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Market Square Health Care Center

Nursing Home Facility

3 Market Square, South Paris, ME 04281

Nursing Home Care Senior Living

Market Square Health Care Center is a senior care community located in South Paris, ME. It provides nursing home care and senior living for older adults in the South Paris area. To learn more or schedule a tour, call (207) 743-7086.

Operated by North Country Associates, which runs 8 communities in our directory.

Market Square Health Care Center is licensed for 76 beds.

Federal reporting puts occupancy at about 90% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 4 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in May 2026 and recorded 20 deficiencies.

Residents receive about 4.6 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Nursing staff turnover over the past year was about 49%.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 4/5
  • Quality measures ★★★★★ 4/5

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 47 problems at Market Square Health Care Center. None of them caused harm to a resident. 10 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

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

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

    Inspected May 2026. Corrected by June 26, 2026.

  • 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 2026. Corrected by August 3, 2026.

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

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Inspected May 2026. Corrected by June 26, 2026.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

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

    Inspected May 2026, after a complaint. Corrected by June 26, 2026.

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

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Inspected May 2026. Corrected by June 26, 2026.

  • 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 2026. Corrected by June 26, 2026.

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

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

    Inspected May 2026. Corrected by June 26, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

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

    Inspected May 2026. Corrected by June 26, 2026.

Show 12 more
  • Could cause more than minimal harm, a pattern 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 2026. Corrected by June 26, 2026.

  • Could cause more than minimal harm, a pattern 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 2026, after a complaint. Corrected by June 26, 2026.

  • Could cause more than minimal harm, a pattern Administration

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

    Inspected May 2026. Corrected by August 3, 2026.

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

    Provide and implement an infection prevention and control program.

    Inspected May 2026, after a complaint. Corrected by June 26, 2026.

  • Could cause more than minimal harm, a pattern Administration

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Inspected May 2026. Corrected by June 26, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Reasonably accommodate the needs and preferences of each resident.

    Inspected May 2026. Corrected by June 26, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Keep residents' personal and medical records private and confidential.

    Inspected May 2026. Corrected by June 26, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Respond appropriately to all alleged violations.

    Inspected May 2026, after a complaint. Corrected by June 26, 2026.

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

    Ensure each resident receives an accurate assessment.

    Inspected May 2026. Corrected by June 26, 2026.

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Inspected May 2026. Corrected by June 26, 2026.

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

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

    Inspected May 2026. Corrected by June 26, 2026.

  • 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 2026. Corrected by June 26, 2026.

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.

Market Square Health Care Center offers nursing home care and senior living.

Facility details

  • Organization type Non profit - Corporation
  • Beds / units 76
  • Occupancy 90%
  • Nursing hours per resident/day 4.6
  • Annual staff turnover 49%
  • Last health inspection May 2026

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