Velarion Records

Skilled nursing facility · CMS certification number 205124

BREAKWATER COMMONS

ROCKLAND, Maine · Medicare and Medicaid

Certified beds, as filed in Care Compare: 96

Download this facility’s record (CSV)

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. The most recent penalty on file: August 28, 2023, Fine, $3,529. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$17,440,423CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,260,838CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$15,179,585CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$17,029,395CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,849,810CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,276,493CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$573,317CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$573,317 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components96CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components35,136CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days2,560CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days20,689CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days9,097CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components32,346CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges85CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges38CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges35CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components158CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.12CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days544.45CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days204.72CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1434051, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended December 31, 2023

Cost report for October 1, 2023 to December 31, 2023 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 19, 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$4,173,516CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$671,229CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,502,287CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,115,584CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$613,297CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income−$613,297CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$613,297 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components96CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components7,562CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components43CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days25.82CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days369.71CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days175.86CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1389501, read from the public cost report file SNF10FY2024.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
BREAKWATER COMMONS OPERATIONS, LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 09/01/2021
BRESHNAHAN, RICHARD5% OR GREATER SECURITY INTERESTIndividualNOT APPLICABLEsince 07/19/2023
CROSS, ROYCE5% OR GREATER SECURITY INTERESTIndividualNOT APPLICABLEsince 07/19/2023
HARSTAD, PAUL5% OR GREATER SECURITY INTERESTIndividualNOT APPLICABLEsince 07/19/2023
CYR, GLENCORPORATE DIRECTORIndividualNOT APPLICABLEsince 07/19/2023
ORESTIS, JOHNCORPORATE DIRECTORIndividualNOT APPLICABLEsince 07/19/2023
RICHARDS, MARYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 07/19/2023
TYLER, MICHAELCORPORATE DIRECTORIndividualNOT APPLICABLEsince 07/19/2023
URY, WILLIAMCORPORATE DIRECTORIndividualNOT APPLICABLEsince 07/19/2023
CHADWICK, CARLW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 07/19/2023

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of BREAKWATER COMMONS OPERATIONS, LLC (enrollment ID O20231212001546).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
BREAKWATER COMMONS OPERATIONS, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1009/1/2021
Private equity company: No
Real estate investment trust: No
Holding company: No
PAUL HARSTADIndividual5% OR GREATER SECURITY INTEREST67/19/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RICHARD BRESHNAHANIndividual5% OR GREATER SECURITY INTEREST6.57/19/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROYCE CROSSIndividual5% OR GREATER SECURITY INTEREST57/19/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
GLEN G CYRIndividualCORPORATE DIRECTOR57/19/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOHN C ORESTISIndividualCORPORATE DIRECTOR107/19/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARY JANE RICHARDSIndividualCORPORATE DIRECTORNot stated in the filing7/19/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MICHAEL C TYLERIndividualCORPORATE DIRECTOR507/19/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
WILLIAM URYIndividualCORPORATE DIRECTOR107/19/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CARL CHADWICKIndividualW-2 MANAGING EMPLOYEE257/19/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1April 9, 2026April 9, 2026139
2January 23, 2025January 23, 2025305
3November 1, 2023November 1, 20231418

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

57 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
April 9, 2026HealthF 0578Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correctionMay 8, 2026
April 9, 2026HealthF 0584Resident Rights DeficienciesHonor 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.ENoDeficient, Provider has date of correctionMay 8, 2026
April 9, 2026HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.ENoDeficient, Provider has date of correctionMay 8, 2026
April 9, 2026HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.ENoDeficient, Provider has date of correctionMay 8, 2026
April 9, 2026HealthF 0636Resident Assessment and Care Planning DeficienciesAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DNoDeficient, Provider has date of correctionMay 8, 2026
April 9, 2026HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedENoDeficient, Provider has date of correctionMay 8, 2026
April 9, 2026HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EYesDeficient, Provider has date of correctionMay 8, 2026
April 9, 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correctionMay 8, 2026
April 9, 2026HealthF 0699Quality of Life and Care DeficienciesProvide care or services that was trauma informed and/or culturally competent.DNoDeficient, Provider has date of correctionMay 8, 2026
April 9, 2026HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.ENoDeficient, Provider has date of correctionMay 8, 2026
April 9, 2026HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correctionMay 8, 2026
April 9, 2026HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionMay 8, 2026
April 9, 2026HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.ENoDeficient, Provider has date of correctionMay 8, 2026
May 28, 2025HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DYesDeficient, Provider has date of correctionJuly 10, 2025
May 28, 2025HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DYesDeficient, Provider has date of correctionAugust 1, 2025
May 28, 2025HealthF 0865Administration DeficienciesHave a plan that describes the process for conducting QAPI and QAA activities.DYesDeficient, Provider has date of correctionAugust 1, 2025
May 28, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.EYesDeficient, Provider has date of correctionJuly 10, 2025
May 28, 2025HealthF 0940Administration DeficienciesDevelop, implement, and/or maintain an effective training program for all new and existing staff members.DYesDeficient, Provider has date of correctionJuly 10, 2025
January 23, 2025HealthF 0578Resident Rights DeficienciesHonor 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.ENoDeficient, Provider has date of correctionMarch 4, 2025
January 23, 2025HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correctionMarch 4, 2025
January 23, 2025HealthF 0584Resident Rights DeficienciesHonor 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.EYesDeficient, Provider has date of correctionMarch 4, 2025
January 23, 2025HealthF 0637Resident Assessment and Care Planning DeficienciesAssess the resident when there is a significant change in conditionDYesDeficient, Provider has date of correctionMarch 4, 2025
January 23, 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EYesDeficient, Provider has date of correctionMarch 4, 2025
January 23, 2025HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.ENoDeficient, Provider has date of correctionMarch 4, 2025
January 23, 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.ENoDeficient, Provider has date of correctionMarch 4, 2025
January 23, 2025HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.ENoDeficient, Provider has date of correctionMarch 4, 2025
January 23, 2025HealthF 0730Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.DNoDeficient, Provider has date of correctionMarch 4, 2025
January 23, 2025HealthF 0761Pharmacy Service DeficienciesEnsure 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.ENoDeficient, Provider has no plan of correction
January 23, 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionMarch 4, 2025
January 23, 2025HealthF 0868Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyDNoDeficient, Provider has date of correctionMarch 4, 2025
January 23, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionMarch 4, 2025
January 23, 2025HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.DNoDeficient, Provider has date of correctionMarch 4, 2025
January 23, 2025HealthF 0887Infection Control DeficienciesEducate 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.DNoDeficient, Provider has date of correctionMarch 4, 2025
January 23, 2025HealthF 0947Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.ENoDeficient, Provider has date of correctionMarch 4, 2025
November 12, 2024HealthF 0557Resident Rights DeficienciesHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.EYesDeficient, Provider has date of correctionDecember 9, 2024
November 12, 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DYesDeficient, Provider has date of correctionDecember 9, 2024
October 30, 2024HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedBYesDeficient, Provider has no plan of correction
September 26, 2024HealthF 0584Resident Rights DeficienciesHonor 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.EYesDeficient, Provider has date of correctionNovember 8, 2024
September 26, 2024HealthF 0585Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DYesDeficient, Provider has date of correctionNovember 8, 2024
September 26, 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correctionNovember 8, 2024
September 26, 2024HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correctionNovember 8, 2024
September 26, 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EYesDeficient, Provider has date of correctionNovember 8, 2024
September 26, 2024HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DYesDeficient, Provider has date of correctionNovember 8, 2024
April 10, 2024HealthF 0558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.DYesDeficient, Provider has date of correctionMay 30, 2024
April 10, 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correctionMay 30, 2024
April 10, 2024HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correctionMay 30, 2024
April 10, 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correctionMay 30, 2024
March 13, 2024HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correctionApril 12, 2024
November 1, 2023HealthF 0584Resident Rights DeficienciesHonor 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.ENoDeficient, Provider has date of correctionDecember 19, 2023
November 1, 2023HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.BNoDeficient, Provider has date of correctionDecember 1, 2023
November 1, 2023HealthF 0625Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.BNoDeficient, Provider has date of correctionDecember 1, 2023
November 1, 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correctionDecember 1, 2023
November 1, 2023HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.BNoDeficient, Provider has date of correctionDecember 1, 2023
November 1, 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionDecember 1, 2023
November 1, 2023HealthF 0867Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DNoDeficient, Provider has date of correctionDecember 19, 2023
September 26, 2023HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correctionNovember 15, 2023
September 26, 2023HealthF 0761Pharmacy Service DeficienciesEnsure 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.DYesDeficient, Provider has date of correctionNovember 15, 2023

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
August 28, 2023Fine$3,529823

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on August 1, 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameBREAKWATER COMMONS OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid Services1993-01-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishKnox
Telephone Number2073016810
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilBoth
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds96
Average Number of Residents per Day90.6
Overall Rating2
Health Inspection Rating2
QM Rating3
Long-Stay QM Rating3
Short-Stay QM Rating3
Processing Date2026-09-01

From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.

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The citable document for BREAKWATER COMMONS

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