Baltimore, MD

Blue Point Healthcare Center

1-star overall rating with 1-star inspections with abuse icon flag with $339,648 in total fines with 38 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle

2525 West Belvedere Avenue, Baltimore, MD

(410) 367-9100

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

135

Certified beds

Average residents

122

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Communicare Health

Operator or chain grouping

Approved since

2002-06-13

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

122 facilities

Chain averages 3 overall / 2 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

0.62

Registered nurse staffing · state 0.81 · national 0.68

LPN hours / resident day

0.68

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.19

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.49

All reported nurse hours · state 3.87 · national 3.89

Licensed hours

1.30

RN + LPN hours · state 1.72 · national 1.54

Weekend hours

3.27

Weekend nurse staffing · state 3.46 · national 3.43

Weekend RN hours

0.60

Weekend registered nurse coverage · state 0.61 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.66

CMS adjusted RN staffing hours

Adjusted total hours

3.69

CMS adjusted total nurse staffing hours

Case-mix index

1.29

Higher values indicate more complex resident acuity

RN turnover

40%

Annual RN turnover · state 40% · national 45%

Total nurse turnover

39%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,239

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

45.32

Composite VBP score used to determine payment impact.

Payment multiplier

0.9985

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.92

Baseline 17.49% · Performance 19.61% · Measure score 3.92 · Achievement 3.92 · Improvement 0

Healthcare-associated infections

4.75

Baseline 6.67% · Performance 6.41% · Measure score 4.75 · Achievement 4.75 · Improvement 1.02

Total nurse turnover

7.87

Baseline 39.77% · Performance 31.52% · Measure score 7.87 · Achievement 7.87 · Improvement 5.03

Adjusted total nurse staffing

1.58

Baseline 3.47 hours · Performance 3.53 hours · Measure score 1.58 · Achievement 1.58 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.23%
10.72%
0.5 pts worse
No Different than the National Rate · Eligible stays 60 · Observed rate 13.33% · Lower 95% interval 7.65%
Discharge to community 50.77%
50.57%
0.2 pts better
No Different than the National Rate · Eligible stays 59 · Observed rate 42.37% · Lower 95% interval 39.93%
Medicare spending per beneficiary 1.02
1.02
About the same
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 56 · Denominator 56
Falls with major injury 1.79%
0.77%
1 pts worse
Numerator 1 · Denominator 56
Discharge self-care score 51.61%
53.69%
2.1 pts worse
Numerator 16 · Denominator 31
Discharge mobility score 93.55%
50.94%
42.6 pts better
Numerator 29 · Denominator 31
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 56 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 6.41%
7.12%
0.7 pts better
No Different than the National Rate · Eligible stays 34 · Observed rate 2.94% · Lower 95% interval 3.37%
Staff COVID-19 vaccination coverage 0.62%
8.2%
7.6 pts worse
Numerator 1 · Denominator 161
Staff flu vaccination coverage 16.3%
42%
25.7 pts worse
Numerator 22 · Denominator 135
Discharge function score 90.32%
56.45%
33.9 pts better
Numerator 28 · Denominator 31
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to patient 92.59%
96.28%
3.7 pts worse
Numerator 25 · Denominator 27
Resident COVID-19 vaccinations up to date 14.71%
25.2%
10.5 pts worse
Numerator 5 · Denominator 34

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.5%
91.9%
7.6 pts better
93.4%
6.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 100.0% · Q3 99.0% · Q4 100.0% · 4Q avg 99.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.7%
96.6%
0.9 pts worse
95.5%
0.2 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.7%
Percentage of long-stay residents experiencing one or more falls with major injury 2.2%
2.3%
0.1 pts better
3.3%
1.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 2.0% · Q3 3.0% · Q4 2.0% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 17.4%
21.4%
4 pts better
11.4%
6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 18.6% · Q3 21.8% · Q4 16.3% · 4Q avg 17.4%
Percentage of long-stay residents who lose too much weight 5.6%
5.7%
0.1 pts better
5.4%
0.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 5.0% · Q3 9.0% · Q4 3.0% · 4Q avg 5.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.2%
16.1%
1.9 pts better
19.6%
5.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.2% · Q2 11.9% · Q3 14.0% · Q4 19.8% · 4Q avg 14.2%
Percentage of long-stay residents who received an antipsychotic medication 21.3%
15.3%
6 pts worse
16.7%
4.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 22.9% · Q3 22.2% · Q4 20.0% · 4Q avg 21.3% · 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 12.9%
26.6%
13.7 pts better
16.3%
3.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 21.7% · Q2 9.4% · Q3 8.7% · Q4 9.7% · 4Q avg 12.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 23.7%
22.9%
0.8 pts worse
14.9%
8.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 16.8% · Q2 31.2% · Q3 28.7% · Q4 18.3% · 4Q avg 23.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.7%
0.7 pts better
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% · 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 26.6%
25.4%
1.2 pts worse
19.8%
6.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.6% · Q2 26.2% · Q3 27.4% · Q4 31.6% · 4Q avg 26.6%
Percentage of long-stay residents with pressure ulcers 4.8%
6.3%
1.5 pts better
5.1%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 3.2% · Q3 4.1% · Q4 4.6% · 4Q avg 4.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 88.1%
78.4%
9.7 pts better
81.7%
6.4 pts better
Short Stay · 2024Q4-2025Q3 · Q1 87.3% · Q2 86.7% · Q3 85.8% · Q4 92.9% · 4Q avg 88.1%
Percentage of short-stay residents who had an outpatient emergency department visit 9.8%
9.9%
0.1 pts better
12.0%
2.2 pts better
Short Stay · 20240701-20250630 · Adjusted 9.8% · Observed 12.7% · Expected 14.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.3%
1.3%
1 pts better
1.6%
1.3 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 84.2%
80.6%
3.6 pts better
79.7%
4.5 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 84.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 25.6%
21.2%
4.4 pts worse
23.9%
1.7 pts worse
Short Stay · 20240701-20250630 · Adjusted 25.6% · Observed 29.1% · Expected 27.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-11-22 · Fire 2023-11-22

38 health deficiencies

Top issue: Resident Rights (8 deficiencies)

12 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2021-09-14 · Fire 2021-09-14

27 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2018-10-04 · Fire 2018-10-04

17 health deficiencies

Top issue: Resident Assessment and Care Planning (5 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-11-22

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-01-05

F · Potential for more than minimal harm 2023-11-22

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-01-05

F · Potential for more than minimal harm 2023-11-22

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-01-05

F · Potential for more than minimal harm 2023-11-22

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-01-05

F · Potential for more than minimal harm 2023-11-22

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-01-05

E · Potential for more than minimal harm 2023-11-22

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-01-05

E · Potential for more than minimal harm 2023-11-22

K200 · Egress Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-01-05

E · Potential for more than minimal harm 2023-11-22

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-01-05

E · Potential for more than minimal harm 2023-11-22

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 2024-01-05

E · Potential for more than minimal harm 2023-11-22

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 2024-01-05

E · Potential for more than minimal harm 2023-11-22

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-01-05

E · Potential for more than minimal harm 2023-11-22

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2024-01-05

F · Potential for more than minimal harm 2021-09-14

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2021-10-08

D · Potential for more than minimal harm 2021-09-14

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2021-10-08

D · Potential for more than minimal harm 2021-09-14

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2021-10-08

D · Potential for more than minimal harm 2021-09-14

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2021-10-08

D · Potential for more than minimal harm 2021-09-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-10-08

D · Potential for more than minimal harm 2021-09-14

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2021-10-08

D · Potential for more than minimal harm 2021-09-14

K900 · Miscellaneous Deficiencies

Fire Safety

Meet Health Care Facilities Code mechanical requirements.

Corrected 2021-10-08

F · Potential for more than minimal harm 2018-10-04

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2018-11-01

D · Potential for more than minimal harm 2018-10-04

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 2018-11-01

D · Potential for more than minimal harm 2018-10-04

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2018-11-01

Inspection history

Recent health citations

J · Immediate jeopardy 2025-07-07

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2025-09-22

J · Immediate jeopardy 2025-07-07

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-07-07

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-07-07

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 2025-09-22

D · Potential for more than minimal harm 2025-07-07

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-07-07

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-07-07

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 2025-09-22

D · Potential for more than minimal harm 2025-07-07

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-07-07

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-07-07

F777 · Administration Deficiencies

Health

Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

Corrected 2025-09-22

D · Potential for more than minimal harm 2025-07-07

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 2025-09-22

D · Potential for more than minimal harm 2024-02-07

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2024-02-23

E · Potential for more than minimal harm 2023-11-22

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-01-06

E · Potential for more than minimal harm 2023-11-22

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 2024-01-06

E · Potential for more than minimal harm 2023-11-22

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 2024-01-06

E · Potential for more than minimal harm 2023-11-22

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-01-06

E · Potential for more than minimal harm 2023-11-22

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 2024-01-06

E · Potential for more than minimal harm 2023-11-22

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-01-06

E · Potential for more than minimal harm 2023-11-22

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 2024-01-06

E · Potential for more than minimal harm 2023-11-22

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 2024-01-06

D · Potential for more than minimal harm 2023-11-22

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 2024-01-06

D · Potential for more than minimal harm 2023-11-22

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-01-06

D · Potential for more than minimal harm 2023-11-22

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 2024-01-06

D · Potential for more than minimal harm 2023-11-22

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 2024-01-06

D · Potential for more than minimal harm 2023-11-22

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2024-01-06

D · Potential for more than minimal harm 2023-11-22

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-01-06

D · Potential for more than minimal harm 2023-11-22

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-01-06

D · Potential for more than minimal harm 2023-11-22

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 2024-01-06

D · Potential for more than minimal harm 2023-11-22

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-01-06

D · Potential for more than minimal harm 2023-11-22

F710 · Nursing and Physician Services Deficiencies

Health

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Corrected 2024-01-06

D · Potential for more than minimal harm 2023-11-22

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 2024-01-06

D · Potential for more than minimal harm 2023-11-22

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-01-06

D · Potential for more than minimal harm 2023-11-22

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 2024-01-06

D · Potential for more than minimal harm 2023-11-22

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 2024-01-06

D · Potential for more than minimal harm 2023-11-22

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-01-06

D · Potential for more than minimal harm 2023-11-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-06

D · Potential for more than minimal harm 2023-11-22

F917 · Environmental Deficiencies

Health

Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.

Corrected 2024-01-06

D · Potential for more than minimal harm 2023-11-22

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 2024-01-06

D · Potential for more than minimal harm 2023-11-22

F923 · Environmental Deficiencies

Health

Have enough outside ventilation via a window or mechanical ventilation, or both.

Corrected 2024-01-06

E · Potential for more than minimal harm 2021-09-14

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 2021-10-29

E · Potential for more than minimal harm 2021-09-14

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2021-10-29

E · Potential for more than minimal harm 2021-09-14

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 2021-10-29

E · Potential for more than minimal harm 2021-09-14

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2021-10-29

E · Potential for more than minimal harm 2021-09-14

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2021-10-29

E · Potential for more than minimal harm 2021-09-14

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 2021-10-29

E · Potential for more than minimal harm 2021-09-14

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 2021-10-29

E · Potential for more than minimal harm 2021-09-14

F850 · Administration Deficiencies

Health

Hire a qualified full-time social worker in a facility with more than 120 beds.

Corrected 2021-10-29

E · Potential for more than minimal harm 2021-09-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-10-29

E · Potential for more than minimal harm 2021-09-14

F920 · Environmental Deficiencies

Health

Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.

Corrected 2021-10-29

E · Potential for more than minimal harm 2021-09-14

F922 · Environmental Deficiencies

Health

Have enough backup water supply for essential areas of the nursing home.

Corrected 2021-10-29

E · Potential for more than minimal harm 2021-09-14

F924 · Environmental Deficiencies

Health

Put firmly secured handrails on each side of hallways.

Corrected 2021-10-29

D · Potential for more than minimal harm 2021-09-14

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2021-10-29

D · Potential for more than minimal harm 2021-09-14

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2021-10-29

D · Potential for more than minimal harm 2021-09-14

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 2021-10-29

D · Potential for more than minimal harm 2021-09-14

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 2021-10-29

D · Potential for more than minimal harm 2021-09-14

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 2021-10-29

D · Potential for more than minimal harm 2021-09-14

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2021-10-29

D · Potential for more than minimal harm 2021-09-14

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 2021-10-29

D · Potential for more than minimal harm 2021-09-14

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2021-10-29

D · Potential for more than minimal harm 2021-09-14

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2021-10-29

D · Potential for more than minimal harm 2021-09-14

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2021-10-29

D · Potential for more than minimal harm 2021-09-14

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2021-10-29

D · Potential for more than minimal harm 2021-09-14

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 2021-10-29

D · Potential for more than minimal harm 2021-09-14

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2021-10-29

D · Potential for more than minimal harm 2021-09-14

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2021-10-29

D · Potential for more than minimal harm 2021-09-14

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 2021-10-29

E · Potential for more than minimal harm 2018-10-04

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 2018-11-18

E · Potential for more than minimal harm 2018-10-04

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 2018-11-18

D · Potential for more than minimal harm 2018-10-04

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2018-11-18

D · Potential for more than minimal harm 2018-10-04

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2018-11-18

D · Potential for more than minimal harm 2018-10-04

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 2018-11-18

D · Potential for more than minimal harm 2018-10-04

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2018-11-18

D · Potential for more than minimal harm 2018-10-04

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2018-11-18

D · Potential for more than minimal harm 2018-10-04

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 2018-11-18

D · Potential for more than minimal harm 2018-10-04

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 2018-11-18

D · Potential for more than minimal harm 2018-10-04

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 2018-11-18

D · Potential for more than minimal harm 2018-10-04

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2018-11-18

D · Potential for more than minimal harm 2018-10-04

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 2018-11-18

D · Potential for more than minimal harm 2018-10-04

F712 · Nursing and Physician Services Deficiencies

Health

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Corrected 2018-11-18

D · Potential for more than minimal harm 2018-10-04

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 2018-11-18

D · Potential for more than minimal harm 2018-10-04

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2018-11-18

D · Potential for more than minimal harm 2018-10-04

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 2018-11-18

Penalties and ownership

What sits behind the stars

$339,648 2025-07-07

Fine

Fine · fine $339,648

Fine

Ownership

Wo Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 6 facilities 2016-01-01
Belvedere Mgt, LLC

Operational/Managerial Control · Organization

0% 1 facilities 2016-01-01
C.r. Stoltz Family Investment Company Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 57 facilities 2016-01-01
C.r. Stoltz Irrevocable Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 96 facilities 2016-01-01
Cousins, Karen

Operational/Managerial Control · Individual

0% 4 facilities 2016-01-01
Green, Dominique

Operational/Managerial Control · Individual

0% 1 facilities 2024-02-26
Groves, Donna

Operational/Managerial Control · Individual

0% 102 facilities 2023-04-14
Health Care Holdings, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 38 facilities 2016-01-01
I. Rosedale Family Investment Company Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 46 facilities 2016-01-01
I. Rosedale Irrevocable Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 96 facilities 2016-01-01
R.s. Wilheim Irrevocable Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 95 facilities 2016-01-01
Romeo, Dominic

Operational/Managerial Control · Individual

0% 105 facilities 2023-04-01
Romeo, Dominic

Corporate Officer · Individual

0% 105 facilities 2023-04-01
Ronald S Wilheim 2012 Spousal Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 97 facilities 2016-01-01
Rosedale Family Investment Company, Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 95 facilities 2016-01-01
Rrw, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 94 facilities 2016-01-01
S.l. Rosedale Irrevocable Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 96 facilities 2016-01-01
Stoltz, Charles

Corporate Officer · Individual

0% 103 facilities 2016-01-01
Wilheim Family Investment Company, Inc.

5% Or Greater Indirect Ownership Interest · Organization

0% 94 facilities 2016-01-01
Wilheim, Ronald

Corporate Officer · Individual

0% 98 facilities 2016-01-01

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Levindale Hebrew Ger Ctr & Hsp

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2-star overall rating with 2-star inspections with $10,361 in total fines with 30 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

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Staffing
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Fines
$10,361
#2

Northwest Healthcare Center

Baltimore, MD

2-star overall rating with 2-star inspections with abuse icon flag with 6 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
4 / 5
Fines
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#3

Autumn Lake Healthcare At Arlington West

Baltimore, MD

2-star overall rating with 2-star inspections with abuse icon flag with 4 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
2 / 5
Fines
$0

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