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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D42 | E17 | F23 |
| Minimal | A· | B· | C2 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jan 30, 2026 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Jan 30, 2026 | Health | Health Complaint, Health Standard | 15 | Potential harm | — | Open → |
| Aug 29, 2024 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Aug 29, 2024 | Health | Health Complaint, Health Standard | 34 | Immediate jeopardy | — | Open → |
| Oct 4, 2019 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Oct 4, 2019 | Health | Health Standard | 18 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Aug 29, 2024 | Civil money penalty (fine) | $16,562 | — | 215217|Fine|10135 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D42 | E17 | F23 |
| Minimal | A· | B· | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jan 30, 2026 | K-0100 | Meet other general requirements. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 1, 2026 | |
| Jan 30, 2026 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 1, 2026 | |
| Jan 30, 2026 | K-0281 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
66 facilities in 6 states. CMS chain ID 231.
Chain average overall rating (CMS): 2.5
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Maryland Long Term Care LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 18, 2016 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Maryland Long Term Care LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 18, 2016 |
| Michael Roles | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 30, 2021 |
| Michael Roles | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Dec 30, 2021 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Berlin Nursing and Rehabilitation Center 9715 Healthway Drive, Berlin, MD 21811 CCN 215126 | 165 | Aug 18, 2026 | 822 harm2 open | $46k | |
| Allegany Health Nursing and Rehab 730 Furnace Street, Cumberland, MD 21502 CCN 215230 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Citizens Care and Rehabilitation Center of Frederi 1920 Rosemont Avenue, Frederick, MD 21702 CCN 215105 | 2.9 km | 170 | Mar 20, 2026 | 511 harm | — | |
| Frederick Crossing of Journey 30 North Place, Frederick, MD 21701 CCN 215184 | 3.5 km | 120 | Jun 17, 2026 | 1241 harm | $14k | |
| Homewood Living Frederick 7407 Willow Road, Frederick, MD 21702 CCN 215245 | 4.3 km | 120 | Aug 13, 2026 | 432 open | — | |
| Autumn Lake Healthcare at Ballenger Creek 347 Ballenger Drive, Frederick, MD 21701 CCN 215001 | 5.9 km | 130 | Jun 30, 2026 | 921 IJ1 harm | — | |
| Autumn Lake Healthcare at Glade Valley 56 West Frederick Street, Walkersville, MD 21793 CCN 215313 | 6.3 km | 124 | Jun 1, 2026 | 1061 harm | $37k | |
| Autumn Lake Healthcare at Braddock Heights 6012 Jefferson Boulevard, Frederick, MD 21703 CCN 215199 | 10 km | 65 | Jan 23, 2026 | 581 open | — | |
| Willowbrooke Ct Skilled Care Buckingham's Choice 3200 Baker Circle, Adamstown, MD 21710 CCN 215329 | 12.7 km | 42 | Feb 17, 2026 | 37 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 215217 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 215217 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| Maryland OHCQ Long Term Care MD | 2410010 | state_license, licensed_beds, licensee Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN). | Inferred | Jul 22, 2025 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Install proper backup exit lighting. Egress Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Jun 1, 2026 |
| Jan 30, 2026 | K-0331 | Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 1, 2026 |
| Jan 30, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 1, 2026 |
| Jan 30, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 1, 2026 |
| Jan 30, 2026 | K-0379 | Have proper openings in smoke barrier doors. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 1, 2026 |
| Jan 30, 2026 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 1, 2026 |
| Jan 30, 2026 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 1, 2026 |
| Jan 30, 2026 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 1, 2026 |
| Jan 30, 2026 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 1, 2026 |
| Jan 30, 2026 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 2, 2026 |
| Jan 30, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 2, 2026 |
| Jan 30, 2026 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 2, 2026 |
| Jan 30, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 2, 2026 |
| Jan 30, 2026 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 2, 2026 |
| Jan 30, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 2, 2026 |
| Jan 30, 2026 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 2, 2026 |
| Jan 30, 2026 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Mar 2, 2026 |
| Jan 30, 2026 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 2, 2026 | Complaint |
| Jan 30, 2026 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 2, 2026 |
| Jan 30, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 2, 2026 |
| Jan 30, 2026 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 2, 2026 |
| Jan 30, 2026 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Mar 2, 2026 |
| Jan 30, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 2, 2026 |
| Jan 30, 2026 | F-0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Mar 2, 2026 |
| Aug 29, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Past non-compliance Apr 30, 2024 | Complaint |
| Aug 29, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Dec 11, 2024 |
| Aug 29, 2024 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 11, 2024 |
| Aug 29, 2024 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 11, 2024 |
| Aug 29, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Waiver granted Jan 8, 2025 |
| Aug 29, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 11, 2024 |
| Aug 29, 2024 | K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 11, 2024 |
| Aug 29, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 11, 2024 |
| Aug 29, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 5, 2024 | Complaint |
| Aug 29, 2024 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 5, 2024 |
| Aug 29, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 5, 2024 | Complaint |
| Aug 29, 2024 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Oct 5, 2024 | Complaint |
| Aug 29, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Oct 5, 2024 | Complaint |
| Aug 29, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Oct 5, 2024 | Complaint |
| Aug 29, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 5, 2024 |
| Aug 29, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 5, 2024 | Complaint |
| Aug 29, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 11, 2024 |
| Aug 29, 2024 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 5, 2024 |
| Aug 29, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 5, 2024 | Complaint |
| Aug 29, 2024 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 5, 2024 |
| Aug 29, 2024 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 5, 2024 |
| Aug 29, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 5, 2024 |
| Aug 29, 2024 | F-0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Oct 5, 2024 |
| Aug 29, 2024 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Oct 5, 2024 |
| Aug 29, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Oct 5, 2024 |
| Aug 29, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Oct 5, 2024 |
| Aug 29, 2024 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 5, 2024 |
| Aug 29, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Oct 5, 2024 |
| Aug 29, 2024 | F-0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Oct 5, 2024 | Complaint |
| Aug 29, 2024 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 5, 2024 |
| Aug 29, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Oct 5, 2024 |
| Aug 29, 2024 | F-0887 | Educate 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. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Oct 5, 2024 |
| Aug 29, 2024 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 5, 2024 |
| Aug 29, 2024 | F-0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Oct 5, 2024 |
| Aug 29, 2024 | F-0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Oct 5, 2024 |
| Aug 29, 2024 | F-0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Oct 5, 2024 |
| Aug 29, 2024 | F-0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Oct 5, 2024 | Complaint |
| Aug 29, 2024 | F-0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Oct 5, 2024 |
| Aug 29, 2024 | F-0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 5, 2024 |
| Aug 29, 2024 | F-0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Oct 5, 2024 |
| Oct 4, 2019 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 28, 2019 |
| Oct 4, 2019 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 28, 2019 |
| Oct 4, 2019 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 28, 2019 |
| Oct 4, 2019 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 28, 2019 |
| Oct 4, 2019 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 28, 2019 |
| Oct 4, 2019 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 28, 2019 |
| Oct 4, 2019 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 28, 2019 |
| Oct 4, 2019 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 28, 2019 |
| Oct 4, 2019 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 28, 2019 |
| Oct 4, 2019 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 28, 2019 |
| Oct 4, 2019 | F-0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 28, 2019 |
| Oct 4, 2019 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Oct 28, 2019 |
| Oct 4, 2019 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Oct 28, 2019 |
| Oct 4, 2019 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 28, 2019 |
| Oct 4, 2019 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Oct 28, 2019 |
| Oct 4, 2019 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 28, 2019 |
| Oct 4, 2019 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Oct 28, 2019 |
| Oct 4, 2019 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Oct 28, 2019 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.94 (case-mix index 1.23).
| 153 |
| Apr 3, 2026 |
382 harm |
| $19k |
| Oakland Nursing & Rehabilitation Center 706 East Alder Street, Oakland, MD 21550 CCN 215232 | 100 | Dec 12, 2025 | 981 IJ1 harm | $17k |
| Fairfield Nursing & Rehabilitation Center 1454 Fairfield Loop Road, Crownsville, MD 21032 CCN 215236 | 96 | Mar 23, 2026 | 1051 harm | $52k |
| Moran Nursing and Rehabilitation Center 25701 Shady Lane Southwest, Westernport, MD 21562 CCN 215240Abuse icon | 130 | Aug 11, 2026 | 54 | — |
| Devlin Manor Nursing and Rehabilitation Center 10301 North East Christie Road, Cumberland, MD 21502 CCN 215244 | 124 | Jun 30, 2026 | 421 harm | $8,278 |
| Forest Haven Nursing and Rehabilitation Ctr 701 Edmondson Avenue, Catonsville, MD 21228 CCN 215252 | 120 | Sep 15, 2025 | 1283 harm | $274k |
| Julia Manor Nursing and Rehabilitation Center 333 Mill Street, Hagerstown, MD 21740 CCN 215321Abuse icon | 130 | May 1, 2026 | 993 IJ3 harm | — |