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Hawthorne House

Nursing Home Facility

6 Old County Rd, Freeport, ME 04032

Assisted Living Nursing Home Care Senior Living
Hawthorne House

Hawthorne House is a senior care community located in Freeport, ME. It provides assisted living, nursing home care, and senior living for older adults in the Freeport area. To learn more or schedule a tour, call (207) 865-4782.

Operated by First Atlantic Healthcare, which runs 10 communities in our directory.

Hawthorne House is licensed for 83 beds, about typical for the area, where senior care communities in Freeport average about 72 beds.

Federal reporting puts occupancy at about 83% of its licensed beds.

Medicare rates this community 4 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 5 stars for staffing against 3 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in May 2025 and recorded 14 deficiencies.

Residents receive about 5.6 hours of nursing care per day on average, including 1.4 hours from a registered nurse. Nursing staff turnover over the past year was about 61%, which is high and can affect continuity of care.

Medicare five-star ratings

  • Overall ★★★★★ 4/5
  • Health inspections ★★★★★ 3/5
  • Staffing ★★★★★ 5/5
  • Quality measures ★★★★★ 3/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 29 problems at Hawthorne House. None of them caused harm to a resident. 2 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected March 2026, after a complaint. Corrected by April 24, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    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.

    Inspected May 2025. Corrected by June 6, 2025.

  • Could cause more than minimal harm, a pattern Resident Rights

    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.

    Inspected May 2025. Corrected by June 6, 2025.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

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

    Inspected May 2025. Corrected by June 6, 2025.

  • Could cause more than minimal harm, a pattern Infection Control

    Implement a program that monitors antibiotic use.

    Inspected May 2025. Corrected by June 6, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    PASARR screening for Mental disorders or Intellectual Disabilities

    Inspected May 2025. Corrected by June 6, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected May 2025. Corrected by June 6, 2025.

  • Could cause more than minimal harm, one or a few residents Nursing and Physician Services

    Observe each nurse aide's job performance and give regular training.

    Inspected May 2025. Corrected by June 6, 2025.

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  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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.

    Inspected May 2025. Corrected by June 6, 2025.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

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

    Inspected May 2025. Corrected by June 6, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected May 2025. Corrected by June 6, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

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

    Inspected May 2025. Corrected by June 6, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Inspected May 2025. Corrected by June 6, 2025.

  • Could cause more than minimal harm, one or a few residents Nursing and Physician Services

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Inspected May 2025. Corrected by June 6, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Hawthorne House offers assisted living, nursing home care, and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 83
  • Occupancy 83%
  • Nursing hours per resident/day 5.6
  • Annual staff turnover 61%
  • Last health inspection May 2025

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