Cycle 1
Health 2024-11-20 · Fire 2024-11-20
13 health deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Crisfield, MD
Alice Byrd Tawes Nursing Home
5-star overall rating with 4-star inspections with 13 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
201 Hall Highway, Crisfield, MD
(410) 968-1200
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
76
Certified beds
Average residents
68
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1968-05-09
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.04
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
0.84
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
1.80
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.69
All reported nurse hours · state 3.87 · national 3.89
Licensed hours
1.88
RN + LPN hours · state 1.72 · national 1.54
Weekend hours
3.21
Weekend nurse staffing · state 3.46 · national 3.43
Weekend RN hours
0.72
Weekend registered nurse coverage · state 0.61 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.14
CMS adjusted RN staffing hours
Adjusted total hours
4.04
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 40% · national 45%
Total nurse turnover
31%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
256
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
75.48
Composite VBP score used to determine payment impact.
Payment multiplier
1.0246
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 19.23% · Performance 16.74% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
9.35
Baseline 5.59% · Performance 5.04% · Measure score 9.35 · Achievement 9.35 · Improvement 8.76
Total nurse turnover
7.72
Baseline 37.70% · Performance 32.14% · Measure score 7.72 · Achievement 7.72 · Improvement 3.83
Adjusted total nurse staffing
3.12
Baseline 3.93 hours · Performance 3.97 hours · Measure score 3.12 · Achievement 3.12 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.75% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 152 · Observed rate 7.89% · Lower 95% interval 6.87% |
| Discharge to community | 58.66% |
50.57%
8.1 pts better
|
Better than the National Rate · Eligible stays 151 · Observed rate 55.63% · Lower 95% interval 51.41% |
| Medicare spending per beneficiary | 0.74 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 83 · Denominator 83 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 83 |
| Discharge self-care score | 63.24% |
53.69%
9.6 pts better
|
Numerator 43 · Denominator 68 |
| Discharge mobility score | 63.24% |
50.94%
12.3 pts better
|
Numerator 43 · Denominator 68 |
| Pressure ulcers or injuries, new or worsened | 1.2% |
2.29%
1.1 pts better
|
Numerator 1 · Denominator 83 · Adjusted rate 1.4% |
| Healthcare-associated infections requiring hospitalization | 5.04% |
7.12%
2.1 pts better
|
No Different than the National Rate · Eligible stays 80 · Observed rate 0% · Lower 95% interval 2.97% |
| Staff COVID-19 vaccination coverage | 16.89% |
8.2%
8.7 pts better
|
Numerator 25 · Denominator 148 |
| Staff flu vaccination coverage | 98.8% |
42%
56.8 pts better
|
Numerator 164 · Denominator 166 |
| Discharge function score | 66.18% |
56.45%
9.7 pts better
|
Numerator 45 · Denominator 68 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 52 · Denominator 52 |
| Resident COVID-19 vaccinations up to date | 34.15% |
25.2%
8.9 pts better
|
Numerator 14 · Denominator 41 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
1.3
0.1 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.2
0.2 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.8 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.9%
8.1 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
96.6%
3.4 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.9% |
2.3%
0.6 pts worse
|
3.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.6% · Q3 3.4% · Q4 1.6% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.0% |
21.4%
20.4 pts better
|
11.4%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 2.0% · Q4 0.0% · 4Q avg 1.0% |
| Percentage of long-stay residents who lose too much weight | 4.1% |
5.7%
1.6 pts better
|
5.4%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 3.8% · Q3 1.9% · Q4 3.4% · 4Q avg 4.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.0% |
16.1%
4.1 pts better
|
19.6%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 10.9% · Q3 10.5% · Q4 12.7% · 4Q avg 12.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.3% |
15.3%
5 pts better
|
16.7%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 7.0% · Q3 6.0% · Q4 15.1% · 4Q avg 10.3% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 25.3% |
26.6%
1.3 pts better
|
16.3%
9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 22.8% · Q3 24.0% · Q4 30.9% · 4Q avg 25.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.1% |
22.9%
3.2 pts worse
|
14.9%
11.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 19.6% · Q3 32.1% · Q4 28.3% · 4Q avg 26.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% |
0.7%
0.4 pts worse
|
1.0%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.4% · Q3 0.0% · Q4 1.3% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.5%
1.5 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.7% |
25.4%
3.3 pts worse
|
19.8%
8.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.7% · Q2 33.5% · Q3 21.1% · Q4 24.1% · 4Q avg 28.7% |
| Percentage of long-stay residents with pressure ulcers | 6.8% |
6.3%
0.5 pts worse
|
5.1%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 6.6% · Q3 5.9% · Q4 8.5% · 4Q avg 6.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.5% |
78.4%
20.1 pts better
|
81.7%
16.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.3% · Q3 97.3% · Q4 100.0% · 4Q avg 98.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.4% |
9.9%
3.5 pts worse
|
12.0%
1.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.4% · Observed 13.2% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
1.3%
0.4 pts worse
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.2% · Q3 1.8% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.4% |
80.6%
16.8 pts better
|
79.7%
17.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.6% |
21.2%
6.6 pts better
|
23.9%
9.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 14.6% · Observed 13.2% · Expected 21.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-09-20 · Fire 2019-09-20
10 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2 fire-safety deficiencies
Top issue: Services (1 deficiency)
Cycle 3
Health 2018-05-01 · Fire 2018-05-01
14 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-11-20
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-12-31
D · Potential for more than minimal harm
2024-11-20
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-12-31
F · Potential for more than minimal harm
2019-09-20
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-11-11
F · Potential for more than minimal harm
2019-09-20
K500 · Services Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2019-11-11
D · Potential for more than minimal harm
2018-05-01
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2018-08-03
D · Potential for more than minimal harm
2018-05-01
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-08-03
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-11-20
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-01-05
E · Potential for more than minimal harm
2024-11-20
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-01-05
E · Potential for more than minimal harm
2024-11-20
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2025-01-05
E · Potential for more than minimal harm
2024-11-20
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-05
D · Potential for more than minimal harm
2024-11-20
F578 · Resident Rights Deficiencies
Health
Honor 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.
Corrected 2025-01-05
D · Potential for more than minimal harm
2024-11-20
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2025-01-05
D · Potential for more than minimal harm
2024-11-20
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-01-05
D · Potential for more than minimal harm
2024-11-20
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-01-05
D · Potential for more than minimal harm
2024-11-20
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-05
D · Potential for more than minimal harm
2024-11-20
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-01-05
D · Potential for more than minimal harm
2024-11-20
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-01-05
D · Potential for more than minimal harm
2024-11-20
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-01-05
D · Potential for more than minimal harm
2024-11-20
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-05
G · Actual harm
2019-09-20
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-11-06
E · Potential for more than minimal harm
2019-09-20
F838 · Administration Deficiencies
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2019-11-06
D · Potential for more than minimal harm
2019-09-20
F578 · Resident Rights Deficiencies
Health
Honor 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.
Corrected 2019-11-06
D · Potential for more than minimal harm
2019-09-20
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2019-11-06
D · Potential for more than minimal harm
2019-09-20
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-11-06
D · Potential for more than minimal harm
2019-09-20
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2019-11-06
D · Potential for more than minimal harm
2019-09-20
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-11-06
D · Potential for more than minimal harm
2019-09-20
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-11-06
D · Potential for more than minimal harm
2019-09-20
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2019-11-06
D · Potential for more than minimal harm
2019-09-20
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-11-06
E · Potential for more than minimal harm
2018-05-01
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2018-06-08
E · Potential for more than minimal harm
2018-05-01
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2018-06-08
E · Potential for more than minimal harm
2018-05-01
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2018-06-08
E · Potential for more than minimal harm
2018-05-01
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2018-06-08
D · Potential for more than minimal harm
2018-05-01
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2018-06-08
D · Potential for more than minimal harm
2018-05-01
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2018-06-08
D · Potential for more than minimal harm
2018-05-01
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2018-06-08
D · Potential for more than minimal harm
2018-05-01
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2018-06-08
D · Potential for more than minimal harm
2018-05-01
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2018-06-08
D · Potential for more than minimal harm
2018-05-01
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2018-06-08
D · Potential for more than minimal harm
2018-05-01
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2018-06-08
D · Potential for more than minimal harm
2018-05-01
F773 · Administration Deficiencies
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2018-06-08
D · Potential for more than minimal harm
2018-05-01
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2018-06-08
B · Minimal harm
2018-05-01
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2018-06-08
Penalties and ownership
What sits behind the stars
Ownership
Tidalhealth, Inc
5% Or Greater Direct Ownership Interest · Organization
Butler, Gerrod
Operational/Managerial Control · Individual
Collins, Franklin
Operational/Managerial Control · Individual
Diriker, Mehmet
Corporate Director · Individual
Fiddler, Kathryn
Corporate Director · Individual
Fiddler, Kathryn
Corporate Officer · Individual
Gary, Stephanie
Operational/Managerial Control · Individual
Gary, Stephanie
Corporate Director · Individual
Johnson, Marcia
Operational/Managerial Control · Individual
Karumbunathan, Vijaykumar
Operational/Managerial Control · Individual
King, Audrey
Operational/Managerial Control · Individual
Leonard, Steven
Operational/Managerial Control · Individual
Leonard, Steven
Corporate Officer · Individual
Mccready Foundation Inc
Operational/Managerial Control · Organization
Mcgonigle, Jami
Operational/Managerial Control · Individual
Miller, Laurie
Operational/Managerial Control · Individual
Rommel, David
Corporate Director · Individual
Sipe, Richard
Operational/Managerial Control · Individual
Spence, Camesha
Operational/Managerial Control · Individual
Spence, Camesha
Corporate Officer · Individual
Tidalhealth, Inc
Operational/Managerial Control · Organization
Truist Commercial Equity, Inc
5% Or Greater Mortgage Interest · Organization
Trumble, James
Corporate Director · Individual
Tull, Lisa
Operational/Managerial Control · Individual
Ward, Lori
Operational/Managerial Control · Individual
Williams, Andrea
Corporate Director · Individual
Yanus, Scott
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Hartley Nursing And Rehab
Pocomoke City, MD
4-star overall rating with 4-star inspections with 10 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
Manokin Nursing And Rehab
Princess Anne, MD
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $160,325 in total fines with 39 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Shore Health & Rehab Center
Parksley, VA
4-star overall rating with 3-star inspections with 11 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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