Elkton, MD

Laurelwood Healthcare Center

1-star overall rating with 1-star inspections with $95,610 in total fines with 26 recent health deficiencies with 19 fire-safety deficiencies in the latest cycle

100 Laurel Drive, Elkton, MD

(410) 398-8800

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

110

Certified beds

Average residents

102

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Communicare Health

Operator or chain grouping

Approved since

1978-02-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

122 facilities

Chain averages 3 overall / 2 health / 2 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

0.72

Registered nurse staffing · state 0.81 · national 0.68

LPN hours / resident day

0.68

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.24

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.64

All reported nurse hours · state 3.87 · national 3.89

Licensed hours

1.40

RN + LPN hours · state 1.72 · national 1.54

Weekend hours

3.32

Weekend nurse staffing · state 3.46 · national 3.43

Weekend RN hours

0.45

Weekend registered nurse coverage · state 0.61 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.75

CMS adjusted RN staffing hours

Adjusted total hours

3.79

CMS adjusted total nurse staffing hours

Case-mix index

1.31

Higher values indicate more complex resident acuity

RN turnover

35%

Annual RN turnover · state 40% · national 45%

Total nurse turnover

36%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,780

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

28.80

Composite VBP score used to determine payment impact.

Payment multiplier

0.9852

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.17

Baseline 20.11% · Performance 20.42% · Measure score 2.17 · Achievement 2.17 · Improvement 0

Healthcare-associated infections

2.86

Baseline 7.69% · Performance 6.98% · Measure score 2.86 · Achievement 2.86 · Improvement 2.12

Total nurse turnover

5.54

Baseline 42.68% · Performance 41.03% · Measure score 5.54 · Achievement 5.54 · Improvement 0.43

Adjusted total nurse staffing

0.94

Baseline 2.83 hours · Performance 3.25 hours · Measure score 0.94 · Achievement 0.62 · Improvement 0.94

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.27%
10.72%
1.5 pts better
No Different than the National Rate · Eligible stays 127 · Observed rate 7.09% · Lower 95% interval 6.26%
Discharge to community 54.72%
50.57%
4.1 pts better
No Different than the National Rate · Eligible stays 112 · Observed rate 44.64% · Lower 95% interval 42.42%
Medicare spending per beneficiary 0.9
1.02
0.1 pts better
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 80 · Denominator 80
Falls with major injury 1.25%
0.77%
0.5 pts worse
Numerator 1 · Denominator 80
Discharge self-care score 44.19%
53.69%
9.5 pts worse
Numerator 19 · Denominator 43
Discharge mobility score 60.47%
50.94%
9.5 pts better
Numerator 26 · Denominator 43
Pressure ulcers or injuries, new or worsened 3.75%
2.29%
1.5 pts worse
Numerator 3 · Denominator 80 · Adjusted rate 2.77%
Healthcare-associated infections requiring hospitalization 6.98%
7.12%
0.1 pts better
No Different than the National Rate · Eligible stays 52 · Observed rate 7.69% · Lower 95% interval 4.18%
Staff COVID-19 vaccination coverage 1.8%
8.2%
6.4 pts worse
Numerator 2 · Denominator 111
Staff flu vaccination coverage 31.36%
42%
10.6 pts worse
Numerator 37 · Denominator 118
Discharge function score 62.79%
56.45%
6.3 pts better
Numerator 27 · Denominator 43
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 29 · Denominator 29
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 11.36%
25.2%
13.8 pts worse
Numerator 5 · Denominator 44

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 · Adjusted 1.8 · Observed 1.9 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.4
1.2
0.2 pts worse
1.8
0.4 pts better
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.4 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 87.3%
91.9%
4.6 pts worse
93.4%
6.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 94.9% · Q2 82.0% · Q3 78.0% · Q4 94.7% · 4Q avg 87.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.7%
96.6%
0.9 pts worse
95.5%
0.2 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.7%
Percentage of long-stay residents experiencing one or more falls with major injury 4.8%
2.3%
2.5 pts worse
3.3%
1.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 4.5% · Q3 5.5% · Q4 5.3% · 4Q avg 4.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 44.6%
21.4%
23.2 pts worse
11.4%
33.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 28.2% · Q2 42.5% · Q3 50.0% · Q4 54.4% · 4Q avg 44.6%
Percentage of long-stay residents who lose too much weight 3.8%
5.7%
1.9 pts better
5.4%
1.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 2.7% · Q3 1.2% · Q4 6.7% · 4Q avg 3.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 25.2%
16.1%
9.1 pts worse
19.6%
5.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 27.0% · Q2 24.1% · Q3 23.8% · Q4 25.8% · 4Q avg 25.2%
Percentage of long-stay residents who received an antipsychotic medication 22.9%
15.3%
7.6 pts worse
16.7%
6.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 19.3% · Q2 22.6% · Q3 26.0% · Q4 22.8% · 4Q avg 22.9% · 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 17.7%
26.6%
8.9 pts better
16.3%
1.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.0% · Q2 18.6% · Q3 16.5% · Q4 14.4% · 4Q avg 17.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 14.8%
22.9%
8.1 pts better
14.9%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 13.7% · Q3 12.5% · Q4 14.6% · 4Q avg 14.8% · 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 0.6%
1.5%
0.9 pts better
1.7%
1.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.1% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 26.6%
25.4%
1.2 pts worse
19.8%
6.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 31.0% · Q2 18.7% · Q3 24.9% · Q4 31.6% · 4Q avg 26.6%
Percentage of long-stay residents with pressure ulcers 2.2%
6.3%
4.1 pts better
5.1%
2.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 1.0% · Q3 1.0% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 42.1%
78.4%
36.3 pts worse
81.7%
39.6 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 48.5% · Q2 31.8% · Q3 37.3% · Q4 51.7% · 4Q avg 42.1%
Percentage of short-stay residents who had an outpatient emergency department visit 10.8%
9.9%
0.9 pts worse
12.0%
1.2 pts better
Short Stay · 20240701-20250630 · Adjusted 10.8% · Observed 12.3% · Expected 12.7% · 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 54.9%
80.6%
25.7 pts worse
79.7%
24.8 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 54.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 28.6%
21.2%
7.4 pts worse
23.9%
4.7 pts worse
Short Stay · 20240701-20250630 · Adjusted 28.6% · Observed 33.3% · Expected 27.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-08 · Fire 2024-08-08

26 health deficiencies

Top issue: Resident Rights (9 deficiencies)

19 fire-safety deficiencies

Top issue: Smoke (7 deficiencies)

Cycle 2 Health 2019-09-18 · Fire 2019-09-18

44 health deficiencies

Top issue: Resident Rights (12 deficiencies)

8 fire-safety deficiencies

Top issue: Egress (4 deficiencies)

Cycle 3 Health 2018-05-24 · Fire 2018-05-24

16 health deficiencies

Top issue: Resident Rights (6 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-08-08

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-10-01

F · Potential for more than minimal harm 2024-08-08

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-10-01

F · Potential for more than minimal harm 2024-08-08

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-10-01

F · Potential for more than minimal harm 2024-08-08

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-10-01

F · Potential for more than minimal harm 2024-08-08

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2024-10-01

F · Potential for more than minimal harm 2024-08-08

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-10-01

F · Potential for more than minimal harm 2024-08-08

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-10-01

F · Potential for more than minimal harm 2024-08-08

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-10-01

E · Potential for more than minimal harm 2024-08-08

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 2024-10-01

E · Potential for more than minimal harm 2024-08-08

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 2024-10-01

E · Potential for more than minimal harm 2024-08-08

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-10-01

E · Potential for more than minimal harm 2024-08-08

K343 · Smoke Deficiencies

Fire Safety

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2024-10-01

E · Potential for more than minimal harm 2024-08-08

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2024-10-01

E · Potential for more than minimal harm 2024-08-08

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-10-01

E · Potential for more than minimal harm 2024-08-08

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2024-10-01

E · Potential for more than minimal harm 2024-08-08

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2024-10-01

E · Potential for more than minimal harm 2024-08-08

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-10-01

D · Potential for more than minimal harm 2024-08-08

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-10-01

D · Potential for more than minimal harm 2024-08-08

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-10-01

F · Potential for more than minimal harm 2019-09-18

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2020-01-11

F · Potential for more than minimal harm 2019-09-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-01-11

F · Potential for more than minimal harm 2019-09-18

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2020-01-11

E · Potential for more than minimal harm 2019-09-18

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2020-01-11

D · Potential for more than minimal harm 2019-09-18

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 2020-01-11

D · Potential for more than minimal harm 2019-09-18

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2020-01-11

D · Potential for more than minimal harm 2019-09-18

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2020-01-11

D · Potential for more than minimal harm 2019-09-18

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2020-01-11

E · Potential for more than minimal harm 2018-05-24

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2018-08-13

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-30

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Not marked corrected

D · Potential for more than minimal harm 2026-01-30

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Not marked corrected

G · Actual harm 2024-08-08

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 2024-10-14

F · Potential for more than minimal harm 2024-08-08

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2024-10-14

F · Potential for more than minimal harm 2024-08-08

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 2024-11-14

F · Potential for more than minimal harm 2024-08-08

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2024-10-14

E · Potential for more than minimal harm 2024-08-08

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 2024-10-14

E · Potential for more than minimal harm 2024-08-08

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 2024-10-14

E · Potential for more than minimal harm 2024-08-08

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 2024-10-14

E · Potential for more than minimal harm 2024-08-08

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 2024-10-14

E · Potential for more than minimal harm 2024-08-08

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-10-14

E · Potential for more than minimal harm 2024-08-08

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 2024-10-14

E · Potential for more than minimal harm 2024-08-08

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 2024-10-14

D · Potential for more than minimal harm 2024-08-08

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2024-11-14

D · Potential for more than minimal harm 2024-08-08

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-10-14

D · Potential for more than minimal harm 2024-08-08

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2024-10-14

D · Potential for more than minimal harm 2024-08-08

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 2024-10-14

D · Potential for more than minimal harm 2024-08-08

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-10-14

D · Potential for more than minimal harm 2024-08-08

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-10-14

D · Potential for more than minimal harm 2024-08-08

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 2024-10-14

D · Potential for more than minimal harm 2024-08-08

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-10-14

D · Potential for more than minimal harm 2024-08-08

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 2024-10-14

D · Potential for more than minimal harm 2024-08-08

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 2024-10-14

D · Potential for more than minimal harm 2024-08-08

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-10-14

D · Potential for more than minimal harm 2024-08-08

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-10-14

D · Potential for more than minimal harm 2024-08-08

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-10-14

D · Potential for more than minimal harm 2024-08-08

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-10-14

D · Potential for more than minimal harm 2024-08-08

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-14

D · Potential for more than minimal harm 2024-08-08

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-10-14

D · Potential for more than minimal harm 2024-08-08

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-14

D · Potential for more than minimal harm 2024-08-08

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-10-14

D · Potential for more than minimal harm 2024-08-08

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2024-10-14

D · Potential for more than minimal harm 2024-08-08

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-10-14

D · Potential for more than minimal harm 2024-08-08

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 2024-10-14

D · Potential for more than minimal harm 2024-08-08

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 2024-10-14

D · Potential for more than minimal harm 2024-08-08

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2024-10-14

D · Potential for more than minimal harm 2024-08-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-14

D · Potential for more than minimal harm 2024-08-08

F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2024-10-14

D · Potential for more than minimal harm 2024-03-14

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 2024-04-10

D · Potential for more than minimal harm 2024-03-14

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 2024-04-10

D · Potential for more than minimal harm 2024-03-14

F626 · Resident Rights Deficiencies

Health

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2024-04-10

E · Potential for more than minimal harm 2019-09-18

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 2019-11-01

E · Potential for more than minimal harm 2019-09-18

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 2019-11-01

E · Potential for more than minimal harm 2019-09-18

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2019-11-01

E · Potential for more than minimal harm 2019-09-18

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2019-11-01

E · Potential for more than minimal harm 2019-09-18

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2019-11-01

D · Potential for more than minimal harm 2019-09-18

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2019-11-01

D · Potential for more than minimal harm 2019-09-18

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 2019-11-01

D · Potential for more than minimal harm 2019-09-18

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 2019-11-01

D · Potential for more than minimal harm 2019-09-18

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2019-11-01

D · Potential for more than minimal harm 2019-09-18

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2019-11-01

D · Potential for more than minimal harm 2019-09-18

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 2019-11-01

D · Potential for more than minimal harm 2019-09-18

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2019-11-01

D · Potential for more than minimal harm 2019-09-18

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 2019-11-01

D · Potential for more than minimal harm 2019-09-18

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2019-11-01

D · Potential for more than minimal harm 2019-09-18

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 2019-11-01

D · Potential for more than minimal harm 2019-09-18

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-11-01

D · Potential for more than minimal harm 2019-09-18

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 2019-11-01

D · Potential for more than minimal harm 2019-09-18

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2019-11-01

D · Potential for more than minimal harm 2019-09-18

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-11-01

D · Potential for more than minimal harm 2019-09-18

F712 · Nursing and Physician Services Deficiencies

Health

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Corrected 2019-11-01

D · Potential for more than minimal harm 2019-09-18

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2019-11-01

D · Potential for more than minimal harm 2019-09-18

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 2019-11-01

D · Potential for more than minimal harm 2019-09-18

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2019-11-01

D · Potential for more than minimal harm 2019-09-18

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2019-11-01

D · Potential for more than minimal harm 2019-09-18

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 2019-11-01

D · Potential for more than minimal harm 2019-09-18

F776 · Administration Deficiencies

Health

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Corrected 2019-11-01

D · Potential for more than minimal harm 2019-09-18

F825 · Quality of Life and Care Deficiencies

Health

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2019-11-01

D · Potential for more than minimal harm 2019-09-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-11-01

C · Minimal harm 2019-09-18

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2019-11-01

D · Potential for more than minimal harm 2018-05-24

F551 · Resident Rights Deficiencies

Health

Give the resident's representative the ability to exercise the resident's rights.

Corrected 2018-07-09

D · Potential for more than minimal harm 2018-05-24

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2018-07-09

D · Potential for more than minimal harm 2018-05-24

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 2018-07-09

D · Potential for more than minimal harm 2018-05-24

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 2018-07-09

D · Potential for more than minimal harm 2018-05-24

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 2018-07-09

D · Potential for more than minimal harm 2018-05-24

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2018-07-09

D · Potential for more than minimal harm 2018-05-24

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 2018-07-09

D · Potential for more than minimal harm 2018-05-24

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 2018-07-09

D · Potential for more than minimal harm 2018-05-24

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 2018-07-09

D · Potential for more than minimal harm 2018-05-24

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2018-07-09

D · Potential for more than minimal harm 2018-05-24

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2018-07-09

D · Potential for more than minimal harm 2018-05-24

F711 · Nursing and Physician Services Deficiencies

Health

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Corrected 2018-07-09

D · Potential for more than minimal harm 2018-05-24

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2018-07-09

D · Potential for more than minimal harm 2018-05-24

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2018-07-09

D · Potential for more than minimal harm 2018-05-24

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 2018-07-09

B · Minimal harm 2018-05-24

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 2018-07-09

Penalties and ownership

What sits behind the stars

$95,610 2024-08-08

Fine

Fine · fine $95,610

Fine

Ownership

Amananhu, Eugene

Operational/Managerial Control · Individual

0% 1 facilities 2023-10-29
Bharaj, Narender

Operational/Managerial Control · Individual

0% 8 facilities 2023-06-15
C.r. Stoltz Irrevocable Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 96 facilities 2016-03-01
C.r. Stoltz, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2016-03-01
Elkton Mgt Co., LLC

Operational/Managerial Control · Organization

0% 1 facilities 2016-03-01
Groves, Donna

Operational/Managerial Control · Individual

0% 102 facilities 2023-04-14
Hc Real Estate Holdings, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 25 facilities 2016-03-01
I. Rosedale Irrevocable Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 96 facilities 2016-03-01
Omg Re Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 27 facilities 2016-03-01
R.s. Wilheim Irrevocable Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 95 facilities 2016-03-01
Romeo, Dominic

Operational/Managerial Control · Individual

0% 105 facilities 2023-04-01
Ronald S Wilheim 2012 Spousal Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 97 facilities 2016-03-01
Rosedale Family Investment Company, Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 95 facilities 2016-03-01
Rrw, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 94 facilities 2016-03-01
S.l. Rosedale Irrevocable Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 96 facilities 2016-03-01
Stoltz, Charles

Operational/Managerial Control · Individual

0% 103 facilities 2016-03-01
Wilheim Family Investment Company, Inc.

5% Or Greater Indirect Ownership Interest · Organization

0% 94 facilities 2016-03-01
Wilheim, Ronald

Operational/Managerial Control · Individual

0% 98 facilities 2016-03-01

Nearby options

Other facilities in reach

#1

Elkton Nursing And Rehabilitation Center

Elkton, MD

1-star overall rating with 1-star inspections with Special Focus status with $30,742 in total fines with 66 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
2 / 5
Fines
$30,742
#2

Exceptional Care For Children

Newark, DE

5-star overall rating with 5-star inspections with 1 recent health deficiencies

Overall
5 / 5
Health
5 / 5
Staffing
5 / 5
Fines
$0
#3

Newark Manor Nursing Home

Newark, DE

2-star overall rating with 2-star inspections with abuse icon flag with 10 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
4 / 5
Fines
$0

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