Federal inspection record · CMS data as of October 1, 2026

Encore At Turf Valley

11150 Resort Road, Ellicott City, MD · (410) 461-7070

CMS overall rating

4 of 5

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Certified beds
91
Residents per day
86
Ownership
For-Profit
Chain
Lorien Health Services
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 2, 2010

1

How this home got 4 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Maryland.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Maryland homes

Encore At Turf Valley carries 60 inspection points. That is fewer than 74% of Maryland's 219 rated homes.

5★4★3★2★1★+7 homes above 28405102550100200inspection points → fewer is better on the leftThis home · 60 pts · 4★

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

33 health citations on record since 2018. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 22 4 pts
E 8 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 1 0 pts
C 1 0 pts

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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Rights9D
  1. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    May 14, 2025 · Standard · F550 · Corrected June 4, 2025

  2. 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.

    May 14, 2025 · Standard · F578 · Corrected June 4, 2025

  3. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    May 14, 2025 · Standard · F580 · Corrected June 4, 2025

  4. D

    Keep residents' personal and medical records private and confidential.

    May 14, 2025 · Standard · F583 · Corrected June 4, 2025

  5. 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.

    November 24, 2021 · Standard · F578 · Corrected May 2, 2022

  6. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    November 24, 2021 · Standard · F580 · Corrected May 2, 2022

  7. D

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

    November 24, 2021 · Standard · F582 · Corrected May 2, 2022

  8. D

    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.

    November 24, 2021 · Standard · F584 · Corrected May 2, 2022

  9. D

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    November 24, 2021 · Standard · F623 · Corrected May 2, 2022

Resident Assessment and Care Planning8E
  1. D

    Ensure each resident receives an accurate assessment.

    May 14, 2025 · Complaint · F641 · Corrected June 4, 2025

  2. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    May 14, 2025 · Standard · F842 · Corrected June 4, 2025

  3. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    November 24, 2021 · Standard · F656 · Corrected May 2, 2022

  4. E

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    November 24, 2021 · Standard · F657 · Corrected May 2, 2022

  5. E

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    November 24, 2021 · Standard · F842 · Corrected May 2, 2022

  6. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    November 24, 2021 · Standard · F655 · Corrected May 2, 2022

  7. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    November 24, 2021 · Standard · F658 · Corrected May 2, 2022

  8. B

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    October 4, 2018 · Standard · F842 · Corrected November 20, 2018

Quality of Life and Care5E
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    May 14, 2025 · Standard · F684 · Corrected June 4, 2025

  2. E

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    November 24, 2021 · Standard · F684 · Corrected May 2, 2022

  3. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    November 24, 2021 · Standard · F690 · Corrected May 2, 2022

  4. D

    Provide safe, appropriate pain management for a resident who requires such services.

    November 24, 2021 · Standard · F697 · Corrected May 2, 2022

  5. D

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

    November 24, 2021 · Standard · F742 · Corrected May 2, 2022

Nutrition and Dietary3F
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    May 14, 2025 · Standard · F812 · Corrected June 4, 2025

  2. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    November 24, 2021 · Standard · F812 · Corrected May 2, 2022

  3. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    October 4, 2018 · Standard · F812 · Corrected November 20, 2018

Infection Control3E
  1. D

    Provide and implement an infection prevention and control program.

    May 14, 2025 · Standard · F880 · Corrected June 4, 2025

  2. E

    Provide and implement an infection prevention and control program.

    November 24, 2021 · Standard · F880 · Corrected May 2, 2022

  3. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    November 24, 2021 · Standard · F883 · Corrected May 2, 2022

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    May 14, 2025 · Standard · F609 · Corrected June 4, 2025

  2. D

    Protect each resident from the wrongful use of the resident's belongings or money.

    November 24, 2021 · Standard · F602 · Corrected May 2, 2022

Pharmacy Service2E
  1. E

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    November 24, 2021 · Standard · F756 · Corrected May 2, 2022

  2. 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.

    November 24, 2021 · Standard · F761 · Corrected May 2, 2022

Nursing and Physician Services1C
  1. C

    Post nurse staffing information every day.

    November 24, 2021 · Standard · F732 · Corrected May 2, 2022

Inspection history

  1. 2025-05-14

    9 health deficiencies · 7 fire-safety deficiencies

    Top issue: Resident Rights (4 deficiencies)

  2. 2021-11-24

    22 health deficiencies · 2 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (6 deficiencies)

  3. 2018-10-04

    2 health deficiencies · 2 fire-safety deficiencies

    Top issue: Nutrition and Dietary (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 4 h 12 min of nursing staff time a day, 1 h 8 min of it from a registered nurse.

This home

4 h 12 min

Maryland average

3 h 56 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 61% of nursing staff and 47% 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

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.9 pts worse2.21.31.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse1.31.11.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.9 pts better100.0%93.1%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.9 pts better100.0%96.1%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.4 pts worse4.9%2.5%3.2%
Percentage of long-stay residents who have depressive symptoms19.4 pts better4.4%23.8%13.5%
Percentage of long-stay residents who lose too much weight4.5 pts worse9.9%5.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication0.2 pts worse17.0%16.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication1.1 pts worse15.2%14.1%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened9.6 pts worse29.5%19.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.7 pts better18.9%19.6%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same0.5%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection4.4 pts worse5.8%1.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence13 pts better11.2%24.2%18.3%
Percentage of long-stay residents with pressure ulcers0.2 pts worse5.9%5.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine19 pts better98.7%79.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4 pts worse13.4%9.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts worse2.7%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.1 pts better97.4%81.3%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission4.7 pts worse24.9%20.2%23.4%

·

Who owns and runs it

18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Collison, Michele5% Or Greater Direct Ownership Interest · Individual10%8 facilities
Juras, Rosemary5% Or Greater Direct Ownership Interest · Individual10%8 facilities
Licata, Linda5% Or Greater Direct Ownership Interest · Individual10%8 facilities
Mangione, Joanne5% Or Greater Direct Ownership Interest · Individual10%7 facilities
Mangione, John5% Or Greater Direct Ownership Interest · Individual10%8 facilities
Mangione, Louis5% Or Greater Direct Ownership Interest · Individual10%8 facilities
Mangione, Nicholas5% Or Greater Direct Ownership Interest · Individual10%8 facilities
Mangione, Peter5% Or Greater Direct Ownership Interest · Individual10%8 facilities
Mangione, Samuel5% Or Greater Direct Ownership Interest · Individual10%8 facilities
O'keefe, Frances5% Or Greater Direct Ownership Interest · Individual10%8 facilities
Grimmel, LouisCorporate Director · Individual0%8 facilities
Grimmel, LouisCorporate Officer · Individual0%8 facilities
Hummer, JimW-2 Managing Employee · Individual0%1 facilities
Licata, LindaCorporate Officer · Individual0%8 facilities
Mangione, JohnCorporate Director · Individual0%8 facilities
Mangione, JohnCorporate Officer · Individual0%8 facilities
Mangione, LouisCorporate Director · Individual0%8 facilities
Mangione, LouisCorporate Officer · Individual0%8 facilities

·

Fire safety

11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke6F
  1. F

    Provide properly protected cooking facilities.

    May 14, 2025 · K324 · Corrected July 1, 2025

  2. E

    Inspect, test, and maintain automatic sprinkler systems.

    May 14, 2025 · K353 · Corrected July 1, 2025

  3. E

    Install corridor and hallway doors that block smoke.

    May 14, 2025 · K363 · Corrected July 1, 2025

  4. D

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    May 14, 2025 · K362 · Corrected July 1, 2025

  5. D

    Install corridor and hallway doors that block smoke.

    November 24, 2021 · K363 · Corrected May 2, 2022

  6. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    October 4, 2018 · K321 · Corrected October 12, 2018

Emergency Preparedness2D
  1. D

    Provide emergency officials' contact information.

    May 14, 2025 · E31 · Corrected July 1, 2025

  2. D

    Develop and maintain an Emergency Preparedness Program (EP).

    November 24, 2021 · E4 · Corrected May 2, 2022

Gas, Vacuum, and Electrical Systems2D
  1. D

    Have proper medical gas storage and administration areas.

    May 14, 2025 · K923 · Corrected July 1, 2025

  2. D

    Have proper medical gas storage and administration areas.

    October 4, 2018 · K923 · Corrected October 12, 2018

Egress1E
  1. E

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    May 14, 2025 · K223 · Corrected July 1, 2025

·

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    Nursing / resident / day
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