Cycle 1
Health 2025-01-17 · Fire 2025-01-17
51 health deficiencies
Top issue: Resident Rights (10 deficiencies)
21 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Salisbury, MD
Bay Harbor Post Acute Healthcare Center
1-star overall rating with 1-star inspections with $13,090 in total fines with 51 recent health deficiencies with 21 fire-safety deficiencies in the latest cycle
200 Civic Avenue, Salisbury, MD
(410) 749-1466
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
305
Certified beds
Average residents
194
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Marquis Health Services
Operator or chain grouping
Approved since
1969-07-14
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
81 facilities
Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars
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
0.61
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
0.59
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.26
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.47
All reported nurse hours · state 3.87 · national 3.89
Licensed hours
1.20
RN + LPN hours · state 1.72 · national 1.54
Weekend hours
3.07
Weekend nurse staffing · state 3.46 · national 3.43
Weekend RN hours
0.41
Weekend registered nurse coverage · state 0.61 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.57
CMS adjusted RN staffing hours
Adjusted total hours
3.23
CMS adjusted total nurse staffing hours
Case-mix index
1.47
Higher values indicate more complex resident acuity
RN turnover
42%
Annual RN turnover · state 40% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,061
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
24.87
Composite VBP score used to determine payment impact.
Payment multiplier
0.9836
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.19
Baseline 21.20% · Performance 18.10% · Measure score 7.19 · Achievement 7.19 · Improvement 6.93
Healthcare-associated infections
1.96
Baseline 7.43% · Performance 7.25% · Measure score 1.96 · Achievement 1.96 · Improvement 0.26
Total nurse turnover
0
Baseline 58.14% · Performance 62.05% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
0.80
Baseline 3.53 hours · Performance 3.30 hours · Measure score 0.80 · Achievement 0.80 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.12% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 473 · Observed rate 11.42% · Lower 95% interval 8.46% |
| Discharge to community | 60.52% |
50.57%
10 pts better
|
Better than the National Rate · Eligible stays 462 · Observed rate 50.43% · Lower 95% interval 54.8% |
| Medicare spending per beneficiary | 0.95 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 96.14% |
95.27%
0.9 pts better
|
Numerator 349 · Denominator 363 |
| Falls with major injury | 1.1% |
0.77%
0.3 pts worse
|
Numerator 4 · Denominator 363 |
| Discharge self-care score | 44.87% |
53.69%
8.8 pts worse
|
Numerator 70 · Denominator 156 |
| Discharge mobility score | 37.18% |
50.94%
13.8 pts worse
|
Numerator 58 · Denominator 156 |
| Pressure ulcers or injuries, new or worsened | 3.87% |
2.29%
1.6 pts worse
|
Numerator 14 · Denominator 362 · Adjusted rate 3.41% |
| Healthcare-associated infections requiring hospitalization | 7.25% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 300 · Observed rate 8% · Lower 95% interval 5.23% |
| Staff COVID-19 vaccination coverage | 5.53% |
8.2%
2.7 pts worse
|
Numerator 13 · Denominator 235 |
| Staff flu vaccination coverage | 24.12% |
42%
17.9 pts worse
|
Numerator 89 · Denominator 369 |
| Discharge function score | 47.44% |
56.45%
9 pts worse
|
Numerator 74 · Denominator 156 |
| Transfer of health information to provider | 95.77% |
95.95%
0.2 pts worse
|
Numerator 204 · Denominator 213 |
| Transfer of health information to patient | 80.7% |
96.28%
15.6 pts worse
|
Numerator 46 · Denominator 57 |
| Resident COVID-19 vaccinations up to date | 11.35% |
25.2%
13.8 pts worse
|
Numerator 26 · Denominator 229 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
1.3
0.6 pts worse
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.9 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
1.2
0.4 pts worse
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.5 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 80.4% |
91.9%
11.5 pts worse
|
93.4%
13 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 52.8% · Q2 72.5% · Q3 94.7% · Q4 99.4% · 4Q avg 80.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.1% |
96.6%
1.5 pts worse
|
95.5%
0.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.5% |
2.3%
0.2 pts worse
|
3.3%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 2.7% · Q3 2.0% · Q4 1.3% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 23.2% |
21.4%
1.8 pts worse
|
11.4%
11.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 20.7% · Q3 30.0% · Q4 28.4% · 4Q avg 23.2% |
| Percentage of long-stay residents who lose too much weight | 11.4% |
5.7%
5.7 pts worse
|
5.4%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 9.9% · Q3 13.9% · Q4 11.9% · 4Q avg 11.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.0% |
16.1%
3.9 pts worse
|
19.6%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 17.6% · Q3 24.0% · Q4 21.1% · 4Q avg 20.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.6% |
15.3%
0.7 pts better
|
16.7%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 12.9% · Q3 15.4% · Q4 15.0% · 4Q avg 14.6% · 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 | 27.8% |
26.6%
1.2 pts worse
|
16.3%
11.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.7% · Q2 34.4% · Q3 33.2% · Q4 8.1% · 4Q avg 27.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 32.1% |
22.9%
9.2 pts worse
|
14.9%
17.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.5% · Q2 63.9% · Q3 42.5% · Q4 8.4% · 4Q avg 32.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
0.7%
0.2 pts worse
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 1.3% · Q3 1.3% · Q4 0.4% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.9% |
1.5%
0.6 pts better
|
1.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 1.4% · Q4 0.7% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 34.3% |
25.4%
8.9 pts worse
|
19.8%
14.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.3% · Q2 39.1% · Q3 39.8% · Q4 31.9% · 4Q avg 34.3% |
| Percentage of long-stay residents with pressure ulcers | 7.1% |
6.3%
0.8 pts worse
|
5.1%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 7.8% · Q3 7.8% · Q4 9.0% · 4Q avg 7.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 79.0% |
78.4%
0.6 pts better
|
81.7%
2.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 48.0% · Q2 79.6% · Q3 92.0% · Q4 96.4% · 4Q avg 79.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.3% |
9.9%
2.4 pts worse
|
12.0%
0.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.3% · Observed 12.8% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.3%
0.1 pts worse
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.9% · Q3 1.4% · Q4 1.1% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 72.8% |
80.6%
7.8 pts worse
|
79.7%
6.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 72.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.8% |
21.2%
4.4 pts better
|
23.9%
7.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.8% · Observed 19.0% · Expected 26.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-10-16 · Fire 2019-10-16
9 health deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2018-06-18 · Fire 2018-06-18
29 health deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-01-17
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-04-22
F · Potential for more than minimal harm
2025-01-17
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-22
F · Potential for more than minimal harm
2025-01-17
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-04-22
F · Potential for more than minimal harm
2025-01-17
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-04-22
F · Potential for more than minimal harm
2025-01-17
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-04-22
F · Potential for more than minimal harm
2025-01-17
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2025-04-22
F · Potential for more than minimal harm
2025-01-17
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-22
E · Potential for more than minimal harm
2025-01-17
K100 · Construction Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2025-04-22
E · Potential for more than minimal harm
2025-01-17
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-04-22
E · Potential for more than minimal harm
2025-01-17
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-04-22
E · Potential for more than minimal harm
2025-01-17
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-04-22
E · Potential for more than minimal harm
2025-01-17
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-04-22
E · Potential for more than minimal harm
2025-01-17
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2025-04-22
E · Potential for more than minimal harm
2025-01-17
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-04-22
E · Potential for more than minimal harm
2025-01-17
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-04-22
E · Potential for more than minimal harm
2025-01-17
K541 · Services Deficiencies
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2025-04-22
D · Potential for more than minimal harm
2025-01-17
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2025-04-22
D · Potential for more than minimal harm
2025-01-17
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-04-22
D · Potential for more than minimal harm
2025-01-17
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-04-22
D · Potential for more than minimal harm
2025-01-17
K500 · Services Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2025-04-22
D · Potential for more than minimal harm
2025-01-17
K754 · Miscellaneous Deficiencies
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2025-04-22
F · Potential for more than minimal harm
2019-10-16
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2020-01-20
F · Potential for more than minimal harm
2019-10-16
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-01-20
F · Potential for more than minimal harm
2019-10-16
K500 · Services Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2020-01-20
F · Potential for more than minimal harm
2019-10-16
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2020-01-20
E · Potential for more than minimal harm
2019-10-16
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2020-01-20
E · Potential for more than minimal harm
2019-10-16
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2020-01-20
D · Potential for more than minimal harm
2019-10-16
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2020-01-20
D · Potential for more than minimal harm
2019-10-16
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2020-01-20
E · Potential for more than minimal harm
2018-06-18
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2018-06-22
E · Potential for more than minimal harm
2018-06-18
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2018-06-22
D · Potential for more than minimal harm
2018-06-18
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2018-06-22
D · Potential for more than minimal harm
2018-06-18
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2018-07-25
D · Potential for more than minimal harm
2018-06-18
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2018-06-22
D · Potential for more than minimal harm
2018-06-18
K541 · Services Deficiencies
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2018-06-22
Inspection history
Recent health citations
K · Immediate jeopardy
2025-10-17
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-12-02
K · Immediate jeopardy
2025-10-17
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-12-02
E · Potential for more than minimal harm
2025-10-17
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2025-12-02
E · Potential for more than minimal harm
2025-10-17
F585 · Resident Rights Deficiencies
Health
Honor 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.
Corrected 2025-12-02
E · Potential for more than minimal harm
2025-10-17
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-12-02
E · Potential for more than minimal harm
2025-10-17
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-12-02
D · Potential for more than minimal harm
2025-10-17
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-12-02
D · Potential for more than minimal harm
2025-10-17
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 2025-12-02
D · Potential for more than minimal harm
2025-10-17
F826 · Quality of Life and Care Deficiencies
Health
Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.
Corrected 2025-12-02
D · Potential for more than minimal harm
2025-10-17
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 2025-12-02
F · Potential for more than minimal harm
2025-01-17
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 2025-03-19
E · Potential for more than minimal harm
2025-01-17
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-03-19
E · Potential for more than minimal harm
2025-01-17
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-03-19
E · Potential for more than minimal harm
2025-01-17
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2025-03-19
E · Potential for more than minimal harm
2025-01-17
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 2025-03-19
E · Potential for more than minimal harm
2025-01-17
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2025-03-19
E · Potential for more than minimal harm
2025-01-17
F585 · Resident Rights Deficiencies
Health
Honor 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.
Corrected 2025-03-19
E · Potential for more than minimal harm
2025-01-17
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 2025-03-19
E · Potential for more than minimal harm
2025-01-17
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-03-19
E · Potential for more than minimal harm
2025-01-17
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-19
E · Potential for more than minimal harm
2025-01-17
F728 · Nursing and Physician Services Deficiencies
Health
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected 2025-03-19
E · Potential for more than minimal harm
2025-01-17
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 2025-03-19
E · Potential for more than minimal harm
2025-01-17
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2025-03-19
E · Potential for more than minimal harm
2025-01-17
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-03-19
E · Potential for more than minimal harm
2025-01-17
F809 · Nutrition and Dietary Deficiencies
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2025-03-19
E · Potential for more than minimal harm
2025-01-17
F887 · Infection Control Deficiencies
Health
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.
Corrected 2025-03-19
E · Potential for more than minimal harm
2025-01-17
F909 · Environmental Deficiencies
Health
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected 2025-03-19
E · Potential for more than minimal harm
2025-01-17
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-03-19
D · Potential for more than minimal harm
2025-01-17
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-03-19
D · Potential for more than minimal harm
2025-01-17
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 2025-03-19
D · Potential for more than minimal harm
2025-01-17
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-03-19
D · Potential for more than minimal harm
2025-01-17
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-03-19
D · Potential for more than minimal harm
2025-01-17
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-03-19
D · Potential for more than minimal harm
2025-01-17
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-03-19
D · Potential for more than minimal harm
2025-01-17
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 2025-03-19
D · Potential for more than minimal harm
2025-01-17
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-03-19
D · Potential for more than minimal harm
2025-01-17
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-03-19
D · Potential for more than minimal harm
2025-01-17
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2025-03-19
D · Potential for more than minimal harm
2025-01-17
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 2025-03-19
D · Potential for more than minimal harm
2025-01-17
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-03-19
D · Potential for more than minimal harm
2025-01-17
F700 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2025-03-19
D · Potential for more than minimal harm
2025-01-17
F711 · Nursing and Physician Services Deficiencies
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2025-03-19
D · Potential for more than minimal harm
2025-01-17
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-03-19
D · Potential for more than minimal harm
2025-01-17
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2025-03-19
D · Potential for more than minimal harm
2025-01-17
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-03-19
D · Potential for more than minimal harm
2025-01-17
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2025-03-19
D · Potential for more than minimal harm
2025-01-17
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 2025-03-19
D · Potential for more than minimal harm
2025-01-17
F810 · Nutrition and Dietary Deficiencies
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2025-03-19
D · Potential for more than minimal harm
2025-01-17
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 2025-03-19
D · Potential for more than minimal harm
2025-01-17
F868 · Administration Deficiencies
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2025-03-19
D · Potential for more than minimal harm
2025-01-17
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-19
G · Actual harm
2024-02-28
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 2024-04-11
E · Potential for more than minimal harm
2024-02-28
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2024-05-10
E · Potential for more than minimal harm
2024-02-28
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-04-11
E · Potential for more than minimal harm
2024-02-28
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 2024-04-11
E · Potential for more than minimal harm
2024-02-28
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-10
E · Potential for more than minimal harm
2024-02-28
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 2024-04-11
E · Potential for more than minimal harm
2024-02-28
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-11
E · Potential for more than minimal harm
2024-02-28
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2024-04-11
E · Potential for more than minimal harm
2024-02-28
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-05-10
D · Potential for more than minimal harm
2024-02-28
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-04-11
D · Potential for more than minimal harm
2024-02-28
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 2024-04-11
D · Potential for more than minimal harm
2024-02-28
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-11
D · Potential for more than minimal harm
2024-02-28
F660 · Resident Assessment and Care Planning Deficiencies
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-04-11
D · Potential for more than minimal harm
2024-02-28
F661 · Resident Assessment and Care Planning Deficiencies
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-04-11
D · Potential for more than minimal harm
2024-02-28
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-11
D · Potential for more than minimal harm
2024-02-28
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-04-11
D · Potential for more than minimal harm
2024-02-28
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 2024-04-11
F · Potential for more than minimal harm
2019-10-16
F801 · Nutrition and Dietary Deficiencies
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2019-11-28
E · Potential for more than minimal harm
2019-10-16
F622 · Resident Rights Deficiencies
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2019-11-28
E · Potential for more than minimal harm
2019-10-16
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 2019-11-28
E · Potential for more than minimal harm
2019-10-16
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 2019-11-28
E · Potential for more than minimal harm
2019-10-16
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2019-11-28
D · Potential for more than minimal harm
2019-10-16
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2019-11-28
D · Potential for more than minimal harm
2019-10-16
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2019-11-28
D · Potential for more than minimal harm
2019-10-16
F806 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2019-11-28
D · Potential for more than minimal harm
2019-10-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-11-28
D · Potential for more than minimal harm
2018-06-18
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2018-07-31
D · Potential for more than minimal harm
2018-06-18
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 2018-07-31
D · Potential for more than minimal harm
2018-06-18
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2018-07-31
D · Potential for more than minimal harm
2018-06-18
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 2018-07-31
D · Potential for more than minimal harm
2018-06-18
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2018-07-31
D · Potential for more than minimal harm
2018-06-18
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2018-07-31
D · Potential for more than minimal harm
2018-06-18
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2018-07-31
D · Potential for more than minimal harm
2018-06-18
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 2018-07-31
D · Potential for more than minimal harm
2018-06-18
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2018-07-31
D · Potential for more than minimal harm
2018-06-18
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 2018-07-31
D · Potential for more than minimal harm
2018-06-18
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 2018-07-31
D · Potential for more than minimal harm
2018-06-18
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2018-07-31
Penalties and ownership
What sits behind the stars
$0
2025-01-17
Payment Denial
Payment Denial · denial start 2025-03-06 · 13 days
13 day denial
$13,090
2024-02-28
Fine
Fine · fine $13,090
Fine
Ownership
Quinto Nexgen LLC
5% Or Greater Direct Ownership Interest · Organization
Ukr Nexgen LLC
5% Or Greater Direct Ownership Interest · Organization
Customers Bank
5% Or Greater Security Interest · Organization
Fountain, Juliet
Operational/Managerial Control · Individual
Fountain, Juliet
Corporate Director · Individual
Fountain, Juliet
W-2 Managing Employee · Individual
Gunthorpe, Jahiri
Operational/Managerial Control · Individual
Kahanow, Aviva
5% Or Greater Indirect Ownership Interest · Individual
Nfr 2020 Irrv Tr
5% Or Greater Indirect Ownership Interest · Organization
Posen, Mindee
Corporate Officer · Individual
Rsbrmk Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Sk Nexgen Tr
5% Or Greater Indirect Ownership Interest · Organization
Skilled Venture LLC
5% Or Greater Direct Ownership Interest · Organization
Tryko Nexgen Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Uak 2020 Irrv Tr
5% Or Greater Indirect Ownership Interest · Organization
Yk Nexgen Tr
5% Or Greater Indirect Ownership Interest · Organization
Yr Nexgen Tr
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Deer's Head Center
Salisbury, MD
4-star overall rating with 5-star inspections with $41,265 in total fines with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Anchorage Healthcare Center
Salisbury, MD
3-star overall rating with 3-star inspections with $10,033 in total fines with 15 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
Wicomico Nursing Home
Salisbury, MD
3-star overall rating with 3-star inspections with $28,343 in total fines with 7 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle
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