2 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Oakland, MD
5-star overall rating with 5-star inspections with 2 recent health deficiencies
251 North Fourth Street, Oakland, MD
(301) 533-4220
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
Beds
10
Certified beds
Average residents
6
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Wvu Medicine
Operator or chain grouping
Approved since
1997-08-06
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
7 facilities
Chain averages 4 overall / 4 health / 4 staffing / 3 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
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
RN hours / resident day
5.33
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
4.73
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
10.07
All reported nurse hours · state 3.87 · national 3.89
Licensed hours
5.33
RN + LPN hours · state 1.72 · national 1.54
Weekend hours
9.03
Weekend nurse staffing · state 3.46 · national 3.43
Weekend RN hours
4.42
Weekend registered nurse coverage · state 0.61 · national 0.47
Physical therapist
0.13
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
5.07
CMS adjusted RN staffing hours
Adjusted total hours
9.58
CMS adjusted total nurse staffing hours
Case-mix index
1.44
Higher values indicate more complex resident acuity
RN turnover
14%
Annual RN turnover · state 40% · national 45%
Total nurse turnover
36%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
612
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
66.55
Composite VBP score used to determine payment impact.
Payment multiplier
1.0204
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.79
Baseline 14.41% · Performance 18.28% · Measure score 6.79 · Achievement 6.79 · Improvement 0
Healthcare-associated infections
6.52
Baseline 4.78% · Performance 5.89% · Measure score 6.52 · Achievement 6.52 · 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
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.13% |
10.72%
1.6 pts better
|
No Different than the National Rate · Eligible stays 266 · Observed rate 6.02% · Lower 95% interval 7.16% |
| Discharge to community | 74.84% |
50.57%
24.3 pts better
|
Better than the National Rate · Eligible stays 244 · Observed rate 88.52% · Lower 95% interval 70.96% |
| Medicare spending per beneficiary | 0.45 |
1.02
0.6 pts better
|
|
| Drug regimen review with follow-up | 97.22% |
95.27%
2 pts better
|
Numerator 140 · Denominator 144 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 144 |
| Discharge self-care score | 72.87% |
53.69%
19.2 pts better
|
Numerator 94 · Denominator 129 |
| Discharge mobility score | 66.67% |
50.94%
15.7 pts better
|
Numerator 86 · Denominator 129 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 144 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.89% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 132 · Observed rate 2.27% · Lower 95% interval 3.62% |
| Staff COVID-19 vaccination coverage | 3.85% |
8.2%
4.3 pts worse
|
Numerator 1 · Denominator 26 |
| Staff flu vaccination coverage | 100% |
42%
58 pts better
|
Numerator 56 · Denominator 56 |
| Discharge function score | 68.22% |
56.45%
11.8 pts better
|
Numerator 88 · Denominator 129 |
| Transfer of health information to provider | 99.24% |
95.95%
3.3 pts better
|
Numerator 130 · Denominator 131 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 12.12% |
25.2%
13.1 pts worse
|
Numerator 8 · Denominator 66 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.8% |
78.4%
19.4 pts better
|
81.7%
16.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.2% · Q2 98.0% · Q3 98.0% · Q4 98.1% · 4Q avg 97.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.9% |
9.9%
2 pts better
|
12.0%
4.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.9% · Observed 7.2% · Expected 10.2% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 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 | 100.0% |
80.6%
19.4 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 12.8% |
21.2%
8.4 pts better
|
23.9%
11.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 12.8% · Observed 9.6% · Expected 17.9% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Assessment and Care Planning (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-11
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2025-08-11
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-04-03
Health
Keep all essential equipment working safely.
Corrected 2019-01-04
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-01-04
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-01-04
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2019-01-04
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-01-04
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Nearby options
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