Bel Air, MD

Lorien Nsg & Rehab Ctr Belair

3-star overall rating with 3-star inspections with 17 recent health deficiencies

1909 Emorton Road, Bel Air, MD

(410) 803-1400

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

114

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Lorien Health Services

Operator or chain grouping

Approved since

2002-11-19

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

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

1.04

Registered nurse staffing · state 0.81 · national 0.68

LPN hours / resident day

0.77

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.33

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

4.14

All reported nurse hours · state 3.87 · national 3.89

Licensed hours

1.81

RN + LPN hours · state 1.72 · national 1.54

Weekend hours

3.84

Weekend nurse staffing · state 3.46 · national 3.43

Weekend RN hours

0.92

Weekend registered nurse coverage · state 0.61 · national 0.47

Physical therapist

0.12

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

1.03

CMS adjusted RN staffing hours

Adjusted total hours

4.08

CMS adjusted total nurse staffing hours

Case-mix index

1.39

Higher values indicate more complex resident acuity

RN turnover

39%

Annual RN turnover · state 40% · national 45%

Total nurse turnover

55%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,569

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

26.32

Composite VBP score used to determine payment impact.

Payment multiplier

0.9841

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 19.07% · Performance 21.88% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

5.96

Baseline 5.29% · Performance 6.05% · Measure score 5.96 · Achievement 5.96 · Improvement 0

Total nurse turnover

Baseline 52.08% · Performance 62.42% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

4.56

Baseline 4.32 hours · Performance 4.38 hours · Measure score 4.56 · Achievement 4.56 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.38%	10.72% 1.7 pts worse	No Different than the National Rate · Eligible stays 654 · Observed rate 11.01% · Lower 95% interval 9.93%
Discharge to community	66.96%	50.57% 16.4 pts better	Better than the National Rate · Eligible stays 659 · Observed rate 65.1% · Lower 95% interval 63.16%
Medicare spending per beneficiary	0.93	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 363 · Denominator 363
Falls with major injury	1.1%	0.77% 0.3 pts worse	Numerator 4 · Denominator 363
Discharge self-care score	48.69%	53.69% 5 pts worse	Numerator 130 · Denominator 267
Discharge mobility score	43.07%	50.94% 7.9 pts worse	Numerator 115 · Denominator 267
Pressure ulcers or injuries, new or worsened	4.68%	2.29% 2.4 pts worse	Numerator 17 · Denominator 363 · Adjusted rate 4.07%
Healthcare-associated infections requiring hospitalization	6.05%	7.12% 1.1 pts better	No Different than the National Rate · Eligible stays 392 · Observed rate 4.34% · Lower 95% interval 4.21%
Staff COVID-19 vaccination coverage	10.88%	8.2% 2.7 pts better	Numerator 31 · Denominator 285
Staff flu vaccination coverage	89.11%	42% 47.1 pts better	Numerator 319 · Denominator 358
Discharge function score	51.69%	56.45% 4.8 pts worse	Numerator 138 · Denominator 267
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 69 · Denominator 69
Transfer of health information to patient	99.62%	96.28% 3.3 pts better	Numerator 260 · Denominator 261
Resident COVID-19 vaccinations up to date	24.29%	25.2% 0.9 pts worse	Numerator 43 · Denominator 177

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.8	1.3 0.5 pts better	1.9 1.1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.9 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.5	1.2 0.3 pts worse	1.8 0.3 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.5 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.3%	91.9% 7.4 pts better	93.4% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.4% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	96.6% 3.4 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	4.4%	2.3% 2.1 pts worse	3.3% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 5.4% · Q3 4.0% · Q4 2.8% · 4Q avg 4.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	9.5%	21.4% 11.9 pts better	11.4% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 12.5% · Q3 10.1% · Q4 11.4% · 4Q avg 9.5%
Percentage of long-stay residents who lose too much weight	5.4%	5.7% 0.3 pts better	5.4% About the same	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 8.1% · Q3 4.6% · Q4 4.8% · 4Q avg 5.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	8.8%	16.1% 7.3 pts better	19.6% 10.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 8.1% · Q3 7.7% · Q4 6.3% · 4Q avg 8.8%
Percentage of long-stay residents who received an antipsychotic medication	11.9%	15.3% 3.4 pts better	16.7% 4.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 9.8% · Q3 13.6% · Q4 12.1% · 4Q avg 11.9% · 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	47.4%	26.6% 20.8 pts worse	16.3% 31.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 37.7% · 4Q avg 47.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	28.7%	22.9% 5.8 pts worse	14.9% 13.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 32.8% · Q3 27.9% · Q4 31.1% · 4Q avg 28.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	0.7% 0.3 pts better	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.4% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	4.1%	1.5% 2.6 pts worse	1.7% 2.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 5.4% · Q3 1.3% · Q4 7.0% · 4Q avg 4.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	28.0%	25.4% 2.6 pts worse	19.8% 8.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.7% · Q2 34.2% · Q3 27.7% · Q4 31.8% · 4Q avg 28.0%
Percentage of long-stay residents with pressure ulcers	8.8%	6.3% 2.5 pts worse	5.1% 3.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 7.8% · Q3 11.2% · Q4 9.2% · 4Q avg 8.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.5%	78.4% 19.1 pts better	81.7% 15.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 96.8% · Q2 97.5% · Q3 97.8% · Q4 98.0% · 4Q avg 97.5%
Percentage of short-stay residents who had an outpatient emergency department visit	14.6%	9.9% 4.7 pts worse	12.0% 2.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.6% · Observed 13.1% · Expected 10.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.3%	1.3% About the same	1.6% 0.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.6% · Q3 0.5% · Q4 1.5% · 4Q avg 1.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	97.9%	80.6% 17.3 pts better	79.7% 18.2 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 97.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.0%	21.2% 1.8 pts worse	23.9% 0.9 pts better	Short Stay · 20240701-20250630 · Adjusted 23.0% · Observed 20.4% · Expected 21.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-06-12 · Fire 2024-06-12

17 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2019-05-15 · Fire 2019-05-15

29 health deficiencies

Top issue: Quality of Life and Care (9 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2018-02-09 · Fire 2018-02-09

13 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-17

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2026-01-16

D · Potential for more than minimal harm 2025-11-17

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2026-01-16

F · Potential for more than minimal harm 2024-06-12

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 2024-08-01

E · Potential for more than minimal harm 2024-06-12

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 2024-08-01

D · Potential for more than minimal harm 2024-06-12

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-06-12

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 2024-08-01

D · Potential for more than minimal harm 2024-06-12

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-06-12

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-06-12

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-06-12

F625 · Resident Rights Deficiencies

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 2024-08-01

D · Potential for more than minimal harm 2024-06-12

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-06-12

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 2024-08-01

D · Potential for more than minimal harm 2024-06-12

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-06-12

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-06-12

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-06-12

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 2024-08-01

D · Potential for more than minimal harm 2024-06-12

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 2024-08-01

D · Potential for more than minimal harm 2024-06-12

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 2024-08-01

D · Potential for more than minimal harm 2024-06-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-01

D · Potential for more than minimal harm 2024-04-09

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 2024-06-03

D · Potential for more than minimal harm 2024-04-09

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 2024-06-03

D · Potential for more than minimal harm 2024-04-09

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-06-03

D · Potential for more than minimal harm 2024-04-09

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-06-03

D · Potential for more than minimal harm 2024-04-09

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-06-03

D · Potential for more than minimal harm 2024-04-09

F726 · Nursing and Physician Services Deficiencies

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 2024-06-03

D · Potential for more than minimal harm 2024-04-09

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2024-06-03

E · Potential for more than minimal harm 2019-05-15

F758 · Pharmacy Service Deficiencies

Health

Corrected 2019-06-10

E · Potential for more than minimal harm 2019-05-15