19 health deficiencies
Top issue: Pharmacy Service (5 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Timonium, MD
3-star overall rating with 3-star inspections with 19 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
12230 Round Wood Road, Timonium, MD
(410) 252-0880
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
93
Certified beds
Average residents
82
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Lorien Health Services
Operator or chain grouping
Approved since
2007-06-21
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
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.34
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
1.38
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.45
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
4.17
All reported nurse hours · state 3.87 · national 3.89
Licensed hours
1.72
RN + LPN hours · state 1.72 · national 1.54
Weekend hours
3.83
Weekend nurse staffing · state 3.46 · national 3.43
Weekend RN hours
0.25
Weekend registered nurse coverage · state 0.61 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.32
CMS adjusted RN staffing hours
Adjusted total hours
4.00
CMS adjusted total nurse staffing hours
Case-mix index
1.42
Higher values indicate more complex resident acuity
RN turnover
56%
Annual RN turnover · state 40% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
11,075
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
18.12
Composite VBP score used to determine payment impact.
Payment multiplier
0.9819
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.26% · Performance 21.46% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.78% · Performance 8.13% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.92
Baseline 34.25% · Performance 47.67% · Measure score 3.92 · Achievement 3.92 · Improvement 0
Adjusted total nurse staffing
3.33
Baseline 3.81 hours · Performance 4.03 hours · Measure score 3.33 · Achievement 3.33 · Improvement 0.62
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 16.02% |
10.72%
5.3 pts worse
|
Worse than the National Rate · Eligible stays 416 · Observed rate 16.11% · Lower 95% interval 13.03% |
| Discharge to community | 64.89% |
50.57%
14.3 pts better
|
Better than the National Rate · Eligible stays 402 · Observed rate 62.19% · Lower 95% interval 60.12% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 99.07% |
95.27%
3.8 pts better
|
Numerator 214 · Denominator 216 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 216 |
| Discharge self-care score | 52% |
53.69%
1.7 pts worse
|
Numerator 91 · Denominator 175 |
| Discharge mobility score | 42.86% |
50.94%
8.1 pts worse
|
Numerator 75 · Denominator 175 |
| Pressure ulcers or injuries, new or worsened | 3.7% |
2.29%
1.4 pts worse
|
Numerator 8 · Denominator 216 · Adjusted rate 3.92% |
| Healthcare-associated infections requiring hospitalization | 8.13% |
7.12%
1 pts worse
|
No Different than the National Rate · Eligible stays 243 · Observed rate 7.41% · Lower 95% interval 5.62% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 125 |
| Staff flu vaccination coverage | 73.21% |
42%
31.2 pts better
|
Numerator 123 · Denominator 168 |
| Discharge function score | 58.29% |
56.45%
1.8 pts better
|
Numerator 102 · Denominator 175 |
| Transfer of health information to provider | 86.84% |
95.95%
9.1 pts worse
|
Numerator 33 · Denominator 38 |
| Transfer of health information to patient | 99.4% |
96.28%
3.1 pts better
|
Numerator 165 · Denominator 166 |
| Resident COVID-19 vaccinations up to date | 32.67% |
25.2%
7.5 pts better
|
Numerator 33 · Denominator 101 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.9 |
1.3
0.4 pts better
|
1.9
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.6 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.2
About the same
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 0.9 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 83.4% |
91.9%
8.5 pts worse
|
93.4%
10 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 81.5% · Q2 80.0% · Q3 88.7% · Q4 83.6% · 4Q avg 83.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.5% |
96.6%
4.1 pts worse
|
95.5%
3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.4% |
2.3%
1.9 pts better
|
3.3%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.6% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.4% |
21.4%
20 pts better
|
11.4%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 3.7% · Q4 0.0% · 4Q avg 1.4% |
| Percentage of long-stay residents who lose too much weight | 6.5% |
5.7%
0.8 pts worse
|
5.4%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 3.3% · Q3 7.3% · Q4 1.8% · 4Q avg 6.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.2% |
16.1%
0.9 pts better
|
19.6%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 16.4% · Q3 16.4% · Q4 10.9% · 4Q avg 15.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.2% |
15.3%
6.9 pts worse
|
16.7%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 20.8% · Q3 26.0% · Q4 21.6% · 4Q avg 22.2% · 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 | 38.0% |
26.6%
11.4 pts worse
|
16.3%
21.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 38.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 34.7% |
22.9%
11.8 pts worse
|
14.9%
19.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.2% · Q2 34.0% · Q3 34.8% · Q4 28.3% · 4Q avg 34.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.5% |
0.7%
2.8 pts worse
|
1.0%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 4.4% · Q3 3.9% · Q4 2.0% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.4% |
1.5%
0.9 pts worse
|
1.7%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 4.8% · Q4 3.3% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.6% |
25.4%
2.8 pts better
|
19.8%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 16.6% · Q3 41.3% · Q4 6.1% · 4Q avg 22.6% |
| Percentage of long-stay residents with pressure ulcers | 5.4% |
6.3%
0.9 pts better
|
5.1%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 3.9% · Q3 5.2% · Q4 3.5% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 54.8% |
78.4%
23.6 pts worse
|
81.7%
26.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 52.5% · Q2 53.4% · Q3 54.8% · Q4 58.4% · 4Q avg 54.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.8% |
9.9%
0.1 pts better
|
12.0%
2.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.8% · Observed 8.6% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.3%
0.5 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.7% · Q4 1.7% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 47.3% |
80.6%
33.3 pts worse
|
79.7%
32.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 47.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.8% |
21.2%
2.4 pts better
|
23.9%
5.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.8% · Observed 14.7% · Expected 18.6% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (5 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Nursing and Physician Services (4 deficiencies)
8 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Fire safety
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-01-30
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-01-30
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-01-30
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-01-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2020-03-10
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2020-03-12
Fire Safety
Meet other general requirements.
Corrected 2020-03-15
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2020-03-13
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2020-03-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-03-08
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-03-15
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2020-03-12
Fire Safety
Meet other general requirements.
Corrected 2018-09-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-09-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2018-09-30
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2018-09-30
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 2018-09-30
Inspection history
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 2026-01-31
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-02-20
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-02-20
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-02-20
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-02-20
Health
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected 2025-02-20
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-02-20
Health
Respond appropriately to all alleged violations.
Corrected 2025-02-20
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-02-20
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-02-20
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 2025-02-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-20
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-02-20
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 2025-02-20
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-02-20
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 2025-02-20
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-02-20
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-20
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-02-20
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2025-02-20
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2020-03-27
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 2020-03-27
Health
Post nurse staffing information every day.
Corrected 2020-03-27
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2020-03-27
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-03-27
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2020-03-27
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 2020-03-27
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2020-03-27
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-03-27
Health
Provide activities to meet all resident's needs.
Corrected 2020-03-27
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-03-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-03-27
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2020-03-27
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2020-03-27
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 2020-03-27
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2020-03-27
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2020-03-27
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 2020-03-27
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2020-03-27
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2020-03-27
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2020-03-27
Health
Provide and implement an infection prevention and control program.
Corrected 2020-03-27
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2018-11-01
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2018-11-01
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2018-11-01
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2018-11-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2018-11-01
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2018-11-01
Health
Provide or obtain dental services for each resident.
Corrected 2018-11-01
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2018-11-01
Health
Provide and implement an infection prevention and control program.
Corrected 2018-11-01
Penalties and ownership
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
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