Cycle 1
Health 2024-11-20 · Fire 2024-11-20
15 health deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Oakland, MD
Dennett Rehab Center
1-star overall rating with 2-star inspections with abuse icon flag with $32,938 in total fines with 15 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
1113 Mary Drive, Oakland, MD
(301) 334-8700
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
99
Certified beds
Average residents
78
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1973-06-30
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.76
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
0.71
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
1.80
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.27
All reported nurse hours · state 3.87 · national 3.89
Licensed hours
1.47
RN + LPN hours · state 1.72 · national 1.54
Weekend hours
2.96
Weekend nurse staffing · state 3.46 · national 3.43
Weekend RN hours
0.46
Weekend registered nurse coverage · state 0.61 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.74
CMS adjusted RN staffing hours
Adjusted total hours
3.20
CMS adjusted total nurse staffing hours
Case-mix index
1.40
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
8,898
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.35
Composite VBP score used to determine payment impact.
Payment multiplier
0.9838
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.61
Baseline 21.02% · Performance 17.91% · Measure score 7.61 · Achievement 7.61 · Improvement 7.30
Healthcare-associated infections
0
Baseline 9.14% · Performance 9.77% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
0
Baseline 3.68 hours · Performance 2.78 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.71% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 81 · Observed rate 7.41% · Lower 95% interval 6.33% |
| Discharge to community | 42.61% |
50.57%
8 pts worse
|
No Different than the National Rate · Eligible stays 79 · Observed rate 36.71% · Lower 95% interval 34.34% |
| Medicare spending per beneficiary | 1.38 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 91.18% |
95.27%
4.1 pts worse
|
Numerator 62 · Denominator 68 |
| Falls with major injury | 2.94% |
0.77%
2.2 pts worse
|
Numerator 2 · Denominator 68 |
| Discharge self-care score | 40.54% |
53.69%
13.1 pts worse
|
Numerator 15 · Denominator 37 |
| Discharge mobility score | 40.54% |
50.94%
10.4 pts worse
|
Numerator 15 · Denominator 37 |
| Pressure ulcers or injuries, new or worsened | 8.82% |
2.29%
6.5 pts worse
|
Numerator 6 · Denominator 68 · Adjusted rate 6.67% |
| Healthcare-associated infections requiring hospitalization | 9.77% |
7.12%
2.6 pts worse
|
No Different than the National Rate · Eligible stays 65 · Observed rate 15.38% · Lower 95% interval 6.53% |
| Staff COVID-19 vaccination coverage | 1.92% |
8.2%
6.3 pts worse
|
Numerator 1 · Denominator 52 |
| Staff flu vaccination coverage | 56.47% |
42%
14.5 pts better
|
Numerator 48 · Denominator 85 |
| Discharge function score | 59.46% |
56.45%
3 pts better
|
Numerator 22 · Denominator 37 |
| Transfer of health information to provider | 15.38% |
95.95%
80.6 pts worse
|
Numerator 4 · Denominator 26 |
| Transfer of health information to patient | 55% |
96.28%
41.3 pts worse
|
Numerator 11 · Denominator 20 |
| Resident COVID-19 vaccinations up to date | 18.42% |
25.2%
6.8 pts worse
|
Numerator 7 · Denominator 38 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.3
About the same
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.1 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.2
0.1 pts worse
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.1 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.8% |
91.9%
6.9 pts better
|
93.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 100.0% · Q3 100.0% · Q4 98.4% · 4Q avg 98.8% |
| 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 | 4.6% |
2.3%
2.3 pts worse
|
3.3%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 4.6% · Q3 3.2% · Q4 6.2% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.2% |
21.4%
11.2 pts better
|
11.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 7.8% · Q3 10.3% · Q4 11.7% · 4Q avg 10.2% |
| Percentage of long-stay residents who lose too much weight | 14.2% |
5.7%
8.5 pts worse
|
5.4%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.4% · Q2 20.6% · Q3 8.3% · Q4 3.5% · 4Q avg 14.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.8% |
16.1%
10.7 pts worse
|
19.6%
7.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.9% · Q2 26.6% · Q3 26.2% · Q4 27.4% · 4Q avg 26.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.6% |
15.3%
2.3 pts worse
|
16.7%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 21.3% · Q3 18.8% · Q4 17.3% · 4Q avg 17.6% · 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 | 26.4% |
26.6%
0.2 pts better
|
16.3%
10.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 29.7% · Q3 46.7% · Q4 18.6% · 4Q avg 26.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 32.6% |
22.9%
9.7 pts worse
|
14.9%
17.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.0% · Q2 30.4% · Q3 52.8% · Q4 28.6% · 4Q avg 32.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.0% |
0.7%
1.3 pts worse
|
1.0%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 2.4% · Q3 2.7% · Q4 1.7% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.9% |
1.5%
2.4 pts worse
|
1.7%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 4.6% · Q3 3.3% · Q4 3.3% · 4Q avg 3.9% · 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 37.9% · Q2 21.4% · Q3 18.5% · Q4 26.9% · 4Q avg 26.6% |
| Percentage of long-stay residents with pressure ulcers | 6.1% |
6.3%
0.2 pts better
|
5.1%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 5.5% · Q3 4.2% · Q4 7.8% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 82.9% |
78.4%
4.5 pts better
|
81.7%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 68.6% · Q2 92.3% · Q3 94.2% · Q4 77.6% · 4Q avg 82.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.6% |
9.9%
5.7 pts worse
|
12.0%
3.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.6% · Observed 15.3% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 5.2% |
1.3%
3.9 pts worse
|
1.6%
3.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 9.1% · Q3 0.0% · Q4 0.0% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.1% |
80.6%
15.5 pts better
|
79.7%
16.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.2% |
21.2%
1 pts worse
|
23.9%
1.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.2% · Observed 22.0% · Expected 23.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-07-16 · Fire 2019-07-16
25 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2018-04-26 · Fire 2018-04-26
24 health deficiencies
Top issue: Resident Assessment and Care Planning (7 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-11-20
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-01-17
F · Potential for more than minimal harm
2024-11-20
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-01-17
D · Potential for more than minimal harm
2019-07-16
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2019-08-31
D · Potential for more than minimal harm
2019-07-16
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-08-31
C · Minimal harm
2019-07-16
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-08-31
B · Minimal harm
2019-07-16
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2019-08-31
E · Potential for more than minimal harm
2018-04-26
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 2018-06-02
B · Minimal harm
2018-04-26
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2018-06-02
Inspection history
Recent health citations
G · Actual harm
2025-10-10
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-31
E · Potential for more than minimal harm
2025-03-05
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 2025-03-21
D · Potential for more than minimal harm
2025-03-05
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-03-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-21
J · Immediate jeopardy
2024-11-20
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 2024-02-12
F · Potential for more than minimal harm
2024-11-20
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-12-27
F · Potential for more than minimal harm
2024-11-20
F801 · Nutrition and Dietary Deficiencies
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2024-12-27
F · Potential for more than minimal harm
2024-11-20
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 2024-12-27
F · Potential for more than minimal harm
2024-11-20
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 2024-12-27
E · Potential for more than minimal harm
2024-11-20
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 2024-12-27
E · Potential for more than minimal harm
2024-11-20
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-12-27
D · Potential for more than minimal harm
2024-11-20
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-12-27
D · Potential for more than minimal harm
2024-11-20
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 2024-12-27
D · Potential for more than minimal harm
2024-11-20
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 2024-12-27
D · Potential for more than minimal harm
2024-11-20
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-12-27
D · Potential for more than minimal harm
2024-11-20
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-12-27
D · Potential for more than minimal harm
2024-11-20
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-27
D · Potential for more than minimal harm
2024-11-20
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-12-27
D · Potential for more than minimal harm
2024-11-20
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-12-27
D · Potential for more than minimal harm
2024-11-20
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-12-27
D · Potential for more than minimal harm
2024-11-20
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-12-27
D · Potential for more than minimal harm
2024-11-20
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-27
D · Potential for more than minimal harm
2024-11-20
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 2024-12-27
C · Minimal harm
2024-11-20
F851 · Administration Deficiencies
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-12-27
J · Immediate jeopardy
2024-02-02
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-27
G · Actual harm
2024-02-02
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 2024-02-27
D · Potential for more than minimal harm
2024-02-02
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 2024-02-27
D · Potential for more than minimal harm
2024-02-02
F805 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-02-27
D · Potential for more than minimal harm
2024-02-02
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 2024-02-27
G · Actual harm
2019-07-16
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 2019-08-31
F · Potential for more than minimal harm
2019-07-16
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2019-08-31
F · Potential for more than minimal harm
2019-07-16
F801 · Nutrition and Dietary Deficiencies
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2019-08-31
E · Potential for more than minimal harm
2019-07-16
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 2019-08-31
E · Potential for more than minimal harm
2019-07-16
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 2019-08-31
E · Potential for more than minimal harm
2019-07-16
F712 · Nursing and Physician Services Deficiencies
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2019-08-31
E · Potential for more than minimal harm
2019-07-16
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2019-08-31
D · Potential for more than minimal harm
2019-07-16
F578 · Resident Rights Deficiencies
Health
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.
Corrected 2019-08-31
D · Potential for more than minimal harm
2019-07-16
F624 · Resident Rights Deficiencies
Health
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2019-08-31
D · Potential for more than minimal harm
2019-07-16
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 2019-08-31
D · Potential for more than minimal harm
2019-07-16
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-08-31
D · Potential for more than minimal harm
2019-07-16
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 2019-08-31
D · Potential for more than minimal harm
2019-07-16
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 2019-08-31
D · Potential for more than minimal harm
2019-07-16
F775 · Administration Deficiencies
Health
Keep complete, dated laboratory records in the resident's record.
Corrected 2019-08-31
D · Potential for more than minimal harm
2019-07-16
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 2019-08-31
D · Potential for more than minimal harm
2019-07-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-08-31
G · Actual harm
2018-04-26
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 2018-07-10
F · Potential for more than minimal harm
2018-04-26
F801 · Nutrition and Dietary Deficiencies
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2018-07-10
E · Potential for more than minimal harm
2018-04-26
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2018-07-10
E · Potential for more than minimal harm
2018-04-26
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 2018-07-10
E · Potential for more than minimal harm
2018-04-26
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 2018-07-26
E · Potential for more than minimal harm
2018-04-26
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 2018-07-10
D · Potential for more than minimal harm
2018-04-26
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 2018-07-10
D · Potential for more than minimal harm
2018-04-26
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2018-07-10
D · Potential for more than minimal harm
2018-04-26
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2018-07-10
D · Potential for more than minimal harm
2018-04-26
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 2018-07-26
D · Potential for more than minimal harm
2018-04-26
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2018-07-10
D · Potential for more than minimal harm
2018-04-26
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 2018-07-10
D · Potential for more than minimal harm
2018-04-26
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 2018-07-10
D · Potential for more than minimal harm
2018-04-26
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2018-07-26
D · Potential for more than minimal harm
2018-04-26
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 2018-07-26
D · Potential for more than minimal harm
2018-04-26
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2018-07-10
C · Minimal harm
2018-04-26
F559 · Resident Rights Deficiencies
Health
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected 2018-07-10
C · Minimal harm
2018-04-26
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2018-07-10
B · Minimal harm
2018-04-26
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 2018-07-10
Penalties and ownership
What sits behind the stars
$17,345
2024-11-20
Fine
Fine · fine $17,345
Fine
$7,796
2024-02-02
Fine
Fine · fine $7,796
Fine
$7,797
2024-02-02
Fine
Fine · fine $7,797
Fine
Ownership
Glen Echo Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Cibc Bank Usa
Operational/Managerial Control · Organization
Cibc Bank Usa
5% Or Greater Security Interest · Organization
Cline, Carrie
Operational/Managerial Control · Individual
Cornwell, Michele
Operational/Managerial Control · Individual
Glen Echo Holdings LLC
5% Or Greater Security Interest · Organization
Healthcare Services Group Inc
Operational/Managerial Control · Organization
Hornung, Steven
5% Or Greater Security Interest · Individual
Kaminer, Aaron
5% Or Greater Security Interest · Individual
Md Sans Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Md Sans Mars 2024 Trust
5% Or Greater Indirect Ownership Interest · Organization
Md Sans Venus 2024 Trust
5% Or Greater Indirect Ownership Interest · Organization
Oberon Core Holdings
5% Or Greater Indirect Ownership Interest · Organization
Zambry Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Zambry Mars 2024 Trust
5% Or Greater Indirect Ownership Interest · Organization
Zambry Venus 2024 Trust
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
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Oakland Nursing & Rehabilitation Center
Oakland, MD
2-star overall rating with 2-star inspections with $16,559 in total fines with 32 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#2
Garrett County Subacute Unit
Oakland, MD
5-star overall rating with 5-star inspections with 2 recent health deficiencies
#3
Majestic Care of Hopemont
Terra Alta, WV
2-star overall rating with 1-star inspections with $57,116 in total fines with 16 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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