staff %: Share of hours provided by contract staff.
  • Census: Average number of residents during the period.

Note: Some states set minimums (e.g., NJ, CA, NY at 3.5 HPRD); a federal 3.48 minimum was recently overturned (2025). A 2001 federal study linked 4.1 HPRD to better outcomes in that study. Staffing needs vary by resident acuity (case-mix), day, and shift. Estimates on PBJ Takeaway assume roughly 60% of staff are CNAs.

Data transparency

The PBJ Dashboard pulls directly from CMS data and is carefully vetted for accuracy. Still, sometimes a bug sneaks into the jelly. That could mean: a systemic CMS data reporting issue (e.g., Q2 2017 contract staffing, missing data in 2020 due to COVID) or there could be a coding error on our part. If you spot something that looks off, please let me know via the contact form so I can set things right.

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