18 health deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Baltimore, MD
3-star overall rating with 3-star inspections with 18 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
2700 North Charles Street, Baltimore, MD
(410) 554-6300
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
141
Certified beds
Average residents
138
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Future Care/Lifebridge Health
Operator or chain grouping
Approved since
1993-05-07
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
17 facilities
Chain averages 4 overall / 3 health / 4 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
RN hours / resident day
1.44
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
0.85
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.34
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
4.64
All reported nurse hours · state 3.87 · national 3.89
Licensed hours
2.29
RN + LPN hours · state 1.72 · national 1.54
Weekend hours
4.08
Weekend nurse staffing · state 3.46 · national 3.43
Weekend RN hours
1.05
Weekend registered nurse coverage · state 0.61 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.11
CMS adjusted RN staffing hours
Adjusted total hours
3.55
CMS adjusted total nurse staffing hours
Case-mix index
1.78
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 40% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
5,904
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.63
Composite VBP score used to determine payment impact.
Payment multiplier
0.9885
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.02
Baseline 20.04% · Performance 19.57% · Measure score 4.02 · Achievement 4.02 · Improvement 1.06
Healthcare-associated infections
2.94
Baseline 7.67% · Performance 6.96% · Measure score 2.94 · Achievement 2.94 · Improvement 2.16
Total nurse turnover
5.65
Baseline 38.17% · Performance 40.58% · Measure score 5.65 · Achievement 5.65 · Improvement 0
Adjusted total nurse staffing
1.25
Baseline 3.33 hours · Performance 3.43 hours · Measure score 1.25 · Achievement 1.25 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.86% |
10.72%
2.1 pts worse
|
No Different than the National Rate · Eligible stays 271 · Observed rate 19.56% · Lower 95% interval 10.22% |
| Discharge to community | 56.76% |
50.57%
6.2 pts better
|
No Different than the National Rate · Eligible stays 276 · Observed rate 40.58% · Lower 95% interval 46.95% |
| Medicare spending per beneficiary | 1.14 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.26% |
95.27%
3 pts better
|
Numerator 169 · Denominator 172 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 172 |
| Discharge self-care score | 51.02% |
53.69%
2.7 pts worse
|
Numerator 50 · Denominator 98 |
| Discharge mobility score | 54.08% |
50.94%
3.1 pts better
|
Numerator 53 · Denominator 98 |
| Pressure ulcers or injuries, new or worsened | 15.7% |
2.29%
13.4 pts worse
|
Numerator 27 · Denominator 172 · Adjusted rate 12.52% |
| Healthcare-associated infections requiring hospitalization | 6.96% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 143 · Observed rate 9.09% · Lower 95% interval 4.08% |
| Staff COVID-19 vaccination coverage | 6.98% |
8.2%
1.2 pts worse
|
Numerator 12 · Denominator 172 |
| Staff flu vaccination coverage | 97.56% |
42%
55.6 pts better
|
Numerator 120 · Denominator 123 |
| Discharge function score | 54.08% |
56.45%
2.4 pts worse
|
Numerator 53 · Denominator 98 |
| Transfer of health information to provider | 90.91% |
95.95%
5 pts worse
|
Numerator 60 · Denominator 66 |
| Transfer of health information to patient | 85.29% |
96.28%
11 pts worse
|
Numerator 58 · Denominator 68 |
| Resident COVID-19 vaccinations up to date | 12.22% |
25.2%
13 pts worse
|
Numerator 11 · Denominator 90 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.3
0.5 pts worse
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 6.3 · Expected 6.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
1.2
0.3 pts worse
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 3.0 · Expected 3.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 64.9% |
91.9%
27 pts worse
|
93.4%
28.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 72.9% · Q2 65.7% · Q3 69.1% · Q4 52.6% · 4Q avg 64.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 84.0% |
96.6%
12.6 pts worse
|
95.5%
11.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 84.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.9% |
2.3%
1.6 pts worse
|
3.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 3.7% · Q3 3.6% · Q4 2.6% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 22.6% |
21.4%
1.2 pts worse
|
11.4%
11.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.4% · Q2 30.2% · Q3 18.0% · Q4 20.4% · 4Q avg 22.6% |
| Percentage of long-stay residents who lose too much weight | 10.3% |
5.7%
4.6 pts worse
|
5.4%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 7.8% · Q3 11.9% · Q4 10.9% · 4Q avg 10.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.2% |
16.1%
0.9 pts better
|
19.6%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 15.4% · Q3 16.2% · Q4 16.1% · 4Q avg 15.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.0% |
15.3%
5.3 pts better
|
16.7%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 8.8% · Q3 11.0% · Q4 8.2% · 4Q avg 10.0% · 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 | 49.4% |
26.6%
22.8 pts worse
|
16.3%
33.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 49.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.7% |
22.9%
5.2 pts better
|
14.9%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.2% · Q2 18.4% · Q3 14.3% · Q4 8.1% · 4Q avg 17.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
0.7%
About the same
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 1.7% · Q3 0.0% · Q4 0.5% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.9% |
1.5%
0.4 pts worse
|
1.7%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.8% · Q3 0.9% · Q4 0.9% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.4% |
25.4%
2 pts worse
|
19.8%
7.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.6% · Q2 33.4% · Q3 26.2% · Q4 22.8% · 4Q avg 27.4% |
| Percentage of long-stay residents with pressure ulcers | 9.3% |
6.3%
3 pts worse
|
5.1%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 10.7% · Q3 7.2% · Q4 7.0% · 4Q avg 9.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 26.2% |
78.4%
52.2 pts worse
|
81.7%
55.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 21.5% · Q2 12.6% · Q3 36.0% · Q4 36.1% · 4Q avg 26.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.7% |
9.9%
0.8 pts worse
|
12.0%
1.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.7% · Observed 13.3% · Expected 13.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.3%
0.3 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 1.1% · Q4 2.2% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 29.3% |
80.6%
51.3 pts worse
|
79.7%
50.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 29.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.9% |
21.2%
0.3 pts better
|
23.9%
3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.9% · Observed 29.3% · Expected 33.5% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (7 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Rights (8 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-07-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-07-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-07-30
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 2025-07-30
Fire Safety
Meet other general requirements.
Corrected 2025-07-30
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-07-30
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2025-07-30
Fire Safety
Meet other general requirements that are deficient.
Corrected 2025-07-30
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-07-30
Fire Safety
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Corrected 2025-07-30
Fire Safety
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Corrected 2025-07-30
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-09-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-09-12
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2022-09-12
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-09-12
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-09-12
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 2022-09-12
Fire Safety
Meet other general requirements that are deficient.
Corrected 2022-09-12
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-09-12
Inspection history
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-06-30
Health
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.
Corrected 2025-06-30
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-06-30
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-06-30
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-06-30
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 2025-06-30
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-06-30
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-06-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-30
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 2025-06-30
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-06-30
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-06-30
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-06-30
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2025-06-30
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-06-30
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-06-30
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-06-30
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-06-30
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-09-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-09-15
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 2022-09-15
Health
Post nurse staffing information every day.
Corrected 2022-09-15
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-09-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-09-15
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-09-15
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2022-09-15
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2022-09-15
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-09-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-09-15
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-09-15
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2022-09-15
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-09-15
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-09-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2018-11-08
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 2018-11-08
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2018-11-08
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2018-11-08
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 2018-11-08
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2018-11-08
Health
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2018-11-08
Health
Ensure each resident receives an accurate assessment.
Corrected 2018-11-08
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2018-11-08
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2018-11-08
Health
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.
Corrected 2018-11-08
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2018-11-08
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2018-11-08
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2018-11-08
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2018-11-08
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 2018-11-08
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2018-11-08
Health
Provide and implement an infection prevention and control program.
Corrected 2018-11-08
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2018-11-08
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2018-11-08
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2018-11-08
Health
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.
Corrected 2018-11-08
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2018-11-08
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 2018-11-08
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 2018-11-08
Health
Ensure that residents are free from significant medication errors.
Corrected 2018-11-08
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 2018-11-08
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2018-11-08
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2018-11-08
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 2018-11-08
Penalties and ownership
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
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