Annapolis, MD

Ginger Cove

4-star overall rating with 5-star inspections with 10 recent health deficiencies with 22 fire-safety deficiencies in the latest cycle

4000 River Crescent Drive, Annapolis, MD

(410) 266-7300

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1988-09-16

CMS approved date

Coverage

Medicare

Participation flags

Changed ownership

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

1.70

Registered nurse staffing · state 0.81 · national 0.68

LPN hours / resident day

0.80

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.49

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

5.00

All reported nurse hours · state 3.87 · national 3.89

Licensed hours

2.50

RN + LPN hours · state 1.72 · national 1.54

Weekend hours

4.47

Weekend nurse staffing · state 3.46 · national 3.43

Weekend RN hours

1.23

Weekend registered nurse coverage · state 0.61 · national 0.47

Physical therapist

0.10

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

1.97

CMS adjusted RN staffing hours

Adjusted total hours

5.79

CMS adjusted total nurse staffing hours

Case-mix index

1.18

Higher values indicate more complex resident acuity

RN turnover

63%

Annual RN turnover · state 40% · national 45%

Total nurse turnover

44%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,305

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

Performance score

44.97

Composite VBP score used to determine payment impact.

Payment multiplier

0.9981

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Performance 22.31% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

Performance 8.01% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

Performance 10.26% · Measure score 10 · Achievement 10 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

7.99

Baseline 5.93 hours · Performance 5.35 hours · Measure score 7.99 · Achievement 7.99 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.64%	10.72% 0.1 pts better	No Different than the National Rate · Eligible stays 35 · Observed rate 8.57% · Lower 95% interval 6.41%
Discharge to community	36.48%	50.57% 14.1 pts worse	Worse than the National Rate · Eligible stays 37 · Observed rate 27.03% · Lower 95% interval 25.03%
Medicare spending per beneficiary	0.68	1.02 0.3 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 38 · Denominator 38
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 38
Discharge self-care score	36.67%	53.69% 17 pts worse	Numerator 11 · Denominator 30
Discharge mobility score	23.33%	50.94% 27.6 pts worse	Numerator 7 · Denominator 30
Pressure ulcers or injuries, new or worsened	5.26%	2.29% 3 pts worse	Numerator 2 · Denominator 38 · Adjusted rate 5.93%
Healthcare-associated infections requiring hospitalization	8.01%	7.12% 0.9 pts worse	No Different than the National Rate · Eligible stays 28 · Observed rate 10.71% · Lower 95% interval 4.74%
Staff COVID-19 vaccination coverage	9.63%	8.2% 1.4 pts better	Numerator 13 · Denominator 135
Staff flu vaccination coverage	67.15%	42% 25.2 pts better	Numerator 92 · Denominator 137
Discharge function score	33.33%	56.45% 23.1 pts worse	Numerator 10 · Denominator 30
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	51.85%	25.2% 26.7 pts better	Numerator 14 · Denominator 27

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.2	1.3 0.9 pts worse	1.9 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.7 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.2	1.2 About the same	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	85.8%	91.9% 6.1 pts worse	93.4% 7.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 85.0% · Q3 80.5% · Q4 77.1% · 4Q avg 85.8%
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	8.4%	2.3% 6.1 pts worse	3.3% 5.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 10.0% · Q3 4.9% · Q4 11.4% · 4Q avg 8.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	21.4% 21.4 pts better	11.4% 11.4 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 who lose too much weight	10.9%	5.7% 5.2 pts worse	5.4% 5.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 6.2% · Q3 17.9% · Q4 12.9% · 4Q avg 10.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	9.8%	16.1% 6.3 pts better	19.6% 9.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 8.6% · Q3 10.3% · Q4 9.4% · 4Q avg 9.8%
Percentage of long-stay residents who received an antipsychotic medication	18.1%	15.3% 2.8 pts worse	16.7% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.7% · Q3 13.0% · Q4 20.0% · 4Q avg 18.1% · 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	30.1%	26.6% 3.5 pts worse	16.3% 13.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q2 63.7% · Q3 15.0% · 4Q avg 30.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	40.6%	22.9% 17.7 pts worse	14.9% 25.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 61.8% · Q3 34.2% · Q4 38.7% · 4Q avg 40.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.2%	0.7% 0.5 pts worse	1.0% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.0% · Q3 0.0% · Q4 2.9% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	7.4%	1.5% 5.9 pts worse	1.7% 5.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 5.4% · Q3 9.8% · Q4 2.9% · 4Q avg 7.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	40.5%	25.4% 15.1 pts worse	19.8% 20.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 40.3% · Q2 43.4% · Q3 34.2% · Q4 45.4% · 4Q avg 40.5%
Percentage of long-stay residents with pressure ulcers	5.6%	6.3% 0.7 pts better	5.1% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 0.0% · Q3 5.7% · Q4 8.3% · 4Q avg 5.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	68.1%	78.4% 10.3 pts worse	81.7% 13.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 84.0% · Q2 80.6% · Q3 61.1% · Q4 45.8% · 4Q avg 68.1%
Percentage of short-stay residents who had an outpatient emergency department visit	8.3%	9.9% 1.6 pts better	12.0% 3.7 pts better	Short Stay · 20240701-20250630 · Adjusted 8.3% · Observed 7.1% · Expected 9.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	8.5%	1.3% 7.2 pts worse	1.6% 6.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q2 14.3% · Q3 13.0% · 4Q avg 8.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	96.9%	80.6% 16.3 pts better	79.7% 17.2 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 96.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	28.1%	21.2% 6.9 pts worse	23.9% 4.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 28.1% · Observed 21.4% · Expected 18.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-06-04 · Fire 2024-06-04

10 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

22 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Cycle 2 Health 2019-06-07 · Fire 2019-06-07

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2018-02-09 · Fire 2018-02-09

8 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-06-04

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-10-08

F · Potential for more than minimal harm 2024-06-04

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-12-02

F · Potential for more than minimal harm 2024-06-04

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-12-02

F · Potential for more than minimal harm 2024-06-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-02

F · Potential for more than minimal harm 2024-06-04

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-12-02

F · Potential for more than minimal harm 2024-06-04

K524 · Services Deficiencies

Fire Safety

Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly.

Corrected 2024-10-08

F · Potential for more than minimal harm 2024-06-04

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-10-08

F · Potential for more than minimal harm 2024-06-04

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-12-02

F · Potential for more than minimal harm 2024-06-04

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 2024-12-02

F · Potential for more than minimal harm 2024-06-04

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2024-12-02

F · Potential for more than minimal harm 2024-06-04

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-12-02

E · Potential for more than minimal harm 2024-06-04

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-10-08

E · Potential for more than minimal harm 2024-06-04

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-12-02

E · Potential for more than minimal harm 2024-06-04

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 2024-10-08

E · Potential for more than minimal harm 2024-06-04

K223 · Egress Deficiencies

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 2024-10-08

E · Potential for more than minimal harm 2024-06-04

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-10-08

E · Potential for more than minimal harm 2024-06-04

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-10-08

D · Potential for more than minimal harm 2024-06-04

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-12-02

D · Potential for more than minimal harm 2024-06-04

K362 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-10-08

D · Potential for more than minimal harm 2024-06-04

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-10-08

D · Potential for more than minimal harm 2024-06-04

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2024-10-08

D · Potential for more than minimal harm 2024-06-04

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2024-10-08

D · Potential for more than minimal harm 2019-06-07

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2019-07-29

D · Potential for more than minimal harm 2019-06-07

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2019-07-29

F · Potential for more than minimal harm 2018-02-09

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2017-12-04

D · Potential for more than minimal harm 2018-02-09

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2017-12-04

D · Potential for more than minimal harm 2018-02-09

K524 · Services Deficiencies

Fire Safety

Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly.

Corrected 2017-12-04

D · Potential for more than minimal harm 2018-02-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2017-12-04

D · Potential for more than minimal harm 2018-02-09

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2017-12-04

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-24

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 2025-11-25

D · Potential for more than minimal harm 2024-06-04

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 2024-08-01

D · Potential for more than minimal harm 2024-06-04

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 2024-08-01

D · Potential for more than minimal harm 2024-06-04

F625 · Resident Rights Deficiencies

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 2024-08-01

D · Potential for more than minimal harm 2024-06-04

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 2024-08-01

D · Potential for more than minimal harm 2024-06-04

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 2024-08-01

D · Potential for more than minimal harm 2024-06-04

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 2024-08-01

D · Potential for more than minimal harm 2024-06-04

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-06-04

F883 · Infection Control Deficiencies

Health

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

Corrected 2024-08-01

C · Minimal harm 2024-06-04

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-08-01

D · Potential for more than minimal harm 2019-06-07

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 2019-07-31

D · Potential for more than minimal harm 2019-06-07

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2019-07-31

E · Potential for more than minimal harm 2018-02-09

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 2018-04-01

D · Potential for more than minimal harm 2018-02-09

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 2018-04-01

D · Potential for more than minimal harm 2018-02-09

F625 · Resident Rights Deficiencies

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 2018-04-01

D · Potential for more than minimal harm 2018-02-09

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 2018-04-01

D · Potential for more than minimal harm 2018-02-09

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 2018-04-01

D · Potential for more than minimal harm 2018-02-09

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 2018-04-01

D · Potential for more than minimal harm 2018-02-09

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2018-04-01

D · Potential for more than minimal harm 2018-02-09

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 2018-04-01

Penalties and ownership