Cycle 1
Health 2024-08-22 · Fire 2024-08-22
18 health deficiencies
Top issue: Resident Rights (7 deficiencies)
10 fire-safety deficiencies
Top issue: Egress (4 deficiencies)
La Plata, MD
Green Acres Nursing And Rehab
4-star overall rating with 4-star inspections with 18 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
10200 La Plata Road, La Plata, MD
(301) 934-1900
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
170
Certified beds
Average residents
162
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1977-01-01
CMS approved date
Coverage
Medicare + Medicaid
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
0.40
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
0.91
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.11
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.42
All reported nurse hours · state 3.87 · national 3.89
Licensed hours
1.31
RN + LPN hours · state 1.72 · national 1.54
Weekend hours
3.01
Weekend nurse staffing · state 3.46 · national 3.43
Weekend RN hours
0.32
Weekend registered nurse coverage · state 0.61 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.38
CMS adjusted RN staffing hours
Adjusted total hours
3.21
CMS adjusted total nurse staffing hours
Case-mix index
1.46
Higher values indicate more complex resident acuity
RN turnover
47%
Annual RN turnover · state 40% · national 45%
Total nurse turnover
58%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,985
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.12
Composite VBP score used to determine payment impact.
Payment multiplier
0.9863
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 14.78% · Performance 16.59% · Measure score 10 · Achievement 10 · Improvement 0
Healthcare-associated infections
0
Baseline 5.39% · Performance 7.81% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0
Baseline 35.64% · Performance 62.40% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
2.45
Baseline 3.47 hours · Performance 3.77 hours · Measure score 2.45 · Achievement 2.45 · Improvement 0.81
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.4% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 452 · Observed rate 11.95% · Lower 95% interval 8.8% |
| Discharge to community | 62.17% |
50.57%
11.6 pts better
|
Better than the National Rate · Eligible stays 438 · Observed rate 54.57% · Lower 95% interval 56.64% |
| Medicare spending per beneficiary | 0.92 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 99.7% |
95.27%
4.4 pts better
|
Numerator 331 · Denominator 332 |
| Falls with major injury | 0.6% |
0.77%
0.2 pts better
|
Numerator 2 · Denominator 332 |
| Discharge self-care score | 55% |
53.69%
1.3 pts better
|
Numerator 121 · Denominator 220 |
| Discharge mobility score | 59.09% |
50.94%
8.2 pts better
|
Numerator 130 · Denominator 220 |
| Pressure ulcers or injuries, new or worsened | 0.6% |
2.29%
1.7 pts better
|
Numerator 2 · Denominator 332 · Adjusted rate 0.48% |
| Healthcare-associated infections requiring hospitalization | 7.81% |
7.12%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 292 · Observed rate 7.88% · Lower 95% interval 5.2% |
| Staff COVID-19 vaccination coverage | 1.05% |
8.2%
7.1 pts worse
|
Numerator 2 · Denominator 191 |
| Staff flu vaccination coverage | 54.12% |
42%
12.1 pts better
|
Numerator 105 · Denominator 194 |
| Discharge function score | 60% |
56.45%
3.5 pts better
|
Numerator 132 · Denominator 220 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 175 · Denominator 175 |
| Transfer of health information to patient | 93.26% |
96.28%
3 pts worse
|
Numerator 83 · Denominator 89 |
| Resident COVID-19 vaccinations up to date | 25.13% |
25.2%
0.1 pts worse
|
Numerator 47 · Denominator 187 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
1.3
0.2 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.3 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.2
0.1 pts worse
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 84.6% |
91.9%
7.3 pts worse
|
93.4%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 81.0% · Q2 72.6% · Q3 85.2% · Q4 99.2% · 4Q avg 84.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.6% |
96.6%
2 pts worse
|
95.5%
0.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.8% |
2.3%
0.5 pts better
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 2.4% · Q3 1.6% · Q4 1.6% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 16.7% |
21.4%
4.7 pts better
|
11.4%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.9% · Q2 12.9% · Q3 10.8% · Q4 19.7% · 4Q avg 16.7% |
| Percentage of long-stay residents who lose too much weight | 2.7% |
5.7%
3 pts better
|
5.4%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 1.7% · Q3 4.1% · Q4 1.6% · 4Q avg 2.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.7% |
16.1%
1.4 pts better
|
19.6%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.5% · Q2 13.8% · Q3 11.9% · Q4 16.8% · 4Q avg 14.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.1% |
15.3%
2.2 pts better
|
16.7%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 15.3% · Q3 11.3% · Q4 8.8% · 4Q avg 13.1% · 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 | 26.8% |
26.6%
0.2 pts worse
|
16.3%
10.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.3% · Q2 29.2% · Q3 24.6% · Q4 31.0% · 4Q avg 26.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.8% |
22.9%
2.9 pts worse
|
14.9%
10.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.1% · Q2 22.9% · Q3 26.2% · Q4 20.0% · 4Q avg 25.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.7%
0.7 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
1.5%
0.5 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.7% · Q3 1.6% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.1% |
25.4%
3.3 pts better
|
19.8%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.1% · Q2 22.2% · Q3 23.7% · Q4 23.8% · 4Q avg 22.1% |
| Percentage of long-stay residents with pressure ulcers | 4.8% |
6.3%
1.5 pts better
|
5.1%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 5.6% · Q3 5.5% · Q4 3.5% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 72.7% |
78.4%
5.7 pts worse
|
81.7%
9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 60.5% · Q2 71.2% · Q3 82.0% · Q4 78.4% · 4Q avg 72.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.6% |
9.9%
6.7 pts worse
|
12.0%
4.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.6% · Observed 15.9% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.3%
1.1 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 65.6% |
80.6%
15 pts worse
|
79.7%
14.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 65.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.0% |
21.2%
4.2 pts better
|
23.9%
6.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.0% · Observed 18.2% · Expected 25.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2020-03-03 · Fire 2020-03-03
13 health deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2018-08-09 · Fire 2018-08-09
4 health deficiencies
Top issue: Resident Rights (2 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-08-22
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-10-23
F · Potential for more than minimal harm
2024-08-22
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-10-23
F · Potential for more than minimal harm
2024-08-22
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-10-23
E · Potential for more than minimal harm
2024-08-22
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 2024-10-23
D · Potential for more than minimal harm
2024-08-22
K200 · Egress Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2024-10-23
D · Potential for more than minimal harm
2024-08-22
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-10-23
D · Potential for more than minimal harm
2024-08-22
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 2024-10-23
D · Potential for more than minimal harm
2024-08-22
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-23
D · Potential for more than minimal harm
2024-08-22
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-10-23
D · Potential for more than minimal harm
2024-08-22
K500 · Services Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-10-23
F · Potential for more than minimal harm
2023-08-31
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-10-27
F · Potential for more than minimal harm
2023-08-31
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-10-27
E · Potential for more than minimal harm
2023-08-31
K200 · Egress Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2023-10-27
D · Potential for more than minimal harm
2023-08-31
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-10-27
D · Potential for more than minimal harm
2020-03-03
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-02-25
D · Potential for more than minimal harm
2020-03-03
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-02-25
D · Potential for more than minimal harm
2020-03-03
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2020-02-25
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-08-22
F578 · Resident Rights Deficiencies
Health
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.
Corrected 2024-10-04
E · Potential for more than minimal harm
2024-08-22
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-10-04
D · Potential for more than minimal harm
2024-08-22
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-10-04
D · Potential for more than minimal harm
2024-08-22
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-10-04
D · Potential for more than minimal harm
2024-08-22
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-10-04
D · Potential for more than minimal harm
2024-08-22
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 2024-10-04
D · Potential for more than minimal harm
2024-08-22
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-10-04
D · Potential for more than minimal harm
2024-08-22
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 2024-10-04
D · Potential for more than minimal harm
2024-08-22
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 2024-10-04
D · Potential for more than minimal harm
2024-08-22
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-10-04
D · Potential for more than minimal harm
2024-08-22
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 2024-10-04
D · Potential for more than minimal harm
2024-08-22
F675 · Quality of Life and Care Deficiencies
Health
Honor each resident's preferences, choices, values and beliefs.
Corrected 2024-10-04
D · Potential for more than minimal harm
2024-08-22
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-04
D · Potential for more than minimal harm
2024-08-22
F688 · Quality of Life and Care Deficiencies
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 2024-10-04
D · Potential for more than minimal harm
2024-08-22
F693 · Quality of Life and Care Deficiencies
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 2024-10-04
D · Potential for more than minimal harm
2024-08-22
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-10-04
D · Potential for more than minimal harm
2024-08-22
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-10-04
D · Potential for more than minimal harm
2024-08-22
F790 · Quality of Life and Care Deficiencies
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2024-10-04
D · Potential for more than minimal harm
2024-08-22
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2024-10-04
D · Potential for more than minimal harm
2024-08-22
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-10-04
D · Potential for more than minimal harm
2024-08-22
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 2024-10-04
C · Minimal harm
2024-08-22
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-10-04
E · Potential for more than minimal harm
2020-03-03
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 2020-05-03
D · Potential for more than minimal harm
2020-03-03
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.
Not marked corrected
D · Potential for more than minimal harm
2020-03-03
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2020-05-03
D · Potential for more than minimal harm
2020-03-03
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 2020-05-03
D · Potential for more than minimal harm
2020-03-03
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 2020-05-03
D · Potential for more than minimal harm
2020-03-03
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2020-05-03
D · Potential for more than minimal harm
2020-03-03
F710 · Nursing and Physician Services Deficiencies
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2020-05-03
D · Potential for more than minimal harm
2020-03-03
F712 · Nursing and Physician Services Deficiencies
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2020-05-03
C · Minimal harm
2020-03-03
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2020-05-03
E · Potential for more than minimal harm
2018-08-09
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2018-09-21
D · Potential for more than minimal harm
2018-08-09
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 2018-09-21
D · Potential for more than minimal harm
2018-08-09
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2018-09-21
D · Potential for more than minimal harm
2018-08-09
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2018-09-21
Penalties and ownership
What sits behind the stars
Ownership
Nevins, Delphis
Operational/Managerial Control · Individual
Stern, Aharon
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
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Complete Care At Laplata LLC
Laplata, MD
2-star overall rating with 2-star inspections with $27,573 in total fines with 28 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
#2
Restore Health Rehabilitation Center
White Plains, MD
3-star overall rating with 3-star inspections with 12 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#3
Waldorf Center
Waldorf, MD
4-star overall rating with 3-star inspections with 18 recent health deficiencies with 19 fire-safety deficiencies in the latest cycle
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