Federal inspection record · CMS data as of October 1, 2026
Lorien Health Systems - Columbia
6334 Cedar Lane, Columbia, MD · (410) 531-5300
- Certified beds
- 205
- Residents per day
- 197
- Ownership
- For-Profit
- Chain
- Lorien Health Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1978
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Maryland.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Maryland homes
Lorien Health Systems - Columbia carries 123 inspection points. That is fewer than 31% of Maryland's 219 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Maryland: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–32 pts
- 4★ 32–72 pts
- 3★ 72–104.75 pts
- 2★ 104.75–158.12 pts
- 1★ over 158.12 pts
Bars show every rated home in Maryland by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
53 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care13E
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Provide or obtain dental services for each resident.
- D
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.
Resident Rights9E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
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.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Assessment and Care Planning8E
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Pharmacy Service6E
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Freedom from Abuse, Neglect, and Exploitation5D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Administration3F
- D
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- F
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
- F
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Nursing and Physician Services2F
- F
Observe each nurse aide's job performance and give regular training.
- D
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Inspection history
2026-01-14
19 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-07-12
27 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2019-10-04
7 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 6 min of nursing staff time a day, 53 min of it from a registered nurse.
This home
4 h 6 min
Maryland average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 44% of nursing staff and 28% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$16,042 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-07-12 | Fine | $16,042 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts worse | 1.6 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts better | 1.0 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.6 pts better | 97.7% | 93.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.7 pts better | 98.8% | 96.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts worse | 2.9% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms22.2 pts better | 1.6% | 23.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.9 pts worse | 8.3% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.1 pts better | 12.7% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.8 pts better | 6.3% | 14.1% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.5 pts worse | 28.4% | 19.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.6 pts worse | 24.2% | 19.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.2% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts worse | 2.3% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.5 pts better | 18.7% | 24.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts worse | 7.2% | 5.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine18.4 pts better | 98.1% | 79.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.1 pts better | 7.3% | 9.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts worse | 1.7% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.5 pts better | 97.8% | 81.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.2 pts better | 20.0% | 20.2% | 23.4% |
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Who owns and runs it
22 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Collison, Michele | 5% Or Greater Direct Ownership Interest · Individual | 10% | 8 facilities |
| Juras, Rosemary | 5% Or Greater Direct Ownership Interest · Individual | 10% | 8 facilities |
| Licata, Linda | 5% Or Greater Direct Ownership Interest · Individual | 10% | 8 facilities |
| Mangione, Joanne | 5% Or Greater Direct Ownership Interest · Individual | 10% | 7 facilities |
| Mangione, John | 5% Or Greater Direct Ownership Interest · Individual | 10% | 8 facilities |
| Mangione, Louis | 5% Or Greater Direct Ownership Interest · Individual | 10% | 8 facilities |
| Mangione, Nicholas | 5% Or Greater Direct Ownership Interest · Individual | 10% | 8 facilities |
| Mangione, Peter | 5% Or Greater Direct Ownership Interest · Individual | 10% | 8 facilities |
| Mangione, Samuel | 5% Or Greater Direct Ownership Interest · Individual | 10% | 8 facilities |
| O'keefe, Frances | 5% Or Greater Direct Ownership Interest · Individual | 10% | 8 facilities |
| Dubey, Chelsea | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Grimmel, Louis | Corporate Director · Individual | 0% | 8 facilities |
| Grimmel, Louis | Corporate Officer · Individual | 0% | 8 facilities |
| Juras, Rosemary | Corporate Director · Individual | 0% | 8 facilities |
| Juras, Rosemary | Corporate Officer · Individual | 0% | 8 facilities |
| Licata, Linda | Corporate Director · Individual | 0% | 8 facilities |
| Licata, Linda | Corporate Officer · Individual | 0% | 8 facilities |
| Mangione, John | Corporate Director · Individual | 0% | 8 facilities |
| Mangione, John | Corporate Officer · Individual | 0% | 8 facilities |
| Mangione, Louis | Corporate Director · Individual | 0% | 8 facilities |
| Mangione, Louis | Corporate Officer · Individual | 0% | 8 facilities |
| Maryland Health Enterprises, Inc. | Operational/Managerial Control · Organization | 0% | 3 facilities |
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Fire safety
25 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke13F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E
Install corridor and hallway doors that block smoke.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Have an enclosure around a vertical opening shaft.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems5F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
Egress5E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Construction1F
- F
Meet other general requirements.
Miscellaneous1E
- E
Have restrictions on the use of portable space heaters.
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Other homes nearby
-
Residences At Vantage Point
Columbia, MD · Life Care Services
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 51 min
- Fines
- $0
-
The Lutheran Village At Miller's Grant
Ellicott City, MD
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 23 min
- Fines
- $0
-
Lorien Nursing & Rehab Ctr - Elkridge
Elkridge, MD · Lorien Health Services
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 3 min
- Fines
- $0