Towson, MD

Edenwald

5-star overall rating with 5-star inspections with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

800 Southerly Road, Towson, MD

(410) 616-8809

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

70

Certified beds

Average residents

37

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2022-08-05

CMS approved date

Coverage

Medicare

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

1.17

Registered nurse staffing · state 0.81 · national 0.68

LPN hours / resident day

0.76

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

3.13

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

5.06

All reported nurse hours · state 3.87 · national 3.89

Licensed hours

1.93

RN + LPN hours · state 1.72 · national 1.54

Weekend hours

4.35

Weekend nurse staffing · state 3.46 · national 3.43

Weekend RN hours

0.76

Weekend registered nurse coverage · state 0.61 · national 0.47

Physical therapist

0.28

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

1.34

CMS adjusted RN staffing hours

Adjusted total hours

5.79

CMS adjusted total nurse staffing hours

Case-mix index

1.19

Higher values indicate more complex resident acuity

RN turnover

29%

Annual RN turnover · state 40% · national 45%

Total nurse turnover

31%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,335

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

57.47

Composite VBP score used to determine payment impact.

Payment multiplier

1.0127

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.86

Performance 20.57% · Measure score 1.86 · Achievement 1.86 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

3.79

Performance 6.70% · Measure score 3.79 · Achievement 3.79 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

10

Performance 18.00% · Measure score 10 · Achievement 10 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

7.34

Performance 5.17 hours · Measure score 7.34 · Achievement 7.34 · This facility did not have sufficient data to calculate a baseline period measure result.

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.7%
10.72%
1 pts better
No Different than the National Rate · Eligible stays 82 · Observed rate 4.88% · Lower 95% interval 6.4%
Discharge to community 16.88%
50.57%
33.7 pts worse
Worse than the National Rate · Eligible stays 79 · Observed rate 6.33% · Lower 95% interval 11.7%
Medicare spending per beneficiary 1.04
1.02
About the same
Drug regimen review with follow-up 90.48%
95.27%
4.8 pts worse
Numerator 38 · Denominator 42
Falls with major injury 2.38%
0.77%
1.6 pts worse
Numerator 1 · Denominator 42
Discharge self-care score 70%
53.69%
16.3 pts better
Numerator 21 · Denominator 30
Discharge mobility score 53.33%
50.94%
2.4 pts better
Numerator 16 · Denominator 30
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 42 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 6.7%
7.12%
0.4 pts better
No Different than the National Rate · Eligible stays 50 · Observed rate 4% · Lower 95% interval 3.59%
Staff COVID-19 vaccination coverage 20.06%
8.2%
11.9 pts better
Numerator 65 · Denominator 324
Staff flu vaccination coverage 78.43%
42%
36.4 pts better
Numerator 80 · Denominator 102
Discharge function score 63.33%
56.45%
6.9 pts better
Numerator 19 · Denominator 30
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 22 · Denominator 22
Resident COVID-19 vaccinations up to date 90%
25.2%
64.8 pts better
Numerator 18 · Denominator 20

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.6
1.3
0.7 pts better
1.9
1.3 pts better
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.4 · Expected 1.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.6
1.2
0.6 pts better
1.8
1.2 pts better
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.4 · Expected 1.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.6%
91.9%
6.7 pts better
93.4%
5.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 94.6% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 98.6%
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 0.0%
2.3%
2.3 pts better
3.3%
3.3 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 who have depressive symptoms 2.8%
21.4%
18.6 pts better
11.4%
8.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 5.7% · Q4 5.7% · 4Q avg 2.8%
Percentage of long-stay residents who lose too much weight 8.8%
5.7%
3.1 pts worse
5.4%
3.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 13.3% · Q3 3.7% · Q4 11.5% · 4Q avg 8.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 26.3%
16.1%
10.2 pts worse
19.6%
6.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 22.6% · Q3 34.5% · Q4 25.9% · 4Q avg 26.3%
Percentage of long-stay residents who received an antipsychotic medication 12.7%
15.3%
2.6 pts better
16.7%
4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 11.1% · Q3 12.5% · Q4 12.5% · 4Q avg 12.7% · 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 29.7%
26.6%
3.1 pts worse
16.3%
13.4 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 29.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 22.6%
22.9%
0.3 pts better
14.9%
7.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 28.6% · Q3 23.1% · Q4 24.0% · 4Q avg 22.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.4%
0.7%
1.7 pts worse
1.0%
1.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.6% · Q3 5.1% · Q4 2.1% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.7%
1.5%
0.8 pts better
1.7%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.8% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 35.9%
25.4%
10.5 pts worse
19.8%
16.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 46.4% · Q2 27.6% · Q3 30.4% · Q4 38.5% · 4Q avg 35.9%
Percentage of long-stay residents with pressure ulcers 2.9%
6.3%
3.4 pts better
5.1%
2.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 3.4% · Q3 0.0% · Q4 5.5% · 4Q avg 2.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.2%
78.4%
16.8 pts better
81.7%
13.5 pts better
Short Stay · 2024Q4-2025Q3 · Q1 93.8% · Q2 100.0% · Q3 97.0% · Q4 88.0% · 4Q avg 95.2%
Percentage of short-stay residents who had an outpatient emergency department visit 5.8%
9.9%
4.1 pts better
12.0%
6.2 pts better
Short Stay · 20240701-20250630 · Adjusted 5.8% · Observed 5.0% · Expected 9.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.3%
1.3 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · Q3 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 91.4%
80.6%
10.8 pts better
79.7%
11.7 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 20.1%
21.2%
1.1 pts better
23.9%
3.8 pts better
Short Stay · 20240701-20250630 · Adjusted 20.1% · Observed 15.0% · Expected 17.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-23 · Fire 2025-06-23

6 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2022-06-17 · Fire 2022-06-17

3 health deficiencies

Top issue: Nursing and Physician Services (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-23

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-09-30

F · Potential for more than minimal harm 2025-06-23

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-09-30

F · Potential for more than minimal harm 2025-06-23

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-09-30

F · Potential for more than minimal harm 2025-06-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-06-23

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-09-30

F · Potential for more than minimal harm 2022-06-17

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-08-05

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-06-23

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 2025-07-31

D · Potential for more than minimal harm 2025-06-23

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-07-31

D · Potential for more than minimal harm 2025-06-23

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-07-31

D · Potential for more than minimal harm 2025-06-23

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-07-31

D · Potential for more than minimal harm 2025-06-23

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-07-31

D · Potential for more than minimal harm 2025-06-23

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-07-31

C · Minimal harm 2022-06-17

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2022-07-14

B · Minimal harm 2022-06-17

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 2022-07-14

B · Minimal harm 2022-06-17

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 2022-07-14

Penalties and ownership

What sits behind the stars

Ownership

Ackerman, Remi

Operational/Managerial Control · Individual

0% 1 facilities 2025-02-28
Ackerman, Remi

Corporate Officer · Individual

0% 1 facilities 2025-02-28
Bautista-O'donnell, Aira

Operational/Managerial Control · Individual

0% 1 facilities 2024-04-05
Beggs, Mark

Corporate Officer · Individual

0% 1 facilities 2022-12-01
Chester, Shanetrica

Operational/Managerial Control · Individual

0% 1 facilities 2025-03-31
Cook, Larry

Corporate Officer · Individual

0% 1 facilities 2025-01-01
Ensor, Scott

Corporate Officer · Individual

0% 1 facilities 2025-01-01
Moore, Andrew

Corporate Officer · Individual

0% 1 facilities 2025-01-01
Nesline, Vince

Corporate Officer · Individual

0% 1 facilities 2020-12-20
Palumbo, Frank

Corporate Officer · Individual

0% 1 facilities 2025-01-01
Purkanto, Andri

Corporate Officer · Individual

0% 1 facilities 2025-01-01
Richardson, Candace

Corporate Officer · Individual

0% 1 facilities 2025-01-01
Silkman, Cory

Corporate Officer · Individual

0% 1 facilities 2025-01-01
Wertheimer, Debra

Corporate Officer · Individual

0% 1 facilities 2025-01-01
Wessel, Tim

Corporate Officer · Individual

0% 1 facilities 2025-01-01
Wexler, Astrid

Corporate Officer · Individual

0% 1 facilities 2025-01-01
Wolford, Lori

Operational/Managerial Control · Individual

0% 1 facilities 2024-04-05

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