Federal inspection record · CMS data as of October 1, 2026
Carroll Lutheran Village
200 St. Luke's Circle, Westminster, MD · (410) 848-0225
- CMS high-performer trophy
- Certified beds
- 72
- Residents per day
- 62
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 14, 1981
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Maryland.
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Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Maryland homes
Carroll Lutheran Village carries 49 inspection points. That is fewer than 80% of Maryland's 219 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Maryland: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–32 pts
- 4★ 32–72 pts
- 3★ 72–104.75 pts
- 2★ 104.75–158.12 pts
- 1★ over 158.12 pts
Bars show every rated home in Maryland by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
34 health citations on record since 2018. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning8E
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure each resident receives an accurate assessment.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights8E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
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.
- E
Prepare residents for a safe transfer or discharge from the nursing home.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- C
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- C
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.
Pharmacy Service7E
- D
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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
- D
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.
- E
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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
Quality of Life and Care4D
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary3F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services1F
- F
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Administration1F
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Environmental1D
- D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspection history
2025-06-06
6 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2021-09-02
16 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2018-09-25
12 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (7 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 3 min of nursing staff time a day, 1 h 9 min of it from a registered nurse.
This home
4 h 3 min
Maryland average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 30% of nursing staff and 28% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1 pts better | 0.3 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts better | 0.2 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.9 pts better | 100.0% | 93.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.9 pts better | 100.0% | 96.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts better | 0.5% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms22.7 pts better | 1.1% | 23.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight2 pts better | 3.4% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication13.4 pts better | 3.4% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.6 pts better | 6.5% | 14.1% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.2 pts better | 14.7% | 19.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.8 pts worse | 23.4% | 19.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts worse | 0.7% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.8 pts worse | 30.0% | 24.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2 pts better | 3.7% | 5.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20.1 pts better | 99.8% | 79.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.6 pts better | 5.8% | 9.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine18.7 pts better | 100.0% | 81.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7 pts better | 13.2% | 20.2% | 23.4% |
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Who owns and runs it
21 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Aegis Therapies, Inc. | Adp Of The SNF · Organization | 0% | 35 facilities |
| Branch, Jeffrey | Indirect Ownership Interest · Individual | 0% | 2 facilities |
| Branch, Jeffrey | Corporate Officer · Individual | 0% | 2 facilities |
| Carroll Lutheran Village Inc | Operational/Managerial Control · Organization | 0% | 2 facilities |
| Cousins, Karen | Indirect Ownership Interest · Individual | 0% | 3 facilities |
| Cousins, Karen | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Cousins, Karen | Adp Of The SNF · Individual | 0% | 3 facilities |
| Friends Services For The Aging | Operational/Managerial Control · Organization | 0% | 23 facilities |
| Friends Services For The Aging | Adp Of The SNF · Organization | 0% | 23 facilities |
| Garvin, Renee | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Martinez, Jose | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Martinez, Jose | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Martinez, Jose | Adp Of The SNF · Individual | 0% | 1 facilities |
| Powell, Steven | Corporate Officer · Individual | 0% | 1 facilities |
| Romeril, Kerrie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rosenheim, Michelle | Corporate Officer · Individual | 0% | 2 facilities |
| Rosenheim, Michelle | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Sodexho Inc | Operational/Managerial Control · Organization | 0% | 2 facilities |
| Sodexho Inc | Adp Of The SNF · Organization | 0% | 2 facilities |
| Uttenreither, Heather | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Uttenreither, Heather | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4E
- D
Provide properly protected cooking facilities.
- D
Install corridor and hallway doors that block smoke.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Egress2D
- D
Have exits that are accessible at all times.
- C
Have properly located and lighted "Exit" signs.
Miscellaneous1D
- D
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Atlee Hill Health And Rehab Center
Westminster, MD · Future Care/Lifebridge Health
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h
- Fines
- $14,888
-
Westminster Rehabilitation and Wellness Center
Westminster, MD · Communicare Health · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 42 min
- Fines
- $63,681
-
Autumn Lake Healthcare At Long View
Manchester, MD · Autumn Lake Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 1 min
- Fines
- $0