29 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Columbia, MD
2-star overall rating with 2-star inspections with $16,042 in total fines with 29 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
6334 Cedar Lane, Columbia, MD
(410) 531-5300
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
Beds
205
Certified beds
Average residents
195
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Lorien Health Services
Operator or chain grouping
Approved since
1978-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 3 overall / 3 health / 4 staffing / 3 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
RN hours / resident day
0.84
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
1.14
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.10
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
4.08
All reported nurse hours · state 3.87 · national 3.89
Licensed hours
1.98
RN + LPN hours · state 1.72 · national 1.54
Weekend hours
3.73
Weekend nurse staffing · state 3.46 · national 3.43
Weekend RN hours
0.59
Weekend registered nurse coverage · state 0.61 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.77
CMS adjusted RN staffing hours
Adjusted total hours
3.72
CMS adjusted total nurse staffing hours
Case-mix index
1.50
Higher values indicate more complex resident acuity
RN turnover
24%
Annual RN turnover · state 40% · national 45%
Total nurse turnover
41%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
7,957
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
28.26
Composite VBP score used to determine payment impact.
Payment multiplier
0.9849
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0.70
Baseline 23.12% · Performance 22.39% · Measure score 0.70 · Achievement 0 · Improvement 0.70
Healthcare-associated infections
3.36
Baseline 8.33% · Performance 7.04% · Measure score 3.36 · Achievement 2.64 · Improvement 3.36
Total nurse turnover
4.46
Baseline 38.09% · Performance 45.45% · Measure score 4.46 · Achievement 4.46 · Improvement 0
Adjusted total nurse staffing
2.79
Baseline 3.94 hours · Performance 3.87 hours · Measure score 2.79 · Achievement 2.79 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.44% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 672 · Observed rate 11.9% · Lower 95% interval 9.13% |
| Discharge to community | 60.62% |
50.57%
10 pts better
|
Better than the National Rate · Eligible stays 757 · Observed rate 51.92% · Lower 95% interval 55.85% |
| Medicare spending per beneficiary | 0.93 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 99.08% |
95.27%
3.8 pts better
|
Numerator 432 · Denominator 436 |
| Falls with major injury | 0.92% |
0.77%
0.2 pts worse
|
Numerator 4 · Denominator 436 |
| Discharge self-care score | 46.53% |
53.69%
7.2 pts worse
|
Numerator 134 · Denominator 288 |
| Discharge mobility score | 39.58% |
50.94%
11.4 pts worse
|
Numerator 114 · Denominator 288 |
| Pressure ulcers or injuries, new or worsened | 4.82% |
2.29%
2.5 pts worse
|
Numerator 21 · Denominator 436 · Adjusted rate 3.72% |
| Healthcare-associated infections requiring hospitalization | 7.05% |
7.12%
0.1 pts better
|
No Different than the National Rate · Eligible stays 491 · Observed rate 7.33% · Lower 95% interval 5.41% |
| Staff COVID-19 vaccination coverage | 2.88% |
8.2%
5.3 pts worse
|
Numerator 9 · Denominator 312 |
| Staff flu vaccination coverage | 97.75% |
42%
55.8 pts better
|
Numerator 347 · Denominator 355 |
| Discharge function score | 47.57% |
56.45%
8.9 pts worse
|
Numerator 137 · Denominator 288 |
| Transfer of health information to provider | 88% |
95.95%
8 pts worse
|
Numerator 110 · Denominator 125 |
| Transfer of health information to patient | 86.22% |
96.28%
10.1 pts worse
|
Numerator 219 · Denominator 254 |
| Resident COVID-19 vaccinations up to date | 49.3% |
25.2%
24.1 pts better
|
Numerator 106 · Denominator 215 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
1.3
0.3 pts worse
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 2.0 · Expected 2.3 · 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 | 95.6% |
91.9%
3.7 pts better
|
93.4%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 93.6% · Q2 93.4% · Q3 97.5% · Q4 97.5% · 4Q avg 95.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.8% |
96.6%
2.2 pts better
|
95.5%
3.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.6% |
2.3%
0.7 pts better
|
3.3%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.3% · Q3 1.9% · Q4 1.9% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.7% |
21.4%
20.7 pts better
|
11.4%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.9% · Q4 1.9% · 4Q avg 0.7% |
| Percentage of long-stay residents who lose too much weight | 10.2% |
5.7%
4.5 pts worse
|
5.4%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 11.3% · Q3 10.1% · Q4 7.2% · 4Q avg 10.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.6% |
16.1%
5.5 pts better
|
19.6%
9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 8.5% · Q3 12.3% · Q4 12.9% · 4Q avg 10.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.9% |
15.3%
6.4 pts better
|
16.7%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 10.2% · Q3 8.0% · Q4 7.1% · 4Q avg 8.9% · 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 | 43.9% |
26.6%
17.3 pts worse
|
16.3%
27.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.1% · Q2 30.1% · Q3 60.7% · Q4 45.9% · 4Q avg 43.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 28.0% |
22.9%
5.1 pts worse
|
14.9%
13.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 26.5% · Q3 41.5% · Q4 28.3% · 4Q avg 28.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
0.7%
0.2 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.0% · Q3 0.7% · Q4 0.4% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.5% |
1.5%
1 pts worse
|
1.7%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 0.7% · Q3 1.3% · Q4 1.3% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.0% |
25.4%
7.4 pts better
|
19.8%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 18.3% · Q3 13.4% · Q4 23.4% · 4Q avg 18.0% |
| Percentage of long-stay residents with pressure ulcers | 7.3% |
6.3%
1 pts worse
|
5.1%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 8.2% · Q3 5.3% · Q4 6.3% · 4Q avg 7.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.6% |
78.4%
11.2 pts better
|
81.7%
7.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 78.5% · Q2 85.5% · Q3 97.7% · Q4 99.6% · 4Q avg 89.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.9% |
9.9%
1 pts worse
|
12.0%
1.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.9% · Observed 11.8% · Expected 12.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.3% |
1.3%
1 pts worse
|
1.6%
0.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 2.3% · Q3 2.1% · Q4 3.4% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 82.9% |
80.6%
2.3 pts better
|
79.7%
3.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 82.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.7% |
21.2%
4.5 pts worse
|
23.9%
1.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.7% · Observed 32.4% · Expected 30.1% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (6 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-08-22
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-08-22
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-08-22
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 2024-08-22
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-08-22
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-22
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-08-22
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-22
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-08-22
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 2019-11-30
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2019-11-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-11-30
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-11-30
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Not marked corrected
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Not marked corrected
Fire Safety
Install corridor and hallway doors that block smoke.
Not marked corrected
Fire Safety
Have proper medical gas storage and administration areas.
Not marked corrected
Inspection history
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Not marked corrected
Health
Respond appropriately to all alleged violations.
Not marked corrected
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-12-29
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-12-29
Health
Respond appropriately to all alleged violations.
Corrected 2025-12-29
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 2025-12-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-29
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-12-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-22
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-08-25
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-25
Health
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected 2024-08-25
Health
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected 2024-08-25
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-08-25
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 2024-08-25
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-25
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-08-25
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 2024-08-25
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-25
Health
Respond appropriately to all alleged violations.
Corrected 2024-08-25
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-08-25
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 2024-08-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-25
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-08-25
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-25
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2024-08-25
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-08-25
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 2024-08-25
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 2024-08-25
Health
Provide or obtain dental services for each resident.
Corrected 2024-08-25
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-08-25
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-25
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-08-25
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 2019-11-30
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2019-11-30
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-11-30
Health
Provide and implement an infection prevention and control program.
Corrected 2018-08-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2018-08-09
Penalties and ownership
Fine · fine $16,042
Fine
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Nearby options
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Elkridge, MD
4-star overall rating with 4-star inspections with 16 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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