35 health deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
7 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Severna Park, MD
2-star overall rating with 2-star inspections with 35 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
310 Genesis Way, Severna Park, MD
(410) 544-4220
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
138
Certified beds
Average residents
122
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Complete Care
Operator or chain grouping
Approved since
1982-09-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
85 facilities
Chain averages 3 overall / 3 health / 3 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
RN hours / resident day
0.70
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
1.11
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
1.79
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.61
All reported nurse hours · state 3.87 · national 3.89
Licensed hours
1.82
RN + LPN hours · state 1.72 · national 1.54
Weekend hours
3.19
Weekend nurse staffing · state 3.46 · national 3.43
Weekend RN hours
0.53
Weekend registered nurse coverage · state 0.61 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.64
CMS adjusted RN staffing hours
Adjusted total hours
3.26
CMS adjusted total nurse staffing hours
Case-mix index
1.51
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 40% · national 45%
Total nurse turnover
52%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
9,642
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
23.04
Composite VBP score used to determine payment impact.
Payment multiplier
0.9830
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.03
Baseline 19.19% · Performance 20.03% · Measure score 3.03 · Achievement 3.03 · Improvement 0
Healthcare-associated infections
1.86
Baseline 9.08% · Performance 8.11% · Measure score 1.86 · Achievement 0 · Improvement 1.86
Total nurse turnover
3.58
Baseline 81.10% · Performance 58.16% · Measure score 3.58 · Achievement 1.35 · Improvement 3.58
Adjusted total nurse staffing
0.74
Baseline 3.34 hours · Performance 3.29 hours · Measure score 0.74 · Achievement 0.74 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 14.42% |
10.72%
3.7 pts worse
|
Worse than the National Rate · Eligible stays 340 · Observed rate 16.18% · Lower 95% interval 11.85% |
| Discharge to community | 51.39% |
50.57%
0.8 pts better
|
No Different than the National Rate · Eligible stays 323 · Observed rate 44.89% · Lower 95% interval 46.21% |
| Medicare spending per beneficiary | 1.13 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 217 · Denominator 217 |
| Falls with major injury | 0.46% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 217 |
| Discharge self-care score | 64.79% |
53.69%
11.1 pts better
|
Numerator 92 · Denominator 142 |
| Discharge mobility score | 69.01% |
50.94%
18.1 pts better
|
Numerator 98 · Denominator 142 |
| Pressure ulcers or injuries, new or worsened | 0.93% |
2.29%
1.4 pts better
|
Numerator 2 · Denominator 216 · Adjusted rate 0.85% |
| Healthcare-associated infections requiring hospitalization | 8.11% |
7.12%
1 pts worse
|
No Different than the National Rate · Eligible stays 210 · Observed rate 8.57% · Lower 95% interval 5.35% |
| Staff COVID-19 vaccination coverage | 16.83% |
8.2%
8.6 pts better
|
Numerator 17 · Denominator 101 |
| Staff flu vaccination coverage | 87.18% |
42%
45.2 pts better
|
Numerator 102 · Denominator 117 |
| Discharge function score | 70.42% |
56.45%
14 pts better
|
Numerator 100 · Denominator 142 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 77 · Denominator 77 |
| Transfer of health information to patient | 99.01% |
96.28%
2.7 pts better
|
Numerator 100 · Denominator 101 |
| Resident COVID-19 vaccinations up to date | 29.36% |
25.2%
4.2 pts better
|
Numerator 32 · Denominator 109 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.7 |
1.3
0.6 pts better
|
1.9
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.8 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
1.2
0.4 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.8 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
91.9%
7.9 pts better
|
93.4%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
96.6%
3.4 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
2.3%
0.3 pts worse
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 3.7% · Q3 2.0% · Q4 0.0% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 46.5% |
21.4%
25.1 pts worse
|
11.4%
35.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 48.0% · Q2 51.0% · Q3 51.6% · Q4 33.7% · 4Q avg 46.5% |
| Percentage of long-stay residents who lose too much weight | 7.3% |
5.7%
1.6 pts worse
|
5.4%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 10.8% · Q3 4.4% · Q4 5.7% · 4Q avg 7.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.6% |
16.1%
9.5 pts worse
|
19.6%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.7% · Q2 26.9% · Q3 25.3% · Q4 25.6% · 4Q avg 25.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 25.3% |
15.3%
10 pts worse
|
16.7%
8.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 27.4% · Q3 24.3% · Q4 22.2% · 4Q avg 25.3% · 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 | 18.8% |
26.6%
7.8 pts better
|
16.3%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.1% · Q2 21.4% · Q3 21.0% · Q4 20.0% · 4Q avg 18.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.8% |
22.9%
6.1 pts better
|
14.9%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 17.8% · Q3 16.1% · Q4 14.5% · 4Q avg 16.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
0.7%
0.1 pts worse
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.9% · Q3 0.0% · Q4 0.7% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
1.5%
0.3 pts better
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.9% · Q3 0.0% · Q4 1.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.8% |
25.4%
3.4 pts worse
|
19.8%
9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 25.1% · Q3 36.4% · Q4 24.7% · 4Q avg 28.8% |
| Percentage of long-stay residents with pressure ulcers | 5.5% |
6.3%
0.8 pts better
|
5.1%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 4.0% · Q3 7.3% · Q4 4.6% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 76.9% |
78.4%
1.5 pts worse
|
81.7%
4.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 63.0% · Q2 79.7% · Q3 82.1% · Q4 83.3% · 4Q avg 76.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.4% |
9.9%
2.5 pts worse
|
12.0%
0.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.4% · Observed 10.8% · Expected 9.8% · 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 2.2% · Q2 1.1% · Q3 1.1% · 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 | 86.0% |
80.6%
5.4 pts better
|
79.7%
6.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 86.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.6% |
21.2%
0.6 pts better
|
23.9%
3.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.6% · Observed 19.9% · Expected 23.0% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (8 deficiencies)
7 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Top issue: Resident Rights (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2021-08-20
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-08-20
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 2021-08-20
Fire Safety
Install proper backup exit lighting.
Corrected 2021-08-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-08-20
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2021-08-20
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2021-08-20
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2018-09-10
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 2018-09-10
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 2018-09-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-09-10
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2017-07-07
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 2017-07-07
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2017-07-07
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2017-07-07
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2017-07-07
Inspection history
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-12-15
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-12-15
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-12-15
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-12-15
Health
Respond appropriately to all alleged violations.
Corrected 2025-12-15
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-12-15
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 2025-06-20
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-06-20
Health
Respond appropriately to all alleged violations.
Corrected 2025-06-20
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-06-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-20
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-06-20
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-06-20
Health
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.
Corrected 2025-06-20
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-06-20
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 2025-06-20
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-06-20
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-12-25
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-12-25
Health
Respond appropriately to all alleged violations.
Corrected 2023-12-25
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-25
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-12-25
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-12-25
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-12-25
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-12-25
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 2021-09-10
Health
Keep all essential equipment working safely.
Corrected 2021-09-10
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 2021-09-10
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 2021-09-10
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2021-09-10
Health
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2021-09-10
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 2021-09-10
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2021-09-10
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 2021-09-10
Health
Provide activities to meet all resident's needs.
Corrected 2021-09-10
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2021-09-10
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2021-09-10
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2021-09-10
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 2021-09-10
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-09-10
Health
Provide and implement an infection prevention and control program.
Corrected 2021-09-10
Health
Put firmly secured handrails on each side of hallways.
Corrected 2021-09-10
Health
Post nurse staffing information every day.
Corrected 2021-09-10
Health
Keep residents' personal and medical records private and confidential.
Corrected 2018-10-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2018-10-01
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 2018-10-01
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2018-10-01
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2018-10-01
Health
Provide and implement an infection prevention and control program.
Corrected 2018-10-01
Health
Keep residents' personal and medical records private and confidential.
Corrected 2017-07-15
Health
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Corrected 2017-07-15
Health
Provide housekeeping and maintenance services.
Corrected 2017-07-15
Health
Have a program that investigates, controls and keeps infection from spreading.
Corrected 2017-07-15
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2017-07-15
Health
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life.
Corrected 2017-07-15
Health
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2017-07-15
Health
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
Corrected 2017-07-15
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Security Interest · Organization
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2-star overall rating with 2-star inspections with 34 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
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