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Medical Facilities Unit

empty FDA Alert! 08/28/2008 - Recall of the Mobile Oxygen Storage Tank
Mobile Oxygen Storage Tank
Pacific Consolidated Industries, LLC, and the FDA have announced the Class I Recall of the Mobile Oxygen Storage Tank manufactured and distributed between January - March 2007. The device's pressure gauge may rupture and catch fire as a result of hydraulic fluid present in the pressure gauge tubing.

Read the entire 2008 MedWatch Safety Summary

Nursing Facilities

Nursing facilities are licensed by Maine and certified by the federal Centers for Medicare and Medicaid Services (CMS). They provide 24-hour around-the-clock nursing care and rehabilitation services to individuals admitted because of injury, illness, disease or physical or mental frailty. State and federal law protect residents’ rights and assure residents are treated with dignity and respect.

Provider Form

  • Incident Report Form for Nursing Facilities. (Microsoft Word*)
  • Instructions:
    • Never email the completed form.
    • To comply with the federal Health Insurance Portability and Accountability Act (HIPAA) send the completed form by:
      • o Fax Bangor District Office 561-4196; Portland District Office 822-2101; August District Office 287-5815; or
      • o Postal mail it to the Division of Licensing and Regulatory Services, 11 State House Station, 41 Anthony Avenue, Augusta Maine 04333
    • Save time. To promote consistency and save your staff some time, providers may want to pre-fill the form with the facility’s name, address, and other information that remains the same and save a copy of your pre-filled incident form for future use.

Listserve

*For a free viewer or to request a hard copy