Cycle 1
Health 2024-11-19 · Fire 2024-11-19
30 health deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
8 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Baltimore, MD
Levindale Hebrew Ger Ctr & Hsp
2-star overall rating with 2-star inspections with $10,361 in total fines with 30 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
2434 West Belvedere Avenue, Baltimore, MD
(410) 466-8700
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
210
Certified beds
Average residents
193
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Future Care/Lifebridge Health
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
17 facilities
Chain averages 4 overall / 3 health / 4 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
1.01
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
1.04
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
4.39
All reported nurse hours · state 3.87 · national 3.89
Licensed hours
2.05
RN + LPN hours · state 1.72 · national 1.54
Weekend hours
4.05
Weekend nurse staffing · state 3.46 · national 3.43
Weekend RN hours
0.73
Weekend registered nurse coverage · state 0.61 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.90
CMS adjusted RN staffing hours
Adjusted total hours
3.90
CMS adjusted total nurse staffing hours
Case-mix index
1.54
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 40% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,932
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.25
Composite VBP score used to determine payment impact.
Payment multiplier
0.9837
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.83
Baseline 17.20% · Performance 20.59% · Measure score 1.83 · Achievement 1.83 · Improvement 0
Healthcare-associated infections
0
Baseline 7.10% · Performance 7.73% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.86
Performance 43.83% · Measure score 4.86 · Achievement 4.86 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
3.42
Baseline 3.76 hours · Performance 4.05 hours · Measure score 3.42 · Achievement 3.42 · Improvement 0.94
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.29% |
10.72%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 424 · Observed rate 11.08% · Lower 95% interval 8.65% |
| Discharge to community | 55.89% |
50.57%
5.3 pts better
|
Better than the National Rate · Eligible stays 429 · Observed rate 46.62% · Lower 95% interval 50.91% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.67% |
95.27%
4.4 pts better
|
Numerator 301 · Denominator 302 |
| Falls with major injury | 0.66% |
0.77%
0.1 pts better
|
Numerator 2 · Denominator 302 |
| Discharge self-care score | 51.06% |
53.69%
2.6 pts worse
|
Numerator 120 · Denominator 235 |
| Discharge mobility score | 31.06% |
50.94%
19.9 pts worse
|
Numerator 73 · Denominator 235 |
| Pressure ulcers or injuries, new or worsened | 2.98% |
2.29%
0.7 pts worse
|
Numerator 9 · Denominator 302 · Adjusted rate 3.26% |
| Healthcare-associated infections requiring hospitalization | 7.73% |
7.12%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 276 · Observed rate 7.97% · Lower 95% interval 5.31% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 381 |
| Staff flu vaccination coverage | 97.48% |
42%
55.5 pts better
|
Numerator 581 · Denominator 596 |
| Discharge function score | 40.85% |
56.45%
15.6 pts worse
|
Numerator 96 · Denominator 235 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 71 · Denominator 71 |
| Transfer of health information to patient | 99.46% |
96.28%
3.2 pts better
|
Numerator 185 · Denominator 186 |
| Resident COVID-19 vaccinations up to date | 27.33% |
25.2%
2.1 pts better
|
Numerator 41 · Denominator 150 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.3
0.7 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 3.5 · Expected 3.3 · Used in QM five-star |
| 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 · Adjusted 0.9 · Observed 1.2 · Expected 2.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7% |
91.9%
6.8 pts better
|
93.4%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.4% · Q3 98.1% · Q4 97.5% · 4Q avg 98.7% |
| 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 | 1.7% |
2.3%
0.6 pts better
|
3.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 1.9% · Q3 1.3% · Q4 0.6% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.7% |
21.4%
17.7 pts better
|
11.4%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 3.5% · Q3 2.9% · Q4 2.7% · 4Q avg 3.7% |
| Percentage of long-stay residents who lose too much weight | 9.2% |
5.7%
3.5 pts worse
|
5.4%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 9.6% · Q3 8.7% · Q4 9.2% · 4Q avg 9.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.6% |
16.1%
0.5 pts worse
|
19.6%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 14.3% · Q3 18.0% · Q4 15.7% · 4Q avg 16.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 29.9% |
15.3%
14.6 pts worse
|
16.7%
13.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.6% · Q2 33.3% · Q3 31.7% · Q4 18.2% · 4Q avg 29.9% · 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 | 36.7% |
26.6%
10.1 pts worse
|
16.3%
20.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.3% · Q2 16.1% · Q3 40.5% · Q4 46.9% · 4Q avg 36.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 31.4% |
22.9%
8.5 pts worse
|
14.9%
16.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.0% · Q2 25.9% · Q3 38.7% · Q4 31.9% · 4Q avg 31.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
0.7%
0.1 pts worse
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 1.2% · Q4 0.4% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.5%
1.5 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 26.1% |
25.4%
0.7 pts worse
|
19.8%
6.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.6% · Q2 24.9% · Q3 23.7% · Q4 28.0% · 4Q avg 26.1% |
| Percentage of long-stay residents with pressure ulcers | 12.1% |
6.3%
5.8 pts worse
|
5.1%
7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 11.2% · Q3 13.3% · Q4 12.0% · 4Q avg 12.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 81.4% |
78.4%
3 pts better
|
81.7%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 61.1% · Q2 87.2% · Q3 88.7% · Q4 89.4% · 4Q avg 81.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.9% |
9.9%
2 pts better
|
12.0%
4.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.9% · Observed 8.5% · Expected 12.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.3%
0.2 pts worse
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.7% · Q3 1.2% · Q4 2.2% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.4% |
80.6%
7.8 pts better
|
79.7%
8.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.9% |
21.2%
1.3 pts better
|
23.9%
4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.9% · Observed 21.7% · Expected 26.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-11-20 · Fire 2019-11-20
13 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2 fire-safety deficiencies
Top issue: Services (2 deficiencies)
Cycle 3
Health 2018-06-25 · Fire 2018-06-25
33 health deficiencies
Top issue: Resident Rights (11 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-11-19
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 2025-01-02
E · Potential for more than minimal harm
2024-11-19
K524 · Services Deficiencies
Fire Safety
Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly.
Corrected 2025-01-02
D · Potential for more than minimal harm
2024-11-19
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2025-01-02
D · Potential for more than minimal harm
2024-11-19
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-01-02
D · Potential for more than minimal harm
2024-11-19
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-01-02
D · Potential for more than minimal harm
2024-11-19
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2025-01-02
D · Potential for more than minimal harm
2024-11-19
K500 · Services Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2025-01-02
D · Potential for more than minimal harm
2024-11-19
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-01-02
E · Potential for more than minimal harm
2019-11-20
K541 · Services Deficiencies
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2020-02-01
D · Potential for more than minimal harm
2019-11-20
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2020-02-01
D · Potential for more than minimal harm
2018-06-25
K541 · Services Deficiencies
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2018-08-30
C · Minimal harm
2018-06-25
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-08-30
C · Minimal harm
2018-06-25
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2018-08-30
B · Minimal harm
2018-06-25
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2018-08-30
Inspection history
Recent health citations
J · Immediate jeopardy
2025-11-18
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 2025-06-17
E · Potential for more than minimal harm
2025-11-18
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-31
D · Potential for more than minimal harm
2025-11-18
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 2025-12-31
D · Potential for more than minimal harm
2025-11-18
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 2025-12-31
D · Potential for more than minimal harm
2025-11-18
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 2025-12-31
D · Potential for more than minimal harm
2025-11-18
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-12-31
D · Potential for more than minimal harm
2025-11-18
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 2025-12-31
D · Potential for more than minimal harm
2025-11-18
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 2025-12-31
D · Potential for more than minimal harm
2025-11-18
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 2025-12-31
D · Potential for more than minimal harm
2025-11-18
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 2025-12-31
E · Potential for more than minimal harm
2024-11-19
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 2025-01-17
E · Potential for more than minimal harm
2024-11-19
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-11-19
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 2025-01-17
D · Potential for more than minimal harm
2024-11-19
F551 · Resident Rights Deficiencies
Health
Give the resident's representative the ability to exercise the resident's rights.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-11-19
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 2025-01-17
D · Potential for more than minimal harm
2024-11-19
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 2025-01-17
D · Potential for more than minimal harm
2024-11-19
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-11-19
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 2025-01-17
D · Potential for more than minimal harm
2024-11-19
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-11-19
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-11-19
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 2025-01-17
D · Potential for more than minimal harm
2024-11-19
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 2025-01-17
D · Potential for more than minimal harm
2024-11-19
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 2025-01-17
D · Potential for more than minimal harm
2024-11-19
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 2025-01-17
D · Potential for more than minimal harm
2024-11-19
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-11-19
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-11-19
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-11-19
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-11-19
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 2025-01-17
D · Potential for more than minimal harm
2024-11-19
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-11-19
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-11-19
F700 · Quality of Life and Care Deficiencies
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-11-19
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 2025-01-17
D · Potential for more than minimal harm
2024-11-19
F740 · Quality of Life and Care Deficiencies
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-11-19
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 2025-01-17
D · Potential for more than minimal harm
2024-11-19
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-11-19
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 2025-01-17
E · Potential for more than minimal harm
2023-06-08
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 2023-07-14
D · Potential for more than minimal harm
2023-06-08
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 2023-07-14
D · Potential for more than minimal harm
2023-06-08
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 2023-07-14
D · Potential for more than minimal harm
2023-06-08
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-07-14
D · Potential for more than minimal harm
2023-06-08
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 2023-07-14
D · Potential for more than minimal harm
2023-06-08
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 2023-07-14
D · Potential for more than minimal harm
2023-06-08
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 2023-07-14
D · Potential for more than minimal harm
2023-06-08
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-07-14
D · Potential for more than minimal harm
2019-11-20
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 2020-01-17
D · Potential for more than minimal harm
2019-11-20
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2020-01-17
D · Potential for more than minimal harm
2019-11-20
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 2020-01-17
D · Potential for more than minimal harm
2019-11-20
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2020-01-17
D · Potential for more than minimal harm
2019-11-20
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2020-01-17
B · Minimal harm
2019-11-20
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2020-01-17
E · Potential for more than minimal harm
2018-06-25
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 2018-08-29
E · Potential for more than minimal harm
2018-06-25
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2018-08-29
E · Potential for more than minimal harm
2018-06-25
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 2018-08-29
E · Potential for more than minimal harm
2018-06-25
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 2018-08-29
E · Potential for more than minimal harm
2018-06-25
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2018-08-29
E · Potential for more than minimal harm
2018-06-25
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2018-08-29
E · Potential for more than minimal harm
2018-06-25
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 2018-08-29
E · Potential for more than minimal harm
2018-06-25
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2018-08-29
E · Potential for more than minimal harm
2018-06-25
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 2018-08-29
D · Potential for more than minimal harm
2018-06-25
F553 · Resident Rights Deficiencies
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2018-08-29
D · Potential for more than minimal harm
2018-06-25
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2018-08-29
D · Potential for more than minimal harm
2018-06-25
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2018-08-29
D · Potential for more than minimal harm
2018-06-25
F576 · Resident Rights Deficiencies
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2018-08-29
D · Potential for more than minimal harm
2018-06-25
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 2018-08-29
D · Potential for more than minimal harm
2018-06-25
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 2018-08-29
D · Potential for more than minimal harm
2018-06-25
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2018-08-29
D · Potential for more than minimal harm
2018-06-25
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 2018-08-29
D · Potential for more than minimal harm
2018-06-25
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 2018-08-29
D · Potential for more than minimal harm
2018-06-25
F687 · Quality of Life and Care Deficiencies
Health
Provide appropriate foot care.
Corrected 2018-08-29
D · Potential for more than minimal harm
2018-06-25
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2018-08-29
D · Potential for more than minimal harm
2018-06-25
F776 · Administration Deficiencies
Health
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected 2018-08-29
D · Potential for more than minimal harm
2018-06-25
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 2018-08-29
D · Potential for more than minimal harm
2018-06-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2018-08-29
D · Potential for more than minimal harm
2018-06-25
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2018-08-29
C · Minimal harm
2018-06-25
F838 · Administration Deficiencies
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2018-08-29
Penalties and ownership
What sits behind the stars
$10,361
2025-11-18
Fine
Fine · fine $10,361
Fine
Ownership
Attman, Keith
Corporate Director · Individual
Daniel, Marlene
Corporate Director · Individual
Feldman, Gerald
Corporate Director · Individual
Goldenberg, Stacey
Corporate Director · Individual
Haber, Tzvi
Corporate Director · Individual
Hendricks, Sharon
W-2 Managing Employee · Individual
Henson, Daniel
Corporate Director · Individual
Jacobson, Esther
Corporate Director · Individual
Keane, Kevin
Corporate Director · Individual
Koons, Joseph
Corporate Officer · Individual
Kurland, Brad
Corporate Director · Individual
Lifebridge Health Inc
5% Or Greater Direct Ownership Interest · Organization
Maultasch, Ross
W-2 Managing Employee · Individual
Messing, Shimon
Corporate Director · Individual
Miller, Raymond
W-2 Managing Employee · Individual
Nabozny, Barry
Corporate Director · Individual
Neuberger, Yehuda
Corporate Director · Individual
Perlow, Howard
Corporate Director · Individual
Pretter, Nancy
Corporate Director · Individual
Rosenblatt, Samuel
Corporate Director · Individual
Scherr, Kandace
Corporate Director · Individual
Seidel, Ethan
Corporate Director · Individual
Sherwood Janosk, Judy
Corporate Director · Individual
Silber, Schmuel
Corporate Director · Individual
Terrill, Marc
Corporate Director · Individual
Trout, Gilbert
Corporate Director · Individual
Uhlfelder, David
Corporate Director · Individual
Williams, Jayson
Corporate Director · Individual
Wit, Diane
Corporate Director · Individual
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#2
Northwest Healthcare Center
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#3
Roland Park Rehabilitation And Healthcare Center
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5-star overall rating with 4-star inspections with $17,831 in total fines with 9 recent health deficiencies
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