CCN 205128 · Somerset County, Maine
Maplecrest Rehab & Living Center
174 Main St, Madison, ME 04950
Maplecrest Rehab & Living Center is a 58-bed for-profit nursing home in Madison, Maine, first certified for Medicare or Medicaid in 1993. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 46.0 residents a day, about 79% of its certified beds. It has an active FHA-insured Section 232 loan: $2.1 million originally, at 3.70%, with $1.4 million outstanding as of September 30, 2026 and maturity in April 2045.
Facility facts
- Certified beds
- 58
- Average residents per day
- 46.0 (79.3% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- North Country Associates, Inc
- Certified since
- Oct 1, 1993
- Chain or affiliated group
- North Country Associates (9 facilities, chain average 2.6 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Maine median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 15 at 1, 12 at 2, 21 at 3, 12 at 4, 17 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 1 of 5 | ||
| Staffing | 4 of 5 | ||
| Total nurse hours per resident per day | 3.95 | 4.18 | 3.68 |
| RN hours per resident per day | 0.72 | 1.03 | 0.58 |
| Weekend nurse hours per resident per day | 3.62 | ||
| Nursing staff turnover | 50.9% | 46.9% | 44.9% |
| Occupancy (residents / beds) | 79.3% | 91.3% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 13 (Jul 9, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Maplecrest Rehab & Living Center does not meet it today: overall rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Orestis, JohnIndividual | Direct Ownership Interest | 100% | 01/01/1986 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Mar 30, 2010 | 223(a)(7) refinance of a 223(f) loanHUD project name: Maplecrest Rehab & Living Center, 58 beds. Lender at endorsement: Love Funding Corp | $2,082,500 | Active: 3.70%, $1,444,858 balanceMatures Apr 1, 2045. Servicer: Dwight Capital LLC | 02422068 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.