5 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
6 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Columbia, MD
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
5400 Vantage Point Road, Columbia, MD
(410) 964-5454
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
44
Certified beds
Average residents
15
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2003-09-29
CMS approved date
Coverage
Medicare
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.82
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
0.74
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.61
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
5.18
All reported nurse hours · state 3.87 · national 3.89
Licensed hours
2.57
RN + LPN hours · state 1.72 · national 1.54
Weekend hours
4.70
Weekend nurse staffing · state 3.46 · national 3.43
Weekend RN hours
1.62
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
1.94
CMS adjusted RN staffing hours
Adjusted total hours
5.51
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
64%
Annual RN turnover · state 40% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
6,635
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
32.20
Composite VBP score used to determine payment impact.
Payment multiplier
0.9869
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0.78
Performance 21.07% · Measure score 0.78 · Achievement 0.78 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
0.75
Performance 7.61% · Measure score 0.75 · Achievement 0.75 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
8.13
Baseline 39.13% · Performance 30.44% · Measure score 8.13 · Achievement 8.13 · Improvement 5.59
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.51% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 68 · Observed rate 10.29% · Lower 95% interval 7.42% |
| Discharge to community | 57.9% |
50.57%
7.3 pts better
|
No Different than the National Rate · Eligible stays 66 · Observed rate 60.61% · Lower 95% interval 48.25% |
| Medicare spending per beneficiary | 0.77 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 45 · Denominator 45 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 45 |
| Discharge self-care score | 56.41% |
53.69%
2.7 pts better
|
Numerator 22 · Denominator 39 |
| Discharge mobility score | 53.85% |
50.94%
2.9 pts better
|
Numerator 21 · Denominator 39 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 45 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.61% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 41 · Observed rate 7.32% · Lower 95% interval 3.98% |
| Staff COVID-19 vaccination coverage | 2.99% |
8.2%
5.2 pts worse
|
Numerator 4 · Denominator 134 |
| Staff flu vaccination coverage | 44.19% |
42%
2.2 pts better
|
Numerator 76 · Denominator 172 |
| Discharge function score | 69.23% |
56.45%
12.8 pts better
|
Numerator 27 · Denominator 39 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 31 · Denominator 31 |
| Resident COVID-19 vaccinations up to date | 96.55% |
25.2%
71.3 pts better
|
Numerator 28 · Denominator 29 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 76.5% |
91.9%
15.4 pts worse
|
93.4%
16.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 76.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 9.8% |
2.3%
7.5 pts worse
|
3.3%
6.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.2% |
21.4%
17.2 pts better
|
11.4%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.2% |
| Percentage of long-stay residents who lose too much weight | 6.7% |
5.7%
1 pts worse
|
5.4%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.2% |
16.1%
2.1 pts worse
|
19.6%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 18.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 46.4% |
15.3%
31.1 pts worse
|
16.7%
29.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 46.4% · 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 · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.1% |
22.9%
16.8 pts better
|
14.9%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.7%
0.7 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.5%
1.5 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 2.6% |
25.4%
22.8 pts better
|
19.8%
17.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.6% |
| Percentage of long-stay residents with pressure ulcers | 1.5% |
6.3%
4.8 pts better
|
5.1%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 77.4% |
78.4%
1 pts worse
|
81.7%
4.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 64.0% · Q2 68.4% · Q3 84.8% · Q4 92.9% · 4Q avg 77.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.5% |
9.9%
5.4 pts better
|
12.0%
7.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.5% · Observed 3.4% · Expected 8.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.3% |
1.3%
2 pts worse
|
1.6%
1.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q2 3.6% · Q3 0.0% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.6% |
80.6%
14 pts better
|
79.7%
14.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 5.4% |
21.2%
15.8 pts better
|
23.9%
18.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.4% · Observed 3.4% · Expected 15.3% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
6 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Infection Control (1 deficiency)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Fire safety
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-03-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-04
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-03-04
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-03-11
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-03-04
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-03-04
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-01-31
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2020-01-31
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2020-01-31
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2020-01-31
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2018-09-30
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2018-09-30
Fire Safety
Provide properly protected cooking facilities.
Corrected 2018-09-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-09-30
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2018-09-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2018-09-30
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2018-09-30
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2018-09-30
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-24
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-01-24
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-01-24
Health
Respond appropriately to all alleged violations.
Corrected 2025-01-24
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 2025-01-24
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-24
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2020-02-01
Health
Respond appropriately to all alleged violations.
Corrected 2020-02-01
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2020-02-01
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 2020-02-01
Health
Assess the resident when there is a significant change in condition
Corrected 2020-02-01
Health
Ensure a qualified health professional conducts resident assessments.
Corrected 2020-02-01
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-02-01
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 2020-02-01
Health
Post nurse staffing information every day.
Corrected 2020-02-01
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2020-02-01
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 2020-02-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2018-08-31
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2018-08-31
Health
Provide and implement an infection prevention and control program.
Corrected 2018-08-31
Penalties and ownership
Corporate Director · Individual
Corporate Director · Individual
5% Or Greater Security Interest · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Nearby options
Columbia, MD
2-star overall rating with 2-star inspections with $16,042 in total fines with 29 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
Ellicott City, MD
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Ellicott City, MD
2-star overall rating with 1-star inspections with 37 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
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