Federal inspection record · CMS data as of October 1, 2026
Hidden Waters Rehabilitation and Wellness Center
9211 Stuart Lane, Clinton, MD · (301) 868-3600
- Certified beds
- 267
- Residents per day
- 218
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 6, 1991
1
How this home got 2 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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Maryland.
-
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.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Maryland homes
Hidden Waters Rehabilitation and Wellness Center carries 226.25 inspection points. That is fewer than 7% of Maryland's 219 rated homes.
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
70 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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.
Harm and immediate-jeopardy citations (2)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
L
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.
Everything else, by area of care
Resident Rights19F
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Keep residents' personal and medical records private and confidential.
- 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.
- D
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- D
Keep residents' personal and medical records private and confidential.
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F
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.
- E
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Give the resident's representative the ability to exercise the resident's rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- 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.
- D
Keep residents' personal and medical records private and confidential.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Prepare residents for a safe transfer or discharge from the nursing home.
Resident Assessment and Care Planning10E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure each resident receives an accurate assessment.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Quality of Life and Care9E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide enough food/fluids to maintain a resident's health.
- D
Provide activities to meet all resident's needs.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide or obtain dental services for each resident.
- D
Honor each resident's preferences, choices, values and beliefs.
- 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.
Environmental8F
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- F
Have enough outside ventilation via a window or mechanical ventilation, or both.
- E
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- E
Put firmly secured handrails on each side of hallways.
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- D
Keep all essential equipment working safely.
- D
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
- D
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Pharmacy Service6D
- D
Ensure medication error rates are not 5 percent or greater.
- 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.
- 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.
- D
Ensure that residents are free from significant medication errors.
- 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.
- 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.
Nutrition and Dietary6E
- D
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.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
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.
- D
Dispose of garbage and refuse properly.
Freedom from Abuse, Neglect, and Exploitation4E
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- E
Protect each resident from the wrongful use of the resident's belongings or money.
Administration3F
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- F
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
- E
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Nursing and Physician Services2D
- D
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
- D
Post nurse staffing information every day.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2025-12-12
13 health deficiencies · 17 fire-safety deficiencies
Top issue: Resident Rights (6 deficiencies)
2023-05-16
49 health deficiencies · 25 fire-safety deficiencies
Top issue: Resident Rights (12 deficiencies)
2019-03-14
8 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 27 min of nursing staff time a day, 39 min of it from a registered nurse.
This home
3 h 27 min
Maryland average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 32% of nursing staff and 44% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$62,083 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-06-05 | Fine | $11,386 |
| 2024-12-03 | Fine | $50,697 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 0.8 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 1.2 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.6 pts better | 99.7% | 93.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.4 pts better | 98.5% | 96.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts better | 0.9% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms15.1 pts better | 8.7% | 23.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.9 pts better | 4.5% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7 pts better | 9.8% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.2 pts better | 6.9% | 14.1% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.3 pts better | 13.6% | 19.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.7 pts better | 9.9% | 19.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.1% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.3 pts better | 0.1% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.9 pts better | 20.3% | 24.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.5 pts better | 5.2% | 5.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine19.7 pts better | 99.4% | 79.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.2 pts better | 6.2% | 9.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better | 0.6% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.3 pts better | 97.6% | 81.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.8 pts better | 19.4% | 20.2% | 23.4% |
·
Fire safety
54 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke17F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
- D
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- D
Install properly constructed windows in hallway walls or doors.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install an approved automatic sprinkler system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- C
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems11F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
- D
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure that testing and maintenance of electrical equipment is performed.
- E
Have proper medical gas storage and administration areas.
- D
Ensure gas and vacuum piping is labeled.
- D
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
- D
Meet requirements for the installation and maintenance of electrical systems.
Egress8F
- F
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
Have properly located and lighted "Exit" signs.
- D
Have exits that are accessible at all times.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D
Have horizontal exits used in accordance with safety requirements.
- D
Install proper backup exit lighting.
- D
Have properly located and lighted "Exit" signs.
Miscellaneous7F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Have simulated fire drills held at unexpected times.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D
Have restrictions on the use of portable space heaters.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Emergency Preparedness5F
- F
Conduct testing and exercise requirements.
- E
Conduct risk assessment and an All-Hazards approach.
- E
Address patient/client population and determine types of services needed.
- D
Conduct testing and exercise requirements.
- D
Develop and maintain an Emergency Preparedness Program (EP).
Construction3E
- E
Meet other general requirements.
- D
Meet other general requirements.
- D
Meet other general requirements.
Services3E
- D
Meet other general requirements that are deficient.
- E
Have elevators that firefighters can control in the event of a fire.
- D
Meet other general requirements that are deficient.
·
Other homes nearby
-
Future Care Pineview
Clinton, MD · Future Care/Lifebridge Health
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 28 min
- Fines
- $0
-
Autumn Lake Healthcare At Bradford Oaks
Clinton, MD · Autumn Lake Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 28 min
- Fines
- $0
-
Forestville Rehabilitation and Wellness Center
Forestville, MD · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 24 min
- Fines
- $16,039