Federal inspection record · CMS data as of October 1, 2026
Crescent Cities Nursing & Rehabilitation Center
4409 East West Highway, Riverdale, MD · (301) 699-2000
- Certified beds
- 158
- Residents per day
- 151
- Ownership
- For-Profit
- Chain
- Lifeworks Rehab
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 14, 1999
1
How this home got 3 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.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Maryland homes
Crescent Cities Nursing & Rehabilitation Center carries 131.75 inspection points. That is fewer than 26% 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
54 health citations on record since 2019. 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.
Harm and immediate-jeopardy citations (1)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care12E
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Resident Rights11E
- D
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.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
The resident has the right to receive notices in a format and a language he or she understands.
- D
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.
- D
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.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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.
- D
Keep residents' personal and medical records private and confidential.
Resident Assessment and Care Planning7E
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Plan the resident's discharge to meet the resident's goals and needs.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Nutrition and Dietary6E
- E
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.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Pharmacy Service5D
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure medication error rates are not 5 percent or greater.
- 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
Ensure medication error rates are not 5 percent or greater.
Infection Control4E
- E
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation4D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Nursing and Physician Services2E
- D
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.
- E
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.
Administration2D
- D
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
- C
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.
Inspection history
2026-03-02
17 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-11-14
27 health deficiencies · 18 fire-safety deficiencies
Top issue: Resident Rights (8 deficiencies)
2019-07-16
10 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 36 min of nursing staff time a day, 35 min of it from a registered nurse.
This home
3 h 36 min
Maryland average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 29% of nursing staff and 32% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$16,801 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-11-14 | Fine | $16,801 |
6
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 days0.2 pts better | 1.1 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 0.6 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.7 pts better | 98.8% | 93.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 99.1% | 96.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.3 pts better | 0.2% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms44.8 pts worse | 68.6% | 23.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.2 pts better | 4.2% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10.5 pts better | 6.3% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.4 pts better | 3.7% | 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 worsened11 pts better | 8.9% | 19.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.6 pts better | 18.0% | 19.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.2% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts better | 0.8% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.9 pts better | 17.3% | 24.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.2 pts better | 5.5% | 5.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.1 pts better | 88.8% | 79.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.4 pts better | 5.0% | 9.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better | 0.8% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.6 pts better | 86.9% | 81.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.5 pts better | 19.7% | 20.2% | 23.4% |
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Who owns and runs it
6 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 |
|---|---|---|---|
| Crescent Cities Health Holdco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Kohn, Avrohom | 5% Or Greater Indirect Ownership Interest · Individual | 45% | 6 facilities |
| Birnbaum, Israel | 5% Or Greater Indirect Ownership Interest · Individual | 22% | 10 facilities |
| Netzer, Michele | 5% Or Greater Indirect Ownership Interest · Individual | 22% | 6 facilities |
| Forest Holdings | 5% Or Greater Indirect Ownership Interest · Organization | 10% | 1 facilities |
| Birnbaum, Israel | W-2 Managing Employee · Individual | 0% | 10 facilities |
·
Fire safety
26 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- D
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- D
Have properly installed hallway dispensers for alcohol-based hand rub.
Gas, Vacuum, and Electrical Systems5F
- E
Ensure that testing and maintenance of electrical equipment is performed.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the use of electrical equipment.
- D
Ensure proper usage of power strips and extension cords.
Miscellaneous5F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have restrictions on the use of portable space heaters.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D
Have restrictions on the use of portable space heaters.
Egress4E
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D
Have exits that are accessible at all times.
Services3F
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Have elevators that firefighters can control in the event of a fire.
- D
Meet other general requirements that are deficient.
Emergency Preparedness2F
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Construction1D
- D
Meet other general requirements.
·
Other homes nearby
-
Sacred Heart Home Inc
Hyattsville, MD
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 55 min
- Fines
- $0
-
Complete Care At Hyattsville
Hyattsville, MD · Complete Care
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 10 min
- Fines
- $13,070
-
White Oak Rehabilitation And Nursing Center
Hyattsville, MD · Lifeworks Rehab
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 29 min
- Fines
- $76,515