Federal inspection record · CMS data as of October 1, 2026
Homewood Living Frederick
7407 Willow Road, Frederick, MD · (301) 644-5600
- CMS high-performer trophy
- Certified beds
- 120
- Residents per day
- 83
- Ownership
- Non-Profit
- Chain
- Homewood Retirement Centers
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 4, 1993
1
How this home got 5 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Maryland.
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Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Maryland homes
Homewood Living Frederick carries 37 inspection points. That is fewer than 85% 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
21 health citations on record since 2018. 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Pharmacy Service8E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary 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.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
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.
Resident Rights4D
- 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
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.
- D
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.
Resident Assessment and Care Planning4D
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- 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.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control2F
- F
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1E
- E
Respond appropriately to all alleged violations.
Environmental1D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Quality of Life and Care1D
- D
Provide safe and appropriate respiratory care for a resident when needed.
Inspection history
2025-07-22
4 health deficiencies · 12 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
2022-07-15
13 health deficiencies · 7 fire-safety deficiencies
Top issue: Pharmacy Service (4 deficiencies)
2018-11-07
4 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 16 min of nursing staff time a day, 1 h 19 min of it from a registered nurse.
This home
4 h 16 min
Maryland average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 33% of nursing staff and 5% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
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 days0.4 pts better | 0.9 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 0.8 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.3 pts better | 97.4% | 93.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.9 pts better | 100.0% | 96.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury5 pts worse | 7.5% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms23 pts better | 0.8% | 23.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.6 pts worse | 7.0% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.3 pts better | 14.5% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.9 pts better | 4.2% | 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 worsened18.1 pts worse | 38.0% | 19.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased12 pts worse | 31.6% | 19.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 0.4% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection4.4 pts worse | 5.8% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence13.6 pts worse | 37.8% | 24.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.4 pts better | 4.3% | 5.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.7 pts better | 97.4% | 79.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3 pts better | 6.4% | 9.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.9 pts better | 98.2% | 81.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.2 pts worse | 23.4% | 20.2% | 23.4% |
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Who owns and runs it
14 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bowers, Phillip | Corporate Director · Individual | 0% | 1 facilities |
| Brunk, Scott | Corporate Director · Individual | 0% | 1 facilities |
| Crampton, Wendy | Corporate Director · Individual | 0% | 4 facilities |
| Main, Karen | Corporate Director · Individual | 0% | 1 facilities |
| Main, Karen | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Main, Karen | Adp Of The SNF · Individual | 0% | 1 facilities |
| Miller, Richard | Corporate Director · Individual | 0% | 18 facilities |
| Morris, Karl | Corporate Director · Individual | 0% | 1 facilities |
| Noreen, Kenneth | Corporate Director · Individual | 0% | 1 facilities |
| Perry, Derrick | Corporate Director · Individual | 0% | 1 facilities |
| Robertson, Bruce | Corporate Director · Individual | 0% | 1 facilities |
| Rothrock, Thad | Corporate Director · Individual | 0% | 4 facilities |
| Seay, Dorothy | Corporate Director · Individual | 0% | 1 facilities |
| Seay, Dorothy | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
22 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- D
Install an approved automatic sprinkler system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems7F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure that testing and maintenance of electrical equipment is performed.
- C
Ensure that testing and maintenance of electrical equipment is performed.
- C
Have proper medical gas storage and administration areas.
Egress4E
- E
Meet other general requirements.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
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 stairways and smokeproof enclosures used as exits that meet safety requirements.
Emergency Preparedness2F
- F
Develop and maintain an Emergency Preparedness Program (EP).
- D
Develop and maintain an Emergency Preparedness Program (EP).
Miscellaneous1E
- E
Have restrictions on the use of highly flammable decorations.
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Other homes nearby
-
Northampton Manor Nursing And Rehabilitation Cente
Frederick, MD · Fundamental Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 28 min
- Fines
- $16,562
-
Autumn Lake Healthcare At Glade Valley
Walkersville, MD · Autumn Lake Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 34 min
- Fines
- $37,265
-
Citizens Care And Rehabilitation Center Of Frederi
Frederick, MD
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 50 min
- Fines
- $0