Cycle 1
Health 2025-08-13 · Fire 2025-08-13
9 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Mount Airy, MD
Lorien Health Systems Mt Airy
4-star overall rating with 4-star inspections with 9 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
705 Midway Avenue, Mount Airy, MD
(301) 829-6050
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
62
Certified beds
Average residents
58
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Lorien Health Services
Operator or chain grouping
Approved since
2000-09-18
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
Hours and turnover
RN hours / resident day
1.21
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
1.02
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.77
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
5.00
All reported nurse hours · state 3.87 · national 3.89
Licensed hours
2.23
RN + LPN hours · state 1.72 · national 1.54
Weekend hours
4.36
Weekend nurse staffing · state 3.46 · national 3.43
Weekend RN hours
0.81
Weekend registered nurse coverage · state 0.61 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.99
CMS adjusted RN staffing hours
Adjusted total hours
4.07
CMS adjusted total nurse staffing hours
Case-mix index
1.68
Higher values indicate more complex resident acuity
RN turnover
31%
Annual RN turnover · state 40% · national 45%
Total nurse turnover
31%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,195
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
30.45
Composite VBP score used to determine payment impact.
Payment multiplier
0.9860
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.59
Baseline 18.61% · Performance 20.70% · Measure score 1.59 · Achievement 1.59 · Improvement 0
Healthcare-associated infections
3.69
Baseline 6.00% · Performance 6.73% · Measure score 3.69 · Achievement 3.69 · Improvement 0
Total nurse turnover
4.14
Baseline 46.25% · Performance 46.74% · Measure score 4.14 · Achievement 4.14 · Improvement 0
Adjusted total nurse staffing
2.76
Baseline 3.77 hours · Performance 3.86 hours · Measure score 2.76 · Achievement 2.76 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.17% |
10.72%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 228 · Observed rate 10.53% · Lower 95% interval 8.15% |
| Discharge to community | 69.68% |
50.57%
19.1 pts better
|
Better than the National Rate · Eligible stays 222 · Observed rate 64.86% · Lower 95% interval 63.96% |
| Medicare spending per beneficiary | 0.92 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 82.32% |
95.27%
13 pts worse
|
Numerator 135 · Denominator 164 |
| Falls with major injury | 1.83% |
0.77%
1.1 pts worse
|
Numerator 3 · Denominator 164 |
| Discharge self-care score | 57.98% |
53.69%
4.3 pts better
|
Numerator 69 · Denominator 119 |
| Discharge mobility score | 65.55% |
50.94%
14.6 pts better
|
Numerator 78 · Denominator 119 |
| Pressure ulcers or injuries, new or worsened | 5.49% |
2.29%
3.2 pts worse
|
Numerator 9 · Denominator 164 · Adjusted rate 4.37% |
| Healthcare-associated infections requiring hospitalization | 6.73% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 147 · Observed rate 5.44% · Lower 95% interval 4.03% |
| Staff COVID-19 vaccination coverage | 13.01% |
8.2%
4.8 pts better
|
Numerator 16 · Denominator 123 |
| Staff flu vaccination coverage | 96.28% |
42%
54.3 pts better
|
Numerator 181 · Denominator 188 |
| Discharge function score | 63.87% |
56.45%
7.4 pts better
|
Numerator 76 · Denominator 119 |
| Transfer of health information to provider | 98.08% |
95.95%
2.1 pts better
|
Numerator 51 · Denominator 52 |
| Transfer of health information to patient | 98.99% |
96.28%
2.7 pts better
|
Numerator 98 · Denominator 99 |
| Resident COVID-19 vaccinations up to date | 32.95% |
25.2%
7.8 pts better
|
Numerator 29 · Denominator 88 |
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 1.9 · Expected 1.8 · 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 1.3 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.5% |
91.9%
2.6 pts better
|
93.4%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 92.5% · Q3 90.2% · Q4 95.1% · 4Q avg 94.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.6% |
96.6%
1 pts better
|
95.5%
2.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.0% |
2.3%
0.7 pts worse
|
3.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 5.0% · Q3 2.4% · Q4 2.4% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.5% |
21.4%
18.9 pts better
|
11.4%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.2% · Q3 3.1% · Q4 3.1% · 4Q avg 2.5% |
| Percentage of long-stay residents who lose too much weight | 4.8% |
5.7%
0.9 pts better
|
5.4%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 8.1% · Q3 2.8% · Q4 5.6% · 4Q avg 4.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.6% |
16.1%
0.5 pts better
|
19.6%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 16.2% · Q3 16.7% · Q4 13.9% · 4Q avg 15.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.0% |
15.3%
2.3 pts better
|
16.7%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 15.2% · Q3 16.1% · Q4 7.1% · 4Q avg 13.0% · 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 need for help with daily activities has increased | 18.4% |
22.9%
4.5 pts better
|
14.9%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 28.0% · Q3 16.7% · Q4 10.0% · 4Q avg 18.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.6% |
0.7%
1.9 pts worse
|
1.0%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 1.5% · Q3 3.7% · Q4 0.0% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 6.7% |
1.5%
5.2 pts worse
|
1.7%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 7.5% · Q3 2.4% · Q4 4.9% · 4Q avg 6.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.7% |
25.4%
3.3 pts worse
|
19.8%
8.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.4% · Q2 32.1% · Q3 22.8% · Q4 22.6% · 4Q avg 28.7% |
| Percentage of long-stay residents with pressure ulcers | 10.9% |
6.3%
4.6 pts worse
|
5.1%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 14.0% · Q3 11.5% · Q4 9.3% · 4Q avg 10.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.2% |
78.4%
10.8 pts better
|
81.7%
7.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.0% · Q2 89.2% · Q3 87.6% · Q4 86.1% · 4Q avg 89.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.6% |
9.9%
0.7 pts worse
|
12.0%
1.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.6% · Observed 10.2% · Expected 10.7% · 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 2.4% · Q2 1.2% · Q3 1.3% · Q4 4.1% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.3% |
80.6%
11.7 pts better
|
79.7%
12.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.0% |
21.2%
4.8 pts worse
|
23.9%
2.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.0% · Observed 25.9% · Expected 23.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-12-14 · Fire 2022-12-14
15 health deficiencies
Top issue: Pharmacy Service (4 deficiencies)
15 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Cycle 3
Health 2019-06-03 · Fire 2019-06-03
16 health deficiencies
Top issue: Pharmacy Service (4 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-08-13
E26 · Emergency Preparedness Deficiencies
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2025-09-25
F · Potential for more than minimal harm
2025-08-13
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-09-25
F · Potential for more than minimal harm
2025-08-13
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-09-25
F · Potential for more than minimal harm
2025-08-13
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-10-07
F · Potential for more than minimal harm
2025-08-13
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-10-07
E · Potential for more than minimal harm
2025-08-13
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 2025-09-25
E · Potential for more than minimal harm
2025-08-13
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2025-09-25
E · Potential for more than minimal harm
2025-08-13
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2025-09-25
E · Potential for more than minimal harm
2025-08-13
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-09-25
F · Potential for more than minimal harm
2022-12-14
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 2023-02-28
F · Potential for more than minimal harm
2022-12-14
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-02-28
F · Potential for more than minimal harm
2022-12-14
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-02-28
F · Potential for more than minimal harm
2022-12-14
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-28
F · Potential for more than minimal harm
2022-12-14
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-02-28
F · Potential for more than minimal harm
2022-12-14
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-02-28
F · Potential for more than minimal harm
2022-12-14
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-02-28
E · Potential for more than minimal harm
2022-12-14
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-02-28
E · Potential for more than minimal harm
2022-12-14
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-02-28
D · Potential for more than minimal harm
2022-12-14
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-02-28
D · Potential for more than minimal harm
2022-12-14
K331 · Smoke Deficiencies
Fire Safety
Construct fire resistant interior walls.
Corrected 2023-02-28
D · Potential for more than minimal harm
2022-12-14
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-02-28
D · Potential for more than minimal harm
2022-12-14
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2023-02-28
D · Potential for more than minimal harm
2022-12-14
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-02-28
D · Potential for more than minimal harm
2022-12-14
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-02-28
E · Potential for more than minimal harm
2019-06-03
K321 · Smoke Deficiencies
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 2019-06-28
D · Potential for more than minimal harm
2019-06-03
K100 · Construction Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2019-06-17
D · Potential for more than minimal harm
2019-06-03
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-06-21
D · Potential for more than minimal harm
2019-06-03
K522 · Services Deficiencies
Fire Safety
Have an externally vented heating system.
Corrected 2019-06-17
C · Minimal harm
2019-06-03
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-06-21
B · Minimal harm
2019-06-03
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2019-06-21
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-08-13
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 2025-09-12
D · Potential for more than minimal harm
2025-08-13
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 2025-09-12
D · Potential for more than minimal harm
2025-08-13
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 2025-09-12
D · Potential for more than minimal harm
2025-08-13
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-12
D · Potential for more than minimal harm
2025-08-13
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-09-12
D · Potential for more than minimal harm
2025-08-13
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-09-12
D · Potential for more than minimal harm
2025-08-13
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 2025-09-12
D · Potential for more than minimal harm
2025-08-13
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 2025-09-12
D · Potential for more than minimal harm
2025-08-13
F868 · Administration Deficiencies
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2025-09-12
D · Potential for more than minimal harm
2025-02-20
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 2025-03-28
D · Potential for more than minimal harm
2025-02-20
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-03-28
D · Potential for more than minimal harm
2025-02-20
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 2025-03-28
D · Potential for more than minimal harm
2025-02-20
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-03-28
E · Potential for more than minimal harm
2022-12-14
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 2023-01-25
E · Potential for more than minimal harm
2022-12-14
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2023-01-27
E · Potential for more than minimal harm
2022-12-14
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-01-27
E · Potential for more than minimal harm
2022-12-14
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 2023-01-27
E · Potential for more than minimal harm
2022-12-14
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 2023-01-27
D · Potential for more than minimal harm
2022-12-14
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 2023-01-25
D · Potential for more than minimal harm
2022-12-14
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-01-25
D · Potential for more than minimal harm
2022-12-14
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-01-27
D · Potential for more than minimal harm
2022-12-14
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 2023-01-27
D · Potential for more than minimal harm
2022-12-14
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 2023-01-27
D · Potential for more than minimal harm
2022-12-14
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-01-27
E · Potential for more than minimal harm
2019-06-03
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 2019-07-19
D · Potential for more than minimal harm
2019-06-03
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-07-19
D · Potential for more than minimal harm
2019-06-03
F553 · Resident Rights Deficiencies
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2019-07-19
D · Potential for more than minimal harm
2019-06-03
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2019-07-19
D · Potential for more than minimal harm
2019-06-03
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-07-19
D · Potential for more than minimal harm
2019-06-03
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 2019-07-19
D · Potential for more than minimal harm
2019-06-03
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-07-19
D · Potential for more than minimal harm
2019-06-03
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 2019-07-19
D · Potential for more than minimal harm
2019-06-03
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 2019-07-19
D · Potential for more than minimal harm
2019-06-03
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 2019-07-19
D · Potential for more than minimal harm
2019-06-03
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 2019-07-19
D · Potential for more than minimal harm
2019-06-03
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2019-07-19
D · Potential for more than minimal harm
2019-06-03
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 2019-07-19
D · Potential for more than minimal harm
2019-06-03
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2019-07-19
D · Potential for more than minimal harm
2019-06-03
F809 · Nutrition and Dietary Deficiencies
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2019-07-19
D · Potential for more than minimal harm
2019-06-03
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-07-19
Penalties and ownership
What sits behind the stars
Ownership
Collison, Michele
5% Or Greater Direct Ownership Interest · Individual
Juras, Rosemary
5% Or Greater Direct Ownership Interest · Individual
Licata, Linda
5% Or Greater Direct Ownership Interest · Individual
Mangione, John
5% Or Greater Direct Ownership Interest · Individual
Mangione, Nicholas
5% Or Greater Direct Ownership Interest · Individual
Mangione, Samuel
5% Or Greater Direct Ownership Interest · Individual
O'keefe, Frances
5% Or Greater Direct Ownership Interest · Individual
Grimmel, Louis
Corporate Director · Individual
Grimmel, Louis
Corporate Officer · Individual
Juras, Rosemary
Corporate Director · Individual
Juras, Rosemary
Corporate Officer · Individual
Licata, Linda
Corporate Director · Individual
Licata, Linda
Corporate Officer · Individual
Mangione, John
Corporate Director · Individual
Mangione, John
Corporate Officer · Individual
Mangione, Louis
Corporate Director · Individual
Mangione, Louis
Corporate Officer · Individual
Mangione, Louis
W-2 Managing Employee · Individual
Mangione, Peter
5% Or Greater Direct Ownership Interest · Individual
Maryland Health Enterprises, Inc.
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Pleasant View Healthcare Center
Mount Airy, MD
3-star overall rating with 3-star inspections with $15,593 in total fines with 8 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#2
Copper Ridge Nursing And Assisted Living Center
Sykesville, MD
1-star overall rating with 2-star inspections with abuse icon flag with 21 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
#3
Willowbrooke Court Skilled Care Center Fairhaven
Sykesville, MD
4-star overall rating with 3-star inspections with 11 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Jump out