Baltimore, MD

Keswick Multi-Care Center

4-star overall rating with 3-star inspections with 16 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

700 West 40th Street, Baltimore, MD

(410) 235-8860

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

242

Certified beds

Average residents

155

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1967-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.97

Registered nurse staffing

LPN hours / resident day

1.01

Licensed practical nurse staffing

Aide hours / resident day

2.54

Nurse aide staffing

Weekend hours

4.00

Weekend nurse staffing

RN turnover

30%

Annual RN turnover

Total nurse turnover

30%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.8
1.3
0.5 pts worse
1.9
0.1 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.9
1.2
0.3 pts better
1.8
0.9 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 91.1%
91.9%
0.8 pts worse
93.4%
2.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 92.1%
96.6%
4.5 pts worse
95.5%
3.4 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.1%
2.3%
0.2 pts better
3.3%
1.2 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents who lose too much weight 4.3%
5.7%
1.4 pts better
5.4%
1.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 10.9%
16.1%
5.2 pts better
19.6%
8.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 16.1%
15.3%
0.8 pts worse
16.7%
0.6 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 46.9%
26.6%
20.3 pts worse
16.3%
30.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 26.5%
22.9%
3.6 pts worse
14.9%
11.6 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with a urinary tract infection 0.6%
1.5%
0.9 pts better
1.7%
1.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 25.9%
25.4%
0.5 pts worse
19.8%
6.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 9.0%
6.3%
2.7 pts worse
5.1%
3.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 79.1%
78.4%
0.7 pts better
81.7%
2.6 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 10.5%
9.9%
0.6 pts worse
12.0%
1.5 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.7%
1.3%
0.6 pts better
1.6%
0.9 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 70.9%
80.6%
9.7 pts worse
79.7%
8.8 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 18.7%
21.2%
2.5 pts better
23.9%
5.2 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-22 · Fire 2024-10-22

16 health deficiencies

Top issue: Resident Assessment and Care Planning (5 deficiencies)

9 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Cycle 2 Health 2019-08-15 · Fire 2019-08-15

24 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2018-04-24 · Fire 2018-04-24

8 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-10-22

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-12-09

F · Potential for more than minimal harm 2024-10-22

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-12-09

F · Potential for more than minimal harm 2024-10-22

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-01-21

F · Potential for more than minimal harm 2024-10-22

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-01-21

D · Potential for more than minimal harm 2024-10-22

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-12-09

D · Potential for more than minimal harm 2024-10-22

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-12-09

D · Potential for more than minimal harm 2024-10-22

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-01-21

D · Potential for more than minimal harm 2024-10-22

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-12-09

D · Potential for more than minimal harm 2024-10-22

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-12-09

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-05-12

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 2025-06-26

D · Potential for more than minimal harm 2025-05-12

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 2025-06-26

F · Potential for more than minimal harm 2024-10-22

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 2024-12-05

E · Potential for more than minimal harm 2024-10-22

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-12-05

E · Potential for more than minimal harm 2024-10-22

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 2024-12-05

D · Potential for more than minimal harm 2024-10-22

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-12-05

D · Potential for more than minimal harm 2024-10-22

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-12-05

D · Potential for more than minimal harm 2024-10-22

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2024-12-05

D · Potential for more than minimal harm 2024-10-22

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-12-05

D · Potential for more than minimal harm 2024-10-22

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 2024-12-05

D · Potential for more than minimal harm 2024-10-22

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 2024-12-05

D · Potential for more than minimal harm 2024-10-22

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-12-05

D · Potential for more than minimal harm 2024-10-22

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 2024-12-05

D · Potential for more than minimal harm 2024-10-22

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-12-05

D · Potential for more than minimal harm 2024-10-22

F691 · Quality of Life and Care Deficiencies

Health

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Corrected 2024-12-05

D · Potential for more than minimal harm 2024-10-22

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-12-05

D · Potential for more than minimal harm 2024-10-22

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 2024-12-05

D · Potential for more than minimal harm 2024-10-22

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-12-05

D · Potential for more than minimal harm 2024-10-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-05

D · Potential for more than minimal harm 2024-10-22

F883 · Infection Control Deficiencies

Health

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

Corrected 2024-12-05

D · Potential for more than minimal harm 2024-10-22

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2024-12-05

E · Potential for more than minimal harm 2019-08-15

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2019-09-29

D · Potential for more than minimal harm 2019-08-15

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 2019-09-29

D · Potential for more than minimal harm 2019-08-15

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 2019-09-29

D · Potential for more than minimal harm 2019-08-15

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 2019-09-29

D · Potential for more than minimal harm 2019-08-15

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2019-09-29

D · Potential for more than minimal harm 2019-08-15

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 2019-09-29

D · Potential for more than minimal harm 2019-08-15

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 2019-09-29

D · Potential for more than minimal harm 2019-08-15

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 2019-09-29

D · Potential for more than minimal harm 2019-08-15

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2019-09-29

D · Potential for more than minimal harm 2019-08-15

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2019-09-29

D · Potential for more than minimal harm 2019-08-15

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2019-09-29

D · Potential for more than minimal harm 2019-08-15

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2019-09-29

D · Potential for more than minimal harm 2019-08-15

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2019-09-29

D · Potential for more than minimal harm 2019-08-15

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 2019-09-29

D · Potential for more than minimal harm 2019-08-15

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2019-09-29

D · Potential for more than minimal harm 2019-08-15

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2019-09-29

D · Potential for more than minimal harm 2019-08-15

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 2019-09-29

D · Potential for more than minimal harm 2019-08-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-09-29

C · Minimal harm 2019-08-15

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 2019-09-29

D · Potential for more than minimal harm 2018-04-24

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 2018-06-26

D · Potential for more than minimal harm 2018-04-24

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 2018-06-26

D · Potential for more than minimal harm 2018-04-24

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 2018-06-26

D · Potential for more than minimal harm 2018-04-24

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 2018-06-26

D · Potential for more than minimal harm 2018-04-24

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2018-06-26

D · Potential for more than minimal harm 2018-04-24

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2018-06-26

D · Potential for more than minimal harm 2018-04-24

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2018-06-26

D · Potential for more than minimal harm 2018-04-24

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2018-06-26

Penalties and ownership

What sits behind the stars

Ownership

Briscoe, Elizabeth

Corporate Director · Individual

0% 1 facilities 2019-09-01
Debruyn, Thjodie

Operational/Managerial Control · Individual

0% 1 facilities 2013-01-14
Deeley, Karen

Corporate Director · Individual

0% 1 facilities 2017-06-30
Diegelman, Ronald

Corporate Director · Individual

0% 1 facilities 2015-04-24
Figueroa, Regina

Operational/Managerial Control · Individual

0% 1 facilities 2023-04-10
Flagship Rehabilitation, Inc

Operational/Managerial Control · Organization

0% 1 facilities 2015-04-15
Floyd Prue, Nancy

Corporate Director · Individual

0% 1 facilities 2017-09-26
Gommel, Eric

Corporate Officer · Individual

0% 1 facilities 2024-12-09
Graning, Kathryn

Corporate Director · Individual

0% 1 facilities 2017-11-21
Hemelt, Matthew

Corporate Director · Individual

0% 1 facilities 2018-07-01
Hooper, Jr., Lawrence

Corporate Director · Individual

0% 1 facilities 2019-02-08
Magaziner, Jay

Corporate Director · Individual

0% 1 facilities 2017-06-30
Mcshea Tinney, Aileen

Corporate Officer · Individual

0% 1 facilities 2021-09-27
Robinson, April

Operational/Managerial Control · Individual

0% 1 facilities 2001-04-19
Rockstroh, Matt

Corporate Director · Individual

0% 1 facilities 2015-04-24
Unidine Corporation

Operational/Managerial Control · Organization

0% 6 facilities 2012-10-01
Wagara, Caroline

Operational/Managerial Control · Individual

0% 1 facilities 2019-02-11
Weiss, John

Corporate Director · Individual

0% 1 facilities 2014-11-20

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