Federal inspection record · CMS data as of October 1, 2026
Lorien Health Systems Mt Airy
705 Midway Avenue, Mount Airy, MD · (301) 829-6050
- Certified beds
- 62
- Residents per day
- 56
- Ownership
- For-Profit
- Chain
- Lorien Health Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 18, 2000
1
How this home got 4 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.
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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
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Maryland homes
Lorien Health Systems Mt Airy carries 55 inspection points. That is fewer than 76% 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
35 health citations on record since 2022. 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning8E
- D
Ensure each resident receives an accurate assessment.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 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.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Quality of Life and Care7E
- 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 safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
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.
- E
Assist a resident in gaining access to vision and hearing services.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Pharmacy Service6E
- 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 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 that residents are free from significant medication errors.
- E
Ensure each resident’s drug regimen must be free from unnecessary 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 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.
Resident Rights5E
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- 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.
- E
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
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
Keep residents' personal and medical records private and confidential.
Administration4D
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
- D
Have a plan that describes the process for conducting QAPI and QAA activities.
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- D
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Nutrition and Dietary2E
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services1F
- F
Observe each nurse aide's job performance and give regular training.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-07-31
11 health deficiencies · 8 fire-safety deficiencies
Top issue: Administration (3 deficiencies)
2025-08-13
13 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2022-12-14
11 health deficiencies · 15 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 3 min of nursing staff time a day, 1 h of it from a registered nurse.
This home
5 h 3 min
Maryland average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 38% of nursing staff and 40% 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
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 days0.3 pts worse | 1.4 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 96.7% | 93.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.5 pts better | 97.6% | 96.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts better | 2.0% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms22.1 pts better | 1.7% | 23.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.2 pts worse | 7.6% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.2 pts better | 12.6% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.9 pts better | 9.2% | 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 need for help with daily activities has increased0.6 pts better | 19.0% | 19.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse | 0.8% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection4 pts worse | 5.4% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.9 pts worse | 30.1% | 24.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.2 pts worse | 8.9% | 5.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.5 pts better | 88.2% | 79.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.2 pts better | 8.2% | 9.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts worse | 2.2% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.2 pts better | 90.5% | 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
20 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, John | 5% Or Greater Direct Ownership Interest · Individual | 10% | 8 facilities |
| Mangione, Nicholas | 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 |
| 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 | W-2 Managing Employee · Individual | 0% | 8 facilities |
| Mangione, Louis | Corporate Director · Individual | 0% | 8 facilities |
| Mangione, Louis | Corporate Officer · Individual | 0% | 8 facilities |
| Mangione, Peter | 5% Or Greater Direct Ownership Interest · Individual | 0% | 8 facilities |
| Maryland Health Enterprises, Inc. | Operational/Managerial Control · Organization | 0% | 3 facilities |
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Fire safety
32 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke14F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- 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.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Properly provide smoke detection systems in areas open to corridors.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- E
Provide properly protected cooking facilities.
- D
Construct fire resistant interior walls.
Egress7F
- 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 sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion.
- 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
Install proper backup exit lighting.
- F
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.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Gas, Vacuum, and Electrical Systems6F
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
Miscellaneous4F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Have simulated fire drills held at unexpected times.
- D
Have restrictions on the use of portable space heaters.
Emergency Preparedness1F
- F
Establish roles under a Waiver declared by secretary.
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