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Market Square Health Care Center

⌖ South Paris, ME · Oxford County · Medicare data as of September 2026
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Medicare overall rating 1 of 5 stars
Certified beds76
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (individual)

About Market Square Health Care Center

Market Square Health Care Center is a 76-bed for-profit nursing home in South Paris, ME. Medicare rates it 1 out of 5 stars overall (much below average); the average in Maine is 3.1.

Special Focus candidate. Medicare lists this home as a candidate for its Special Focus program because of a history of serious problems.

  • Inspections: 20 problems at its last full inspection (May 2026), more than the Maine average of 10.8. None of its recent citations were for residents being harmed.
  • Staffing: nurses and aides spend about 4 hr 36 min a day with each resident, about the same as the Maine average of 4 hr 20 min. About 49% of nursing staff left in the past year.
  • Fines: no federal fines in the last three years.
  • Stands out: 1.8% of long-term residents had pressure sores (bedsores), compared with 4.6% nationally.

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

Key details

Facility nameMarket Square Health Care Center, LLC
LocationOxford County, Maine
Address3 Market Square, South Paris, ME 04281 · Oxford County
Medicare provider number205076
Ownership typeFor-profit (individual)
Operating companyNorth Country Associates · 9 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceApril 1, 1992 (34 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating1 of 5Much below average
Health inspections1 of 5Much below average
Quality measures4 of 5Above average
Staffing4 of 5Above average

Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

2 strengths and 3 things to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.

Strengths

  • Serious health citationsNone since May 2026No citations for actual harm or immediate jeopardy since May 2026.
    Strength
  • Fines and penaltiesNoneNo federal fines or payment denials in the last three years.
    Strength

About average

  • Nurse staffing per resident4 hr 36 min a dayMaine average: 4 hr 20 min
    About average
  • Nursing staff turnover49% a yearMaine average: 47%
    About average

Things to ask about

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  • Special Focus Facility candidateYesMedicare lists this home as a candidate for its Special Focus program, which follows homes with a history of quality problems more closely.
    Ask about this
  • Health citations at last inspection20 (May 2026)Maine average: 10.8.
    Worse than state average
  • Registered nurse time per resident33 min a dayMaine average: 1 hr 03 min
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Maine average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare quality rating: 5 of 5 (much above average)

  • Sent back to the hospital12.8%State average: 20.8%
    Better than average
  • Needed an emergency room visit13.8%State average: 16.1%
    About average
  • Newly given antipsychotic drugs1.9%State average: 1.2%
    Worse than average

Physical therapist time: about 6 minutes a day per resident, averaged across all residents, including long-term residents who get little or no therapy. That is more than the state average of 4 minutes. It is not one person’s therapy schedule; if rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 4 of 5 (above average)

  • Falls with a major injury3.1%State average: 4.1%
    Better than average
  • Pressure sores (bedsores)1.8%State average: 4.3%
    Better than average
  • Given antipsychotic drugs21.1%State average: 20.2%
    About average
  • Hospital stays per 1,000 resident days0.0State average: 1.4
    Better than average

Source: Medicare (CMS) quality measures, compared with the Maine average. Lower is better for every rate shown.

Who pays, and how full it is

Most residents here have their care paid by Medicaid. In Maine, Medicaid pays for 59% of resident days at a typical home.

  • 57% Medicaid
  • 3% Medicare
  • 40% Private pay, insurance and other
Beds in use, on average92%Maine typical: 91%
Facility operating cost per resident day$364Maine typical: $393

Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

What a stay may cost

  • Short-term rehab with Medicare: after a qualifying hospital stay, Medicare pays in full for days 1–20. From day 21 to day 100 you pay $217 a day (2026), unless other coverage pays it. Medicare stops after day 100. Estimate a rehab stay →
  • Paying privately: ask the home for its daily rate and what it includes. As a guide, Maine’s Medicaid program uses about $13,339 a month as the average cost of nursing home care (June 2026); see the state’s figure.
  • Medicaid: this home is certified for Medicaid, which pays for most long-term care once savings run low. Ask whether a Medicaid bed is available. Medicaid rules in Maine →

Medicare amounts from Medicare.gov. Prices vary with room type and care needs, so always confirm with the home.

Ratings over time

Its overall Medicare rating is 1 star now, down from 4 stars in January 2019. It has ranged from 1 to 5 stars and changed 9 times.

Overall rating1★
Health inspections1★
Staffing4★
Quality of care4★
Nurse hours per resident per day4.6
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201943444.5
Jan 202044444.4
Jan 202143444.7
Jan 202233334.6
Jan 202322434.7
Jan 202433434.6
Feb 202533434.6
Feb 202622434.5
Sep 202611444.6

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.