Cycle 1
Health 2025-07-23 · Fire 2025-07-23
27 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Timonium, MD
Stella Maris, Inc.
2-star overall rating with 2-star inspections with abuse icon flag with 23 recent health deficiencies
2300 Dulaney Valley Road, Timonium, MD
(410) 252-4500
Overall
2 / 5
CMS overall stars
Health inspections
2 / 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
390
Certified beds
Average residents
347
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1978-11-01
CMS approved date
Coverage
Medicare + Medicaid
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
Hours and turnover
RN hours / resident day
0.72
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
0.85
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.57
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
1.57
RN + LPN hours · state 1.72 · national 1.54
Weekend hours
3.70
Weekend nurse staffing · state 3.46 · national 3.43
Weekend RN hours
0.39
Weekend registered nurse coverage · state 0.61 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.70
CMS adjusted RN staffing hours
Adjusted total hours
4.01
CMS adjusted total nurse staffing hours
Case-mix index
1.41
Higher values indicate more complex resident acuity
RN turnover
32%
Annual RN turnover · state 40% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,665
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
43.23
Composite VBP score used to determine payment impact.
Payment multiplier
0.9962
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 20.40% · Performance 21.75% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
10
Baseline 6.67% · Performance 4.70% · Measure score 10 · Achievement 10 · Improvement 9
Total nurse turnover
5.01
Baseline 53.50% · Performance 43.20% · Measure score 5.01 · Achievement 5.01 · Improvement 3.10
Adjusted total nurse staffing
2.28
Baseline 3.46 hours · Performance 3.73 hours · Measure score 2.28 · Achievement 2.28 · Improvement 0.65
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 14.26% |
10.72%
3.5 pts worse
|
Worse than the National Rate · Eligible stays 1314 · Observed rate 13.62% · Lower 95% interval 12.68% |
| Discharge to community | 61.6% |
50.57%
11 pts better
|
Better than the National Rate · Eligible stays 1222 · Observed rate 56.96% · Lower 95% interval 58.72% |
| Medicare spending per beneficiary | 1 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.75% |
95.27%
4.5 pts better
|
Numerator 791 · Denominator 793 |
| Falls with major injury | 0.5% |
0.77%
0.3 pts better
|
Numerator 4 · Denominator 793 |
| Discharge self-care score | 44.82% |
53.69%
8.9 pts worse
|
Numerator 251 · Denominator 560 |
| Discharge mobility score | 31.96% |
50.94%
19 pts worse
|
Numerator 179 · Denominator 560 |
| Pressure ulcers or injuries, new or worsened | 6.18% |
2.29%
3.9 pts worse
|
Numerator 49 · Denominator 793 · Adjusted rate 6.4% |
| Healthcare-associated infections requiring hospitalization | 4.7% |
7.12%
2.4 pts better
|
Better than the National Rate · Eligible stays 783 · Observed rate 3.58% · Lower 95% interval 3.61% |
| Staff COVID-19 vaccination coverage | 4.4% |
8.2%
3.8 pts worse
|
Numerator 25 · Denominator 568 |
| Staff flu vaccination coverage | 94.81% |
42%
52.8 pts better
|
Numerator 676 · Denominator 713 |
| Discharge function score | 49.29% |
56.45%
7.2 pts worse
|
Numerator 276 · Denominator 560 |
| Transfer of health information to provider | 99.69% |
95.95%
3.7 pts better
|
Numerator 322 · Denominator 323 |
| Transfer of health information to patient | 97.84% |
96.28%
1.6 pts better
|
Numerator 363 · Denominator 371 |
| Resident COVID-19 vaccinations up to date | 37.43% |
25.2%
12.2 pts better
|
Numerator 143 · Denominator 382 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
1.3
0.1 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.7 |
1.2
0.5 pts worse
|
1.8
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.5 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90.4% |
91.9%
1.5 pts worse
|
93.4%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 96.2% · Q2 92.4% · Q3 88.2% · Q4 85.2% · 4Q avg 90.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.9% |
96.6%
3.7 pts worse
|
95.5%
2.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.3% |
2.3%
About the same
|
3.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.9% · Q3 2.6% · Q4 2.9% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.1% |
21.4%
11.3 pts better
|
11.4%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.2% · Q2 13.4% · Q3 7.0% · Q4 6.6% · 4Q avg 10.1% |
| Percentage of long-stay residents who lose too much weight | 5.7% |
5.7%
About the same
|
5.4%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 7.2% · Q3 5.4% · Q4 6.6% · 4Q avg 5.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.3% |
16.1%
2.2 pts worse
|
19.6%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.3% · Q2 19.0% · Q3 16.1% · Q4 19.7% · 4Q avg 18.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.9% |
15.3%
6.6 pts worse
|
16.7%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.8% · Q2 22.2% · Q3 22.3% · Q4 21.5% · 4Q avg 21.9% · 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 | 27.0% |
26.6%
0.4 pts worse
|
16.3%
10.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.4% · Q2 20.4% · Q3 27.8% · Q4 30.2% · 4Q avg 27.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.1% |
22.9%
1.2 pts worse
|
14.9%
9.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 18.8% · Q3 25.6% · Q4 29.1% · 4Q avg 24.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
0.7%
About the same
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.6% · Q3 1.0% · Q4 1.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.0% |
1.5%
1.5 pts worse
|
1.7%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 2.4% · Q3 4.9% · Q4 1.5% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.6% |
25.4%
0.2 pts worse
|
19.8%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.4% · Q2 25.6% · Q3 21.8% · Q4 27.5% · 4Q avg 25.6% |
| Percentage of long-stay residents with pressure ulcers | 5.6% |
6.3%
0.7 pts better
|
5.1%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 7.2% · Q3 5.2% · Q4 5.5% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 65.4% |
78.4%
13 pts worse
|
81.7%
16.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 74.9% · Q2 69.0% · Q3 62.6% · Q4 54.0% · 4Q avg 65.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.3% |
9.9%
1.4 pts worse
|
12.0%
0.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.3% · Observed 10.3% · Expected 10.2% · 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 0.3% · Q2 1.2% · Q3 1.2% · Q4 0.6% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 63.7% |
80.6%
16.9 pts worse
|
79.7%
16 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 63.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.2% |
21.2%
3 pts worse
|
23.9%
0.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.2% · Observed 20.4% · Expected 20.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-05-11 · Fire 2022-05-11
13 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
17 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Cycle 3
Health 2018-09-21 · Fire 2018-09-21
7 health deficiencies
Top issue: Resident Rights (4 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2022-05-11
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-06-30
F · Potential for more than minimal harm
2022-05-11
K905 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that gas containers are correctly designed and tested, and in locations that are labeled.
Corrected 2022-06-30
F · Potential for more than minimal harm
2022-05-11
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-06-30
E · Potential for more than minimal harm
2022-05-11
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-06-30
E · Potential for more than minimal harm
2022-05-11
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-06-30
D · Potential for more than minimal harm
2022-05-11
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-06-30
D · Potential for more than minimal harm
2022-05-11
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2022-06-30
D · Potential for more than minimal harm
2022-05-11
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-06-30
D · Potential for more than minimal harm
2022-05-11
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2022-06-30
D · Potential for more than minimal harm
2022-05-11
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-06-30
D · Potential for more than minimal harm
2022-05-11
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-06-30
D · Potential for more than minimal harm
2022-05-11
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-06-30
D · Potential for more than minimal harm
2022-05-11
K371 · Smoke Deficiencies
Fire Safety
Have properly sized and located compartments to protect residents from smoke.
Corrected 2022-06-30
D · Potential for more than minimal harm
2022-05-11
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-06-30
D · Potential for more than minimal harm
2022-05-11
K541 · Services Deficiencies
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2022-06-30
D · Potential for more than minimal harm
2022-05-11
K919 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2022-06-30
D · Potential for more than minimal harm
2022-05-11
K922 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2022-06-30
F · Potential for more than minimal harm
2018-09-21
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-11-02
F · Potential for more than minimal harm
2018-09-21
K354 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2018-11-02
F · Potential for more than minimal harm
2018-09-21
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2018-11-02
F · Potential for more than minimal harm
2018-09-21
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2018-11-02
E · Potential for more than minimal harm
2018-09-21
K907 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure medical gas and vacuum systems have documented maintenance programs.
Corrected 2018-11-02
E · Potential for more than minimal harm
2018-09-21
K908 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Corrected 2018-11-02
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-07-23
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 2025-09-15
D · Potential for more than minimal harm
2025-07-23
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 2025-06-07
D · Potential for more than minimal harm
2025-07-23
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 2025-09-15
D · Potential for more than minimal harm
2025-07-23
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-09-15
D · Potential for more than minimal harm
2025-07-23
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-15
D · Potential for more than minimal harm
2025-07-23
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 2025-09-15
D · Potential for more than minimal harm
2025-07-23
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-15
D · Potential for more than minimal harm
2025-07-23
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-09-15
E · Potential for more than minimal harm
2025-04-09
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 2025-05-16
E · Potential for more than minimal harm
2025-04-09
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-05-16
E · Potential for more than minimal harm
2025-04-09
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 2025-05-16
E · Potential for more than minimal harm
2025-04-09
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-05-16
D · Potential for more than minimal harm
2025-04-09
F552 · Resident Rights Deficiencies
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-05-16
D · Potential for more than minimal harm
2025-04-09
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-05-16
D · Potential for more than minimal harm
2025-04-09
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 2023-10-16
D · Potential for more than minimal harm
2025-04-09
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-05-16
D · Potential for more than minimal harm
2025-04-09
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-05-16
D · Potential for more than minimal harm
2025-04-09
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 2025-05-16
D · Potential for more than minimal harm
2025-04-09
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-16
D · Potential for more than minimal harm
2025-04-09
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-05-16
D · Potential for more than minimal harm
2025-04-09
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-05-16
D · Potential for more than minimal harm
2025-04-09
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-05-16
D · Potential for more than minimal harm
2025-04-09
F761 · Pharmacy Service Deficiencies
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 2025-05-16
D · Potential for more than minimal harm
2025-04-09
F770 · Administration Deficiencies
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2025-05-16
D · Potential for more than minimal harm
2025-04-09
F840 · Administration Deficiencies
Health
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.
Corrected 2025-05-16
D · Potential for more than minimal harm
2025-04-09
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 2025-05-16
D · Potential for more than minimal harm
2025-04-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-16
E · Potential for more than minimal harm
2022-05-11
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-08-03
E · Potential for more than minimal harm
2022-05-11
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 2022-08-03
E · Potential for more than minimal harm
2022-05-11
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-08-03
E · Potential for more than minimal harm
2022-05-11
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-08-03
D · Potential for more than minimal harm
2022-05-11
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2022-08-03
D · Potential for more than minimal harm
2022-05-11
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 2022-08-03
D · Potential for more than minimal harm
2022-05-11
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 2022-08-03
D · Potential for more than minimal harm
2022-05-11
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-08-03
D · Potential for more than minimal harm
2022-05-11
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2022-08-03
D · Potential for more than minimal harm
2022-05-11
F809 · Nutrition and Dietary Deficiencies
Health
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.
Corrected 2022-08-03
D · Potential for more than minimal harm
2022-05-11
F825 · Quality of Life and Care Deficiencies
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2022-08-03
D · Potential for more than minimal harm
2022-05-11
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 2022-08-03
D · Potential for more than minimal harm
2022-05-11
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-08-03
E · Potential for more than minimal harm
2018-09-21
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2018-11-02
E · Potential for more than minimal harm
2018-09-21
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2018-11-02
E · Potential for more than minimal harm
2018-09-21
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 2018-11-02
E · Potential for more than minimal harm
2018-09-21
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 2018-11-02
D · Potential for more than minimal harm
2018-09-21
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 2018-11-02
D · Potential for more than minimal harm
2018-09-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2018-11-02
B · Minimal harm
2018-09-21
F584 · Resident Rights Deficiencies
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 2018-11-02
Penalties and ownership
What sits behind the stars
Ownership
Mercy Health Services Inc
5% Or Greater Direct Ownership Interest · Organization
Hickey, Crystal
Corporate Director · Individual
Stinnette, Stephen
Operational/Managerial Control · Individual
Stone, Lisa
Operational/Managerial Control · Individual
Stone, Lisa
Corporate Director · Individual
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