Federal inspection record · CMS data as of October 1, 2026

Pines Nursing And Rehab

610 Dutchman's Lane, Easton, MD · (410) 822-4000

  • Special Focus Facility

CMS overall rating

Not rated
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Certified beds
195
Residents per day
102
Ownership
For-Profit
Chain
Key Health Management
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 1, 1967

3

What inspectors found

183 health citations on record since 2018. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 1 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 4 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 79 4 pts
E 63 8 pts
F 30 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 5 0 pts

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 (6)

  1. G

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

    August 19, 2026 · Complaint inspection · Quality of Life and Care · F684 · Not yet marked corrected

  2. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    July 2, 2026 · Complaint inspection · Quality of Life and Care · F689 · Corrected August 17, 2026

  3. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    March 19, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected May 27, 2025

  4. G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    March 19, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected May 27, 2025

  5. K

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    September 28, 2022 · Standard inspection · Quality of Life and Care · F678 · Corrected March 18, 2023

  6. G

    Provide enough food/fluids to maintain a resident's health.

    September 28, 2022 · Standard inspection · Quality of Life and Care · F692 · Corrected November 27, 2022

Everything else, by area of care

Resident Rights38F
  1. E

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    August 19, 2026 · Complaint · F585 · Not yet marked corrected

  2. E

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    March 12, 2026 · Complaint · F550 · Corrected April 28, 2026

  3. E

    Reasonably accommodate the needs and preferences of each resident.

    March 12, 2026 · Complaint · F558 · Corrected April 28, 2026

  4. 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.

    March 12, 2026 · Complaint · F584 · Corrected April 28, 2026

  5. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    March 12, 2026 · Complaint · F580 · Corrected April 28, 2026

  6. E

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    September 4, 2025 · Standard · F550 · Corrected November 10, 2025

  7. E

    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.

    September 4, 2025 · Standard · F578 · Corrected November 10, 2025

  8. 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.

    September 4, 2025 · Standard · F584 · Corrected November 10, 2025

  9. D

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    September 4, 2025 · Standard · F553 · Corrected November 10, 2025

  10. D

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    September 4, 2025 · Standard · F561 · Corrected November 10, 2025

  11. D

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    September 4, 2025 · Standard · F565 · Corrected November 10, 2025

  12. D

    Give residents a notice of rights, rules, services and charges.

    September 4, 2025 · Standard · F572 · Corrected November 10, 2025

  13. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    September 4, 2025 · Complaint · F580 · Corrected November 10, 2025

  14. D

    Keep residents' personal and medical records private and confidential.

    September 4, 2025 · Standard · F583 · Corrected November 10, 2025

  15. D

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    September 4, 2025 · Standard · F585 · Corrected November 10, 2025

  16. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    September 4, 2025 · Standard · F628 · Corrected November 10, 2025

  17. F

    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.

    March 19, 2025 · Complaint · F584 · Corrected June 20, 2025

  18. E

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    March 19, 2025 · Complaint · F550 · Corrected June 20, 2025

  19. D

    Ensure that residents are fully informed and understand their health status, care and treatments.

    March 19, 2025 · Complaint · F552 · Corrected May 27, 2025

  20. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    March 19, 2025 · Complaint · F580 · Corrected May 27, 2025

  21. F

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    September 28, 2022 · Standard · F565 · Corrected November 27, 2022

  22. F

    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.

    September 28, 2022 · Standard · F584 · Corrected March 18, 2023

  23. E

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    September 28, 2022 · Standard · F550 · Corrected November 27, 2022

  24. E

    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.

    September 28, 2022 · Standard · F578 · Corrected November 27, 2022

  25. E

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    September 28, 2022 · Standard · F580 · Corrected March 3, 2023

  26. E

    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.

    September 28, 2022 · Standard · F622 · Corrected November 27, 2022

  27. E

    Prepare residents for a safe transfer or discharge from the nursing home.

    September 28, 2022 · Standard · F624 · Corrected March 3, 2023

  28. C

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    September 28, 2022 · Standard · F577 · Corrected March 3, 2023

  29. C

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

    September 28, 2022 · Standard · F623 · Corrected March 3, 2023

  30. C

    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.

    September 28, 2022 · Standard · F625 · Corrected November 27, 2022

  31. E

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    October 25, 2018 · Standard · F565 · Corrected December 1, 2018

  32. 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.

    October 25, 2018 · Standard · F584 · Corrected December 1, 2018

  33. E

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

    October 25, 2018 · Standard · F623 · Corrected December 1, 2018

  34. D

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    October 25, 2018 · Standard · F559 · Corrected December 1, 2018

  35. D

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    October 25, 2018 · Standard · F561 · Corrected December 1, 2018

  36. 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.

    October 25, 2018 · Standard · F578 · Corrected December 1, 2018

  37. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    October 25, 2018 · Standard · F580 · Corrected December 1, 2018

  38. D

    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.

    October 25, 2018 · Standard · F625 · Corrected December 1, 2018

Quality of Life and Care30F
  1. D

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

    March 12, 2026 · Complaint · F695 · Corrected April 28, 2026

  2. D

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

    September 4, 2025 · Standard · F684 · Corrected November 10, 2025

  3. D

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

    September 4, 2025 · Complaint · F686 · Corrected November 10, 2025

  4. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 4, 2025 · Standard · F689 · Corrected November 10, 2025

  5. 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.

    September 4, 2025 · Standard · F693 · Corrected November 10, 2025

  6. D

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

    September 4, 2025 · Standard · F695 · Corrected November 10, 2025

  7. D

    Provide routine and 24-hour emergency dental care for each resident.

    September 4, 2025 · Standard · F790 · Corrected November 10, 2025

  8. E

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

    March 19, 2025 · Complaint · F677 · Corrected June 20, 2025

  9. E

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

    March 19, 2025 · Complaint · F684 · Corrected June 20, 2025

  10. E

    Provide enough food/fluids to maintain a resident's health.

    March 19, 2025 · Complaint · F692 · Corrected May 27, 2025

  11. D

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

    March 19, 2025 · Complaint · F686 · Corrected May 27, 2025

  12. 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.

    March 19, 2025 · Complaint · F688 · Corrected May 27, 2025

  13. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    March 19, 2025 · Complaint · F690 · Corrected May 27, 2025

  14. F

    Provide activities to meet all resident's needs.

    September 28, 2022 · Standard · F679 · Corrected March 3, 2023

  15. F

    Ensure the activities program is directed by a qualified professional.

    September 28, 2022 · Standard · F680 · Corrected March 3, 2023

  16. F

    Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

    September 28, 2022 · Standard · F741 · Corrected March 3, 2023

  17. E

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

    September 28, 2022 · Standard · F684 · Corrected March 18, 2023

  18. E

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

    September 28, 2022 · Standard · F686 · Corrected November 27, 2022

  19. E

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

    September 28, 2022 · Standard · F695 · Corrected March 3, 2023

  20. E

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    September 28, 2022 · Standard · F700 · Corrected March 3, 2023

  21. 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.

    September 28, 2022 · Standard · F688 · Corrected November 27, 2022

  22. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 28, 2022 · Standard · F689 · Corrected March 3, 2023

  23. D

    Provide safe, appropriate pain management for a resident who requires such services.

    September 28, 2022 · Standard · F697 · Corrected November 27, 2022

  24. D

    Provide routine and 24-hour emergency dental care for each resident.

    September 28, 2022 · Standard · F790 · Corrected November 27, 2022

  25. D

    Provide or get specialized rehabilitative services as required for a resident.

    September 28, 2022 · Standard · F825 · Corrected November 27, 2022

  26. D

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

    October 25, 2018 · Standard · F684 · Corrected December 1, 2018

  27. D

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

    October 25, 2018 · Standard · F686 · Corrected December 1, 2018

  28. D

    Provide enough food/fluids to maintain a resident's health.

    October 25, 2018 · Standard · F692 · Corrected December 1, 2018

  29. D

    Provide safe, appropriate pain management for a resident who requires such services.

    October 25, 2018 · Standard · F697 · Corrected December 1, 2018

  30. D

    Provide or obtain dental services for each resident.

    October 25, 2018 · Standard · F791 · Corrected December 1, 2018

Resident Assessment and Care Planning27F
  1. E

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    March 12, 2026 · Complaint · F842 · Corrected April 28, 2026

  2. D

    Ensure each resident receives an accurate assessment.

    March 12, 2026 · Complaint · F641 · Corrected April 28, 2026

  3. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    March 12, 2026 · Complaint · F656 · Corrected April 28, 2026

  4. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    March 12, 2026 · Complaint · F657 · Corrected April 28, 2026

  5. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    September 4, 2025 · Standard · F656 · Corrected November 10, 2025

  6. E

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    September 4, 2025 · Standard · F657 · Corrected November 10, 2025

  7. E

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    September 4, 2025 · Standard · F842 · Corrected November 10, 2025

  8. D

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    September 4, 2025 · Standard · F636 · Corrected November 10, 2025

  9. D

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    September 4, 2025 · Standard · F640 · Corrected November 10, 2025

  10. D

    Ensure each resident receives an accurate assessment.

    September 4, 2025 · Standard · F641 · Corrected November 10, 2025

  11. E

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    March 19, 2025 · Complaint · F842 · Corrected June 20, 2025

  12. D

    Assure that each resident’s assessment is updated at least once every 3 months.

    March 19, 2025 · Complaint · F638 · Corrected May 27, 2025

  13. D

    Ensure each resident receives an accurate assessment.

    March 19, 2025 · Complaint · F641 · Corrected June 20, 2025

  14. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    March 19, 2025 · Complaint · F657 · Corrected May 27, 2025

  15. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    March 19, 2025 · Complaint · F658 · Corrected May 27, 2025

  16. F

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    September 28, 2022 · Standard · F656 · Corrected March 3, 2023

  17. E

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    September 28, 2022 · Standard · F636 · Corrected March 3, 2023

  18. E

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    September 28, 2022 · Standard · F655 · Corrected March 3, 2023

  19. E

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    September 28, 2022 · Standard · F657 · Corrected March 3, 2023

  20. E

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    September 28, 2022 · Standard · F842 · Corrected March 18, 2023

  21. D

    Assure that each resident’s assessment is updated at least once every 3 months.

    September 28, 2022 · Standard · F638 · Corrected November 27, 2022

  22. D

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    September 28, 2022 · Standard · F661 · Corrected March 3, 2023

  23. E

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    October 25, 2018 · Standard · F657 · Corrected December 1, 2018

  24. E

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    October 25, 2018 · Standard · F842 · Corrected December 1, 2018

  25. D

    Ensure each resident receives an accurate assessment.

    October 25, 2018 · Standard · F641 · Corrected December 1, 2018

  26. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    October 25, 2018 · Standard · F655 · Corrected December 1, 2018

  27. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    October 25, 2018 · Standard · F656 · Corrected December 1, 2018

Environmental16F
  1. E

    Keep all essential equipment working safely.

    March 12, 2026 · Complaint · F908 · Corrected April 28, 2026

  2. D

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    March 12, 2026 · Complaint · F921 · Corrected April 28, 2026

  3. D

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    March 12, 2026 · Complaint · F925 · Corrected April 28, 2026

  4. F

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    September 4, 2025 · Standard · F925 · Corrected November 10, 2025

  5. E

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    September 4, 2025 · Complaint · F919 · Corrected November 10, 2025

  6. D

    Keep all essential equipment working safely.

    September 4, 2025 · Complaint · F908 · Corrected November 10, 2025

  7. D

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    September 4, 2025 · Standard · F921 · Corrected November 10, 2025

  8. F

    Keep all essential equipment working safely.

    March 19, 2025 · Complaint · F908 · Corrected June 20, 2025

  9. E

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    March 19, 2025 · Complaint · F919 · Corrected June 20, 2025

  10. E

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    March 19, 2025 · Complaint · F925 · Corrected June 20, 2025

  11. E

    Keep all essential equipment working safely.

    September 28, 2022 · Standard · F908 · Corrected March 3, 2023

  12. E

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

    September 28, 2022 · Standard · F909 · Corrected November 27, 2022

  13. E

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    September 28, 2022 · Standard · F919 · Corrected March 3, 2023

  14. E

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    September 28, 2022 · Standard · F921 · Corrected November 27, 2022

  15. E

    Keep all essential equipment working safely.

    October 25, 2018 · Standard · F908 · Corrected December 1, 2018

  16. D

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    October 25, 2018 · Standard · F919 · Corrected December 1, 2018

Nursing and Physician Services15F
  1. D

    Post nurse staffing information every day.

    September 4, 2025 · Standard · F732 · Corrected November 10, 2025

  2. D

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

    September 4, 2025 · Standard · F947 · Corrected November 10, 2025

  3. F

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    March 19, 2025 · Complaint · F725 · Corrected May 27, 2025

  4. F

    Observe each nurse aide's job performance and give regular training.

    March 19, 2025 · Complaint · F730 · Corrected May 27, 2025

  5. F

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

    March 19, 2025 · Complaint · F947 · Corrected June 20, 2025

  6. C

    Post nurse staffing information every day.

    March 19, 2025 · Complaint · F732 · Corrected May 27, 2025

  7. F

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    September 28, 2022 · Standard · F725 · Corrected November 27, 2022

  8. F

    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.

    September 28, 2022 · Standard · F726 · Corrected March 3, 2023

  9. F

    Observe each nurse aide's job performance and give regular training.

    September 28, 2022 · Standard · F730 · Corrected March 3, 2023

  10. F

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

    September 28, 2022 · Standard · F947 · Corrected March 3, 2023

  11. E

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    September 28, 2022 · Standard · F711 · Corrected March 3, 2023

  12. E

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    September 28, 2022 · Standard · F712 · Corrected November 27, 2022

  13. D

    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

    September 28, 2022 · Standard · F710 · Corrected November 27, 2022

  14. C

    Post nurse staffing information every day.

    September 28, 2022 · Standard · F732 · Corrected November 27, 2022

  15. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    October 25, 2018 · Standard · F725 · Corrected December 1, 2018

Pharmacy Service14F
  1. D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    September 4, 2025 · Standard · F756 · Corrected November 10, 2025

  2. 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.

    September 4, 2025 · Standard · F761 · Corrected November 10, 2025

  3. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    March 19, 2025 · Complaint · F755 · Corrected June 20, 2025

  4. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    March 19, 2025 · Complaint · F757 · Corrected June 20, 2025

  5. 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.

    March 19, 2025 · Complaint · F758 · Corrected May 27, 2025

  6. D

    Ensure that residents are free from significant medication errors.

    March 19, 2025 · Complaint · F760 · Corrected May 27, 2025

  7. 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.

    March 19, 2025 · Complaint · F761 · Corrected June 16, 2025

  8. F

    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.

    September 28, 2022 · Standard · F761 · Corrected March 3, 2023

  9. E

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    September 28, 2022 · Standard · F756 · Corrected March 3, 2023

  10. E

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    September 28, 2022 · Standard · F757 · Corrected March 18, 2023

  11. E

    Ensure that residents are free from significant medication errors.

    September 28, 2022 · Standard · F760 · Corrected March 3, 2023

  12. D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    October 25, 2018 · Standard · F756 · Corrected December 1, 2018

  13. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    October 25, 2018 · Standard · F757 · Corrected December 1, 2018

  14. 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.

    October 25, 2018 · Standard · F758 · Corrected December 1, 2018

Nutrition and Dietary12F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    September 4, 2025 · Standard · F812 · Corrected November 10, 2025

  2. D

    Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

    September 4, 2025 · Standard · F807 · Corrected November 10, 2025

  3. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    March 19, 2025 · Complaint · F804 · Corrected June 20, 2025

  4. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    March 19, 2025 · Complaint · F812 · Corrected June 20, 2025

  5. D

    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.

    March 19, 2025 · Complaint · F809 · Corrected May 27, 2025

  6. F

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    September 28, 2022 · Standard · F804 · Corrected November 27, 2022

  7. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    September 28, 2022 · Standard · F812 · Corrected November 27, 2022

  8. E

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    September 28, 2022 · Standard · F803 · Corrected November 27, 2022

  9. E

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    September 28, 2022 · Standard · F805 · Corrected November 27, 2022

  10. E

    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.

    September 28, 2022 · Standard · F809 · Corrected March 3, 2023

  11. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    October 25, 2018 · Standard · F812 · Corrected December 1, 2018

  12. D

    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.

    October 25, 2018 · Standard · F809 · Corrected December 1, 2018

Administration9F
  1. E

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    August 19, 2026 · Complaint · F940 · Not yet marked corrected

  2. D

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    September 4, 2025 · Standard · F868 · Corrected November 10, 2025

  3. F

    Hire a qualified full-time social worker in a facility with more than 120 beds.

    March 19, 2025 · Complaint · F850 · Corrected May 27, 2025

  4. D

    Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

    March 19, 2025 · Complaint · F840 · Corrected May 27, 2025

  5. F

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    September 28, 2022 · Standard · F835 · Corrected March 3, 2023

  6. F

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    September 28, 2022 · Standard · F838 · Corrected March 3, 2023

  7. F

    Hire a qualified full-time social worker in a facility with more than 120 beds.

    September 28, 2022 · Standard · F850 · Corrected March 3, 2023

  8. F

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    September 28, 2022 · Standard · F867 · Corrected March 3, 2023

  9. D

    Keep complete, dated laboratory records in the resident's record.

    September 28, 2022 · Standard · F775 · Corrected November 27, 2022

Infection Control8F
  1. F

    Provide and implement an infection prevention and control program.

    September 4, 2025 · Standard · F880 · Corrected November 10, 2025

  2. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    September 4, 2025 · Standard · F883 · Corrected November 10, 2025

  3. F

    Provide and implement an infection prevention and control program.

    September 28, 2022 · Standard · F880 · Corrected March 3, 2023

  4. F

    Implement a program that monitors antibiotic use.

    September 28, 2022 · Standard · F881 · Corrected November 27, 2022

  5. F

    Perform COVID19 testing on residents and staff.

    September 28, 2022 · Standard · F886 · Corrected November 27, 2022

  6. E

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    September 28, 2022 · Standard · F883 · Corrected March 3, 2023

  7. E

    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.

    September 28, 2022 · Standard · F887 · Corrected November 27, 2022

  8. D

    Provide and implement an infection prevention and control program.

    October 25, 2018 · Standard · F880 · Corrected December 1, 2018

Freedom from Abuse, Neglect, and Exploitation8F
  1. E

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

    September 4, 2025 · Complaint · F609 · Corrected November 10, 2025

  2. E

    Respond appropriately to all alleged violations.

    September 4, 2025 · Complaint · F610 · Corrected November 10, 2025

  3. E

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

    March 19, 2025 · Complaint · F609 · Corrected May 27, 2025

  4. E

    Respond appropriately to all alleged violations.

    March 19, 2025 · Complaint · F610 · Corrected May 27, 2025

  5. D

    Protect each resident from the wrongful use of the resident's belongings or money.

    March 19, 2025 · Complaint · F602 · Corrected May 27, 2025

  6. F

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    September 28, 2022 · Standard · F943 · Corrected November 27, 2022

  7. D

    Protect each resident from the wrongful use of the resident's belongings or money.

    September 28, 2022 · Standard · F602 · Corrected November 27, 2022

  8. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    October 25, 2018 · Standard · F600 · Corrected May 10, 2018

Inspection history

  1. 2025-09-04

    53 health deficiencies · 20 fire-safety deficiencies

    Top issue: Resident Rights (15 deficiencies)

  2. 2022-09-28

    102 health deficiencies · 27 fire-safety deficiencies

    Top issue: Quality of Life and Care (21 deficiencies)

  3. 2018-10-25

    28 health deficiencies · 0 fire-safety deficiencies

    Top issue: Resident Rights (8 deficiencies)

5

Fines and payment denials

$71,101 in federal fines on record over the past three years.

DatePenaltyAmount
2026-07-02Fine$19,635
2026-07-02Fine$27,378
2025-03-19Fine$24,088

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.2 pts better1.11.31.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts worse2.31.11.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts worse87.3%93.1%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine21.3 pts worse74.8%96.1%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts worse2.6%2.5%3.2%
Percentage of long-stay residents who have depressive symptoms2.4 pts worse26.2%23.8%13.5%
Percentage of long-stay residents who lose too much weight2.4 pts better3.0%5.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication5.1 pts worse21.9%16.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication5.7 pts worse19.8%14.1%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened1.4 pts better18.5%19.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.3 pts better18.3%19.6%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts worse1.2%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection0.1 pts better1.3%1.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence10.1 pts worse34.3%24.2%18.3%
Percentage of long-stay residents with pressure ulcers1.7 pts worse7.4%5.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine40.2 pts worse39.5%79.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.6 pts worse10.0%9.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better0.8%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine38.9 pts worse42.4%81.3%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission3 pts better17.2%20.2%23.4%

·

Who owns and runs it

13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Md4 Holdco, LLC5% Or Greater Direct Ownership Interest · Organization100%4 facilities
Ausch, SaraIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%7 facilities
Eisen, MenasheIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%18 facilities
Gilligan, DiannaOperational/Managerial Control · Individual0%1 facilities
Gilligan, DiannaAdp Of The SNF · Individual0%1 facilities
Hirth, YechielOperational/Managerial Control · Individual0%7 facilities
Howard, DanielOperational/Managerial Control · Individual0%6 facilities
Howard, DanielAdp Of The SNF · Individual0%6 facilities
Key Health Management LLCAdp Of The SNF · Organization0%7 facilities
Klein, YehudisIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%11 facilities
Md5 Investors LLCIndirect Ownership Interest · Organization0%3 facilities
Perlstein, BarryIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%9 facilities
Schlussel, NaftaliIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%7 facilities

·

Fire safety

47 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke14F
  1. F

    Provide properly protected cooking facilities.

    September 4, 2025 · K324 · Corrected November 7, 2025

  2. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    September 4, 2025 · K345 · Corrected November 7, 2025

  3. F

    Inspect, test, and maintain automatic sprinkler systems.

    September 4, 2025 · K353 · Corrected November 7, 2025

  4. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    September 4, 2025 · K321 · Corrected November 7, 2025

  5. E

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    September 4, 2025 · K362 · Corrected November 7, 2025

  6. F

    Provide properly protected cooking facilities.

    September 28, 2022 · K324 · Corrected January 18, 2023

  7. F

    Have an alternate power supply for its alarm system.

    September 28, 2022 · K344 · Corrected January 18, 2023

  8. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    September 28, 2022 · K345 · Corrected February 24, 2023

  9. F

    Inspect, test, and maintain automatic sprinkler systems.

    September 28, 2022 · K353 · Corrected January 18, 2023

  10. F

    Properly select, install, inspect, or maintain portable fire extinguishes.

    September 28, 2022 · K355 · Corrected February 24, 2023

  11. E

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    September 28, 2022 · K362 · Corrected January 18, 2023

  12. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    September 28, 2022 · K321 · Corrected January 18, 2023

  13. D

    Install an approved automatic sprinkler system.

    September 28, 2022 · K351 · Corrected January 18, 2023

  14. D

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    September 28, 2022 · K374 · Corrected January 18, 2023

Miscellaneous10F
  1. F

    Provide a written emergency evacuation plan.

    September 4, 2025 · K711 · Corrected November 7, 2025

  2. F

    Have simulated fire drills held at unexpected times.

    September 4, 2025 · K712 · Corrected November 7, 2025

  3. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    September 4, 2025 · K761 · Corrected November 7, 2025

  4. D

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    September 4, 2025 · K741 · Corrected November 7, 2025

  5. D

    Have restrictions on the use of portable space heaters.

    September 4, 2025 · K781 · Corrected November 7, 2025

  6. F

    Have simulated fire drills held at unexpected times.

    September 28, 2022 · K712 · Corrected January 18, 2023

  7. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    September 28, 2022 · K761 · Corrected February 24, 2023

  8. D

    Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

    September 28, 2022 · K700 · Corrected January 18, 2023

  9. D

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    September 28, 2022 · K741 · Corrected January 18, 2023

  10. D

    Have restrictions on the use of portable space heaters.

    September 28, 2022 · K781 · Corrected January 18, 2023

Egress10E
  1. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    September 4, 2025 · K211 · Corrected November 7, 2025

  2. E

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    September 4, 2025 · K223 · Corrected November 7, 2025

  3. E

    Have properly located and lighted "Exit" signs.

    September 4, 2025 · K293 · Corrected November 7, 2025

  4. D

    Install proper backup exit lighting.

    September 4, 2025 · K281 · Corrected November 7, 2025

  5. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    September 28, 2022 · K211 · Corrected January 18, 2023

  6. E

    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.

    September 28, 2022 · K222 · Corrected January 18, 2023

  7. E

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    September 28, 2022 · K223 · Corrected January 18, 2023

  8. E

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

    September 28, 2022 · K232 · Corrected January 18, 2023

  9. D

    Install proper backup exit lighting.

    September 28, 2022 · K281 · Corrected January 18, 2023

  10. D

    Meet other general requirements that are deficient.

    September 28, 2022 · K300 · Corrected January 18, 2023

Services6F
  1. E

    Have properly installed electrical wiring and gas equipment.

    September 4, 2025 · K511 · Corrected November 7, 2025

  2. E

    Enure that solid fuel-burning fireplaces are not in patient sleeping areas.

    September 4, 2025 · K525 · Corrected November 7, 2025

  3. D

    Meet other general requirements that are deficient.

    September 4, 2025 · K500 · Corrected November 7, 2025

  4. F

    Meet other general requirements that are deficient.

    September 28, 2022 · K500 · Corrected January 18, 2023

  5. E

    Have properly installed electrical wiring and gas equipment.

    September 28, 2022 · K511 · Corrected January 18, 2023

  6. E

    Enure that solid fuel-burning fireplaces are not in patient sleeping areas.

    September 28, 2022 · K525 · Corrected February 24, 2023

Gas, Vacuum, and Electrical Systems5F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    September 4, 2025 · K918 · Corrected November 7, 2025

  2. E

    Have proper medical gas storage and administration areas.

    September 4, 2025 · K923 · Corrected November 7, 2025

  3. F

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    September 28, 2022 · K916 · Corrected January 18, 2023

  4. F

    Have generator or other power source capable of supplying service within 10 seconds.

    September 28, 2022 · K918 · Corrected January 18, 2023

  5. E

    Have proper medical gas storage and administration areas.

    September 28, 2022 · K923 · Corrected January 18, 2023

Construction2E
  1. D

    Use approved construction type or materials.

    September 4, 2025 · K161 · Corrected November 7, 2025

  2. E

    Meet other general requirements.

    September 28, 2022 · K100 · Corrected January 18, 2023

·

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