Cycle 1
Health 2023-09-25 · Fire 2023-09-25
26 health deficiencies
Top issue: Resident Rights (6 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cumberland, MD
Cumberland Healthcare Center
2-star overall rating with 2-star inspections with abuse icon flag with $97,777 in total fines with 26 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
512 Winifred Road, Cumberland, MD
(301) 724-6066
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
130
Certified beds
Average residents
105
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Communicare Health
Operator or chain grouping
Approved since
1978-02-01
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
0.57
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
0.65
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.21
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.44
All reported nurse hours · state 3.87 · national 3.89
Licensed hours
1.22
RN + LPN hours · state 1.72 · national 1.54
Weekend hours
3.09
Weekend nurse staffing · state 3.46 · national 3.43
Weekend RN hours
0.30
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
0.61
CMS adjusted RN staffing hours
Adjusted total hours
3.66
CMS adjusted total nurse staffing hours
Case-mix index
1.29
Higher values indicate more complex resident acuity
RN turnover
10%
Annual RN turnover · state 40% · national 45%
Total nurse turnover
19%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,798
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
53.93
Composite VBP score used to determine payment impact.
Payment multiplier
1.0087
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.35
Baseline 17.60% · Performance 17.56% · Measure score 8.35 · Achievement 8.35 · Improvement 0.10
Healthcare-associated infections
3.71
Baseline 8.06% · Performance 6.77% · Measure score 3.71 · Achievement 3.57 · Improvement 3.71
Total nurse turnover
8.30
Baseline 55.29% · Performance 29.76% · Measure score 8.30 · Achievement 8.30 · Improvement 7.89
Adjusted total nurse staffing
1.22
Baseline 2.78 hours · Performance 3.30 hours · Measure score 1.22 · Achievement 0.76 · Improvement 1.22
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.56% |
10.72%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 216 · Observed rate 14.35% · Lower 95% interval 9.51% |
| Discharge to community | 53.76% |
50.57%
3.2 pts better
|
No Different than the National Rate · Eligible stays 220 · Observed rate 45% · Lower 95% interval 46.3% |
| Medicare spending per beneficiary | 0.99 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 125 · Denominator 125 |
| Falls with major injury | 0.8% |
0.77%
About the same
|
Numerator 1 · Denominator 125 |
| Discharge self-care score | 60.76% |
53.69%
7.1 pts better
|
Numerator 48 · Denominator 79 |
| Discharge mobility score | 46.84% |
50.94%
4.1 pts worse
|
Numerator 37 · Denominator 79 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 125 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.77% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 130 · Observed rate 6.92% · Lower 95% interval 4.45% |
| Staff COVID-19 vaccination coverage | 1.65% |
8.2%
6.5 pts worse
|
Numerator 2 · Denominator 121 |
| Staff flu vaccination coverage | 50.3% |
42%
8.3 pts better
|
Numerator 83 · Denominator 165 |
| Discharge function score | 53.16% |
56.45%
3.3 pts worse
|
Numerator 42 · Denominator 79 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 27 · Denominator 27 |
| Transfer of health information to patient | 96.88% |
96.28%
0.6 pts better
|
Numerator 62 · Denominator 64 |
| Resident COVID-19 vaccinations up to date | 42.62% |
25.2%
17.4 pts better
|
Numerator 26 · Denominator 61 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
1.3
0.3 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.0 · 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 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% |
91.9%
7.3 pts better
|
93.4%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.9% · Q4 97.9% · 4Q avg 99.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.0% |
96.6%
2.4 pts better
|
95.5%
3.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.0% |
2.3%
1.7 pts worse
|
3.3%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 5.3% · Q3 4.3% · Q4 3.1% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 27.4% |
21.4%
6 pts worse
|
11.4%
16 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.9% · Q2 34.5% · Q3 25.6% · Q4 26.2% · 4Q avg 27.4% |
| Percentage of long-stay residents who lose too much weight | 5.3% |
5.7%
0.4 pts better
|
5.4%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 7.7% · Q3 2.2% · Q4 7.4% · 4Q avg 5.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 33.2% |
16.1%
17.1 pts worse
|
19.6%
13.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.9% · Q2 38.7% · Q3 28.3% · Q4 31.2% · 4Q avg 33.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.1% |
15.3%
0.2 pts better
|
16.7%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 15.9% · Q3 17.1% · Q4 15.5% · 4Q avg 15.1% · 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 | 31.7% |
26.6%
5.1 pts worse
|
16.3%
15.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.8% · Q2 40.3% · Q3 27.2% · Q4 26.1% · 4Q avg 31.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.1% |
22.9%
3.2 pts worse
|
14.9%
11.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.8% · Q2 28.7% · Q3 19.3% · Q4 19.4% · 4Q avg 26.1% · 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 | 0.3% |
1.5%
1.2 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.5% |
25.4%
4.1 pts worse
|
19.8%
9.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.1% · Q2 28.6% · Q3 32.1% · Q4 22.3% · 4Q avg 29.5% |
| Percentage of long-stay residents with pressure ulcers | 5.1% |
6.3%
1.2 pts better
|
5.1%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 7.4% · Q3 5.4% · Q4 4.0% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.7% |
78.4%
16.3 pts better
|
81.7%
13 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.8% · Q2 95.6% · Q3 94.5% · Q4 96.2% · 4Q avg 94.7% |
| 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 9.5% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.3%
0.9 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.3% |
80.6%
10.7 pts better
|
79.7%
11.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.3% |
21.2%
2.9 pts better
|
23.9%
5.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.3% · Observed 17.5% · Expected 22.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-02-08 · Fire 2019-02-08
14 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2017-09-29 · Fire 2017-09-29
16 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
5 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2023-09-25
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-12-04
F · Potential for more than minimal harm
2023-09-25
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-12-04
D · Potential for more than minimal harm
2023-09-25
K100 · Construction Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2023-12-04
D · Potential for more than minimal harm
2023-09-25
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 2023-12-04
D · Potential for more than minimal harm
2023-09-25
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-12-04
D · Potential for more than minimal harm
2023-09-25
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-12-04
D · Potential for more than minimal harm
2019-02-08
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2019-03-15
C · Minimal harm
2019-02-08
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-03-15
E · Potential for more than minimal harm
2017-09-29
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2017-10-31
D · Potential for more than minimal harm
2017-09-29
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 2017-10-31
D · Potential for more than minimal harm
2017-09-29
K754 · Miscellaneous Deficiencies
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2017-10-31
D · Potential for more than minimal harm
2017-09-29
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2017-10-31
D · Potential for more than minimal harm
2017-09-29
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2017-10-31
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-10-09
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 2025-12-15
G · Actual harm
2023-09-25
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 2023-11-09
G · Actual harm
2023-09-25
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 2023-11-09
E · Potential for more than minimal harm
2023-09-25
F624 · Resident Rights Deficiencies
Health
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2023-11-09
E · Potential for more than minimal harm
2023-09-25
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-11-09
E · Potential for more than minimal harm
2023-09-25
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 2023-11-09
E · Potential for more than minimal harm
2023-09-25
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 2023-11-09
D · Potential for more than minimal harm
2023-09-25
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 2023-11-09
D · Potential for more than minimal harm
2023-09-25
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-11-09
D · Potential for more than minimal harm
2023-09-25
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 2023-11-09
D · Potential for more than minimal harm
2023-09-25
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-11-09
D · Potential for more than minimal harm
2023-09-25
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 2023-11-09
D · Potential for more than minimal harm
2023-09-25
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 2023-11-09
D · Potential for more than minimal harm
2023-09-25
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 2023-11-09
D · Potential for more than minimal harm
2023-09-25
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 2023-11-09
D · Potential for more than minimal harm
2023-09-25
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2023-11-09
D · Potential for more than minimal harm
2023-09-25
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-09
D · Potential for more than minimal harm
2023-09-25
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-11-09
D · Potential for more than minimal harm
2023-09-25
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 2023-11-09
D · Potential for more than minimal harm
2023-09-25
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2023-11-09
D · Potential for more than minimal harm
2023-09-25
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-11-09
D · Potential for more than minimal harm
2023-09-25
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 2023-11-09
D · Potential for more than minimal harm
2023-09-25
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 2023-11-09
D · Potential for more than minimal harm
2023-09-25
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 2023-11-09
D · Potential for more than minimal harm
2023-09-25
F850 · Administration Deficiencies
Health
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected 2023-11-09
D · Potential for more than minimal harm
2023-09-25
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-11-09
F · Potential for more than minimal harm
2019-02-08
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 2019-03-25
F · Potential for more than minimal harm
2019-02-08
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 2019-03-25
F · Potential for more than minimal harm
2019-02-08
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2019-03-25
E · Potential for more than minimal harm
2019-02-08
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 2019-03-25
E · Potential for more than minimal harm
2019-02-08
F624 · Resident Rights Deficiencies
Health
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2019-03-25
E · Potential for more than minimal harm
2019-02-08
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 2019-03-25
E · Potential for more than minimal harm
2019-02-08
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 2019-03-25
E · Potential for more than minimal harm
2019-02-08
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 2019-03-25
D · Potential for more than minimal harm
2019-02-08
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-03-25
D · Potential for more than minimal harm
2019-02-08
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2019-03-25
D · Potential for more than minimal harm
2019-02-08
F688 · Quality of Life and Care Deficiencies
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 2019-03-25
D · Potential for more than minimal harm
2019-02-08
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-03-25
D · Potential for more than minimal harm
2019-02-08
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 2019-03-25
D · Potential for more than minimal harm
2019-02-08
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 2019-03-25
F · Potential for more than minimal harm
2017-09-29
F353 · Nursing and Physician Services Deficiencies
Health
Have enough nurses to care for every resident in a way that maximizes the resident's well being.
Corrected 2017-11-12
F · Potential for more than minimal harm
2017-09-29
F520 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
Corrected 2017-11-12
E · Potential for more than minimal harm
2017-09-29
F242 · Resident Rights Deficiencies
Health
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
Corrected 2017-11-12
E · Potential for more than minimal harm
2017-09-29
F253 · Environmental Deficiencies
Health
Provide housekeeping and maintenance services.
Corrected 2017-11-12
E · Potential for more than minimal harm
2017-09-29
F276 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2017-11-12
E · Potential for more than minimal harm
2017-09-29
F279 · Resident Assessment and Care Planning Deficiencies
Health
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2017-11-12
E · Potential for more than minimal harm
2017-09-29
F280 · Resident Assessment and Care Planning Deficiencies
Health
Allow residents the right to participate in the planning or revision of care and treatment.
Corrected 2017-11-12
E · Potential for more than minimal harm
2017-09-29
F329 · Pharmacy Service Deficiencies
Health
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
Corrected 2017-11-12
D · Potential for more than minimal harm
2017-09-29
F155 · Resident Rights Deficiencies
Health
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.
Corrected 2017-11-12
D · Potential for more than minimal harm
2017-09-29
F278 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment by a qualified health professional.
Corrected 2017-11-12
D · Potential for more than minimal harm
2017-09-29
F309 · Quality of Life and Care Deficiencies
Health
Provide necessary care and services to maintain or improve the highest well being of each resident .
Corrected 2017-11-12
D · Potential for more than minimal harm
2017-09-29
F311 · Quality of Life and Care Deficiencies
Health
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
Corrected 2017-11-12
D · Potential for more than minimal harm
2017-09-29
F428 · Pharmacy Service Deficiencies
Health
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
Corrected 2017-11-12
D · Potential for more than minimal harm
2017-09-29
F514 · Administration Deficiencies
Health
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Corrected 2017-11-12
C · Minimal harm
2017-09-29
F247 · Resident Rights Deficiencies
Health
Give notice to the resident before a room or roommate change.
Corrected 2017-11-12
C · Minimal harm
2017-09-29
F356 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information/data on a daily basis.
Corrected 2017-11-12
Penalties and ownership
What sits behind the stars
$97,777
2023-09-25
Fine
Fine · fine $97,777
Fine
Ownership
Pc Mstr Lsco, LLC
5% Or Greater Direct Ownership Interest · Organization
Blowe, Nola
Operational/Managerial Control · Individual
C.r. Stoltz Family Investment Company Inc
5% Or Greater Indirect Ownership Interest · Organization
C.r. Stoltz Irrevocable Trust
5% Or Greater Indirect Ownership Interest · Organization
Groves, Donna
Operational/Managerial Control · Individual
I. Rosedale Family Investment Company Inc
5% Or Greater Indirect Ownership Interest · Organization
I. Rosedale Irrevocable Trust
5% Or Greater Indirect Ownership Interest · Organization
Mceldowney, Thomas
Operational/Managerial Control · Individual
R.s. Wilheim Irrevocable Trust
5% Or Greater Indirect Ownership Interest · Organization
Romeo, Dominic
Operational/Managerial Control · Individual
Romeo, Dominic
Corporate Officer · Individual
Ronald S Wilheim 2012 Spousal Trust
5% Or Greater Indirect Ownership Interest · Organization
Rosedale Family Investment Company, Inc
5% Or Greater Indirect Ownership Interest · Organization
Rrw, LLC
5% Or Greater Indirect Ownership Interest · Organization
S.l. Rosedale Irrevocable Trust
5% Or Greater Indirect Ownership Interest · Organization
Skilled Hc Holdings, LLC
5% Or Greater Indirect Ownership Interest · Organization
Stoltz, Charles
Operational/Managerial Control · Individual
Wilheim Family Investment Company, Inc.
5% Or Greater Indirect Ownership Interest · Organization
Wilheim, Ronald
Corporate Officer · Individual
Winifred Mgt Co., LLC
Operational/Managerial Control · Organization
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#3
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1-star overall rating with 1-star inspections with $98,631 in total fines with 40 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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