Cycle 1
Health 2025-07-22 · Fire 2025-07-22
2 health deficiencies
Top issue: Environmental (1 deficiency)
12 fire-safety deficiencies
Top issue: Egress (4 deficiencies)
Frederick, MD
Homewood Living Frederick
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
7407 Willow Road, Frederick, MD
(301) 644-5600
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
Facility snapshot
Beds
120
Certified beds
Average residents
81
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Homewood Retirement Centers
Operator or chain grouping
Approved since
1993-01-04
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
4 facilities
Chain averages 4 overall / 4 health / 5 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
Hours and turnover
RN hours / resident day
1.07
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
0.88
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
4.28
All reported nurse hours · state 3.87 · national 3.89
Licensed hours
1.94
RN + LPN hours · state 1.72 · national 1.54
Weekend hours
3.86
Weekend nurse staffing · state 3.46 · national 3.43
Weekend RN hours
0.82
Weekend registered nurse coverage · state 0.61 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.10
CMS adjusted RN staffing hours
Adjusted total hours
4.44
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
19%
Annual RN turnover · state 40% · national 45%
Total nurse turnover
19%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
162
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
80.72
Composite VBP score used to determine payment impact.
Payment multiplier
1.0260
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.95
Baseline 17.68% · Performance 17.75% · Measure score 7.95 · Achievement 7.95 · Improvement 0
Healthcare-associated infections
10
Baseline 7.40% · Performance 4.50% · Measure score 10 · Achievement 10 · Improvement 9
Total nurse turnover
7.20
Baseline 36.96% · Performance 34.26% · Measure score 7.20 · Achievement 7.20 · Improvement 1.73
Adjusted total nurse staffing
7.14
Baseline 4.85 hours · Performance 5.11 hours · Measure score 7.14 · Achievement 7.14 · Improvement 2.31
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.92% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 274 · Observed rate 9.49% · Lower 95% interval 8.29% |
| Discharge to community | 61.77% |
50.57%
11.2 pts better
|
Better than the National Rate · Eligible stays 284 · Observed rate 59.51% · Lower 95% interval 55.9% |
| Medicare spending per beneficiary | 0.88 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 97.88% |
95.27%
2.6 pts better
|
Numerator 185 · Denominator 189 |
| Falls with major injury | 0.53% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 189 |
| Discharge self-care score | 72.67% |
53.69%
19 pts better
|
Numerator 125 · Denominator 172 |
| Discharge mobility score | 62.79% |
50.94%
11.9 pts better
|
Numerator 108 · Denominator 172 |
| Pressure ulcers or injuries, new or worsened | 2.12% |
2.29%
0.2 pts better
|
Numerator 4 · Denominator 189 · Adjusted rate 2.64% |
| Healthcare-associated infections requiring hospitalization | 4.5% |
7.12%
2.6 pts better
|
No Different than the National Rate · Eligible stays 200 · Observed rate 1% · Lower 95% interval 2.66% |
| Staff COVID-19 vaccination coverage | 2.75% |
8.2%
5.4 pts worse
|
Numerator 5 · Denominator 182 |
| Staff flu vaccination coverage | 72.77% |
42%
30.8 pts better
|
Numerator 171 · Denominator 235 |
| Discharge function score | 72.67% |
56.45%
16.2 pts better
|
Numerator 125 · Denominator 172 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 133 · Denominator 133 |
| Resident COVID-19 vaccinations up to date | 25.81% |
25.2%
0.6 pts better
|
Numerator 24 · Denominator 93 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
1.3
0.3 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.8 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.2
0.7 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.4 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.1% |
91.9%
6.2 pts better
|
93.4%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.9% · Q2 98.5% · Q3 98.4% · Q4 98.5% · 4Q avg 98.1% |
| 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 | 5.8% |
2.3%
3.5 pts worse
|
3.3%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 7.7% · Q3 4.8% · Q4 7.7% · 4Q avg 5.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.2% |
21.4%
20.2 pts better
|
11.4%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.3% · Q4 1.6% · 4Q avg 1.2% |
| Percentage of long-stay residents who lose too much weight | 7.5% |
5.7%
1.8 pts worse
|
5.4%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 3.4% · Q3 12.2% · Q4 12.5% · 4Q avg 7.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.8% |
16.1%
1.3 pts better
|
19.6%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.3% · Q2 18.3% · Q3 10.0% · Q4 15.5% · 4Q avg 14.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.4% |
15.3%
8.9 pts better
|
16.7%
10.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 4.3% · Q3 6.1% · Q4 6.2% · 4Q avg 6.4% · 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 | 35.5% |
26.6%
8.9 pts worse
|
16.3%
19.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 32.2% · Q3 41.1% · Q4 45.6% · 4Q avg 35.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 44.1% |
22.9%
21.2 pts worse
|
14.9%
29.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 52.8% · Q2 54.7% · Q3 38.9% · Q4 30.2% · 4Q avg 44.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.7%
0.4 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.6% |
1.5%
2.1 pts worse
|
1.7%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 0.0% · Q3 1.6% · Q4 6.2% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 36.6% |
25.4%
11.2 pts worse
|
19.8%
16.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 42.7% · Q2 25.5% · Q3 39.2% · Q4 39.0% · 4Q avg 36.6% |
| Percentage of long-stay residents with pressure ulcers | 6.0% |
6.3%
0.3 pts better
|
5.1%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 5.3% · Q3 7.3% · Q4 4.5% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.1% |
78.4%
12.7 pts better
|
81.7%
9.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 85.2% · Q2 86.7% · Q3 94.7% · Q4 97.6% · 4Q avg 91.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.5% |
9.9%
3.4 pts better
|
12.0%
5.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.5% · Observed 5.7% · Expected 9.8% · 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 | 95.0% |
80.6%
14.4 pts better
|
79.7%
15.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 13.4% |
21.2%
7.8 pts better
|
23.9%
10.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 13.4% · Observed 10.8% · Expected 19.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-07-15 · Fire 2022-07-15
13 health deficiencies
Top issue: Pharmacy Service (4 deficiencies)
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Cycle 3
Health 2018-11-07 · Fire 2018-11-07
4 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-07-22
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-11-25
F · Potential for more than minimal harm
2025-07-22
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-11-25
F · Potential for more than minimal harm
2025-07-22
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-11-25
F · Potential for more than minimal harm
2025-07-22
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-11-25
F · Potential for more than minimal harm
2025-07-22
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-11-25
E · Potential for more than minimal harm
2025-07-22
K200 · Egress Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2025-11-25
E · Potential for more than minimal harm
2025-07-22
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-11-25
E · Potential for more than minimal harm
2025-07-22
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 2025-11-25
E · Potential for more than minimal harm
2025-07-22
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-11-25
E · Potential for more than minimal harm
2025-07-22
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2025-11-25
E · Potential for more than minimal harm
2025-07-22
K753 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2025-11-25
E · Potential for more than minimal harm
2025-07-22
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-11-25
D · Potential for more than minimal harm
2022-07-15
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2022-09-19
D · Potential for more than minimal harm
2022-07-15
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-09-19
D · Potential for more than minimal harm
2022-07-15
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-09-19
D · Potential for more than minimal harm
2022-07-15
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-09-19
D · Potential for more than minimal harm
2022-07-15
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 2022-09-19
D · Potential for more than minimal harm
2022-07-15
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-09-19
D · Potential for more than minimal harm
2022-07-15
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2022-09-19
D · Potential for more than minimal harm
2018-11-07
K321 · Smoke Deficiencies
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 2018-12-21
C · Minimal harm
2018-11-07
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2018-12-21
C · Minimal harm
2018-11-07
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2018-12-21
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-07-22
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-01
D · Potential for more than minimal harm
2025-07-22
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-09-01
D · Potential for more than minimal harm
2022-07-15
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 2022-09-06
D · Potential for more than minimal harm
2022-07-15
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 2022-09-06
D · Potential for more than minimal harm
2022-07-15
F624 · Resident Rights Deficiencies
Health
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2022-09-06
D · Potential for more than minimal harm
2022-07-15
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 2022-09-06
D · Potential for more than minimal harm
2022-07-15
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 2022-09-06
D · Potential for more than minimal harm
2022-07-15
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 2022-09-06
D · Potential for more than minimal harm
2022-07-15
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-09-06
D · Potential for more than minimal harm
2022-07-15
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 2022-09-06
D · Potential for more than minimal harm
2022-07-15
F756 · Pharmacy Service Deficiencies
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 2022-09-06
D · Potential for more than minimal harm
2022-07-15
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-09-06
D · Potential for more than minimal harm
2022-07-15
F761 · Pharmacy Service Deficiencies
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 2022-09-06
D · Potential for more than minimal harm
2022-07-15
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 2022-09-06
D · Potential for more than minimal harm
2022-07-15
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-09-06
E · Potential for more than minimal harm
2018-11-07
F756 · Pharmacy Service Deficiencies
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 2018-12-22
E · Potential for more than minimal harm
2018-11-07
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2018-12-22
E · Potential for more than minimal harm
2018-11-07
F761 · Pharmacy Service Deficiencies
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 2018-12-22
D · Potential for more than minimal harm
2018-11-07
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 2018-12-22
Penalties and ownership
What sits behind the stars
Ownership
Bowers, Phillip
Corporate Director · Individual
Brunk, Scott
Corporate Director · Individual
Crampton, Wendy
Corporate Director · Individual
Main, Karen
Operational/Managerial Control · Individual
Main, Karen
Corporate Director · Individual
Miller, Richard
Corporate Director · Individual
Morris, Karl
Corporate Director · Individual
Noreen, Kenneth
Corporate Director · Individual
Perry, Derrick
Corporate Director · Individual
Robertson, Bruce
Corporate Director · Individual
Rothrock, Thad
Corporate Director · Individual
Seay, Dorothy
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Northampton Manor Nursing And Rehabilitation Cente
Frederick, MD
1-star overall rating with 1-star inspections with $16,562 in total fines with 34 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Autumn Lake Healthcare At Glade Valley
Walkersville, MD
2-star overall rating with 2-star inspections with abuse icon flag with $37,265 in total fines with 35 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
Citizens Care And Rehabilitation Center Of Frederi
Frederick, MD
4-star overall rating with 3-star inspections with 10 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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