Cycle 1
Health 2024-10-11 · Fire 2024-10-11
8 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
20 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Towson, MD
Towson Rehabilitation And Healthcare Center
5-star overall rating with 4-star inspections with $10,036 in total fines with 8 recent health deficiencies with 20 fire-safety deficiencies in the latest cycle
509 East Joppa Road, Towson, MD
(410) 828-9494
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
132
Certified beds
Average residents
116
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Atlas Healthcare
Operator or chain grouping
Approved since
1967-12-14
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
28 facilities
Chain averages 4 overall / 3 health / 2 staffing / 4 quality stars
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
0.63
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
1.93
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.42
All reported nurse hours · state 3.87 · national 3.89
Licensed hours
1.49
RN + LPN hours · state 1.72 · national 1.54
Weekend hours
3.09
Weekend nurse staffing · state 3.46 · national 3.43
Weekend RN hours
0.42
Weekend registered nurse coverage · state 0.61 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.61
CMS adjusted RN staffing hours
Adjusted total hours
3.29
CMS adjusted total nurse staffing hours
Case-mix index
1.42
Higher values indicate more complex resident acuity
RN turnover
47%
Annual RN turnover · state 40% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,498
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
44.06
Composite VBP score used to determine payment impact.
Payment multiplier
0.9971
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.35
Baseline 19.16% · Performance 18.49% · Measure score 6.35 · Achievement 6.35 · Improvement 2.66
Healthcare-associated infections
5.61
Baseline 5.34% · Performance 6.16% · Measure score 5.61 · Achievement 5.61 · Improvement 0
Total nurse turnover
5.67
Baseline 31.77% · Performance 40.51% · Measure score 5.67 · Achievement 5.67 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.66 hours · Performance 2.78 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.98% |
10.72%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 242 · Observed rate 13.64% · Lower 95% interval 9.23% |
| Discharge to community | 63.06% |
50.57%
12.5 pts better
|
Better than the National Rate · Eligible stays 224 · Observed rate 53.57% · Lower 95% interval 55.19% |
| Medicare spending per beneficiary | 1.04 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 188 · Denominator 188 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 188 |
| Discharge self-care score | 56.1% |
53.69%
2.4 pts better
|
Numerator 69 · Denominator 123 |
| Discharge mobility score | 64.23% |
50.94%
13.3 pts better
|
Numerator 79 · Denominator 123 |
| Pressure ulcers or injuries, new or worsened | 4.79% |
2.29%
2.5 pts worse
|
Numerator 9 · Denominator 188 · Adjusted rate 4.27% |
| Healthcare-associated infections requiring hospitalization | 6.16% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 151 · Observed rate 5.3% · Lower 95% interval 3.46% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 99 |
| Staff flu vaccination coverage | 95.88% |
42%
53.9 pts better
|
Numerator 93 · Denominator 97 |
| Discharge function score | 62.6% |
56.45%
6.1 pts better
|
Numerator 77 · Denominator 123 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 53 · Denominator 53 |
| Transfer of health information to patient | 98.98% |
96.28%
2.7 pts better
|
Numerator 97 · Denominator 98 |
| Resident COVID-19 vaccinations up to date | 51.04% |
25.2%
25.8 pts better
|
Numerator 49 · Denominator 96 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
1.3
0.3 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.2 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
1.2
0.9 pts worse
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.2 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.7% |
91.9%
2.8 pts better
|
93.4%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 89.2% · Q2 93.1% · Q3 97.7% · Q4 98.8% · 4Q avg 94.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.9% |
96.6%
2.3 pts better
|
95.5%
3.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.2% |
2.3%
0.9 pts worse
|
3.3%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.4% · Q3 3.5% · Q4 2.3% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 15.8% |
21.4%
5.6 pts better
|
11.4%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 19.0% · Q3 16.7% · Q4 15.4% · 4Q avg 15.8% |
| Percentage of long-stay residents who lose too much weight | 4.6% |
5.7%
1.1 pts better
|
5.4%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.6% · Q3 6.5% · Q4 6.5% · 4Q avg 4.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.4% |
16.1%
7.7 pts better
|
19.6%
11.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 7.6% · Q3 7.8% · Q4 10.4% · 4Q avg 8.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.9% |
15.3%
9.4 pts better
|
16.7%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.7% · Q2 7.8% · Q3 3.6% · Q4 0.0% · 4Q avg 5.9% · 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 | 14.2% |
26.6%
12.4 pts better
|
16.3%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 9.0% · Q4 4.6% · 4Q avg 14.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.3% |
22.9%
13.6 pts better
|
14.9%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 6.5% · Q3 7.6% · Q4 4.5% · 4Q avg 9.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.7%
0.5 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.5% |
1.5%
About the same
|
1.7%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 3.5% · Q3 0.0% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.5% |
25.4%
1.9 pts better
|
19.8%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.2% · Q2 23.5% · Q3 23.9% · Q4 21.6% · 4Q avg 23.5% |
| Percentage of long-stay residents with pressure ulcers | 7.1% |
6.3%
0.8 pts worse
|
5.1%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 9.3% · Q3 7.0% · Q4 3.8% · 4Q avg 7.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 81.3% |
78.4%
2.9 pts better
|
81.7%
0.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 77.6% · Q2 76.9% · Q3 85.8% · Q4 85.4% · 4Q avg 81.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.6% |
9.9%
0.3 pts better
|
12.0%
2.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.6% · Observed 10.0% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.3%
1.3 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 83.1% |
80.6%
2.5 pts better
|
79.7%
3.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 83.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.9% |
21.2%
0.7 pts worse
|
23.9%
2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.9% · Observed 22.4% · Expected 24.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-08-02 · Fire 2019-08-02
22 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2018-04-18 · Fire 2018-04-18
12 health deficiencies
Top issue: Resident Rights (5 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-10-11
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-01-21
F · Potential for more than minimal harm
2024-10-11
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-01-21
F · Potential for more than minimal harm
2024-10-11
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-01-21
F · Potential for more than minimal harm
2024-10-11
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2025-01-21
F · Potential for more than minimal harm
2024-10-11
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-01-21
F · Potential for more than minimal harm
2024-10-11
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-01-21
F · Potential for more than minimal harm
2024-10-11
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-21
E · Potential for more than minimal harm
2024-10-11
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-01-21
E · Potential for more than minimal harm
2024-10-11
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 2025-01-21
E · Potential for more than minimal harm
2024-10-11
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-01-21
E · Potential for more than minimal harm
2024-10-11
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-01-21
E · Potential for more than minimal harm
2024-10-11
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-01-21
E · Potential for more than minimal harm
2024-10-11
K541 · Services Deficiencies
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2025-01-21
D · Potential for more than minimal harm
2024-10-11
K100 · Construction Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2025-01-21
D · Potential for more than minimal harm
2024-10-11
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-01-21
D · Potential for more than minimal harm
2024-10-11
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-01-21
D · Potential for more than minimal harm
2024-10-11
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-01-21
D · Potential for more than minimal harm
2024-10-11
K500 · Services Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2025-01-21
D · Potential for more than minimal harm
2024-10-11
K700 · Miscellaneous Deficiencies
Fire Safety
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Corrected 2025-01-21
D · Potential for more than minimal harm
2024-10-11
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-01-21
F · Potential for more than minimal harm
2019-08-02
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2019-09-21
F · Potential for more than minimal harm
2019-08-02
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-09-21
D · Potential for more than minimal harm
2019-08-02
K100 · Construction Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2019-09-06
D · Potential for more than minimal harm
2019-08-02
K541 · Services Deficiencies
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2019-09-06
D · Potential for more than minimal harm
2019-08-02
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-09-06
F · Potential for more than minimal harm
2018-04-18
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2018-06-27
D · Potential for more than minimal harm
2018-04-18
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2018-06-27
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-10-23
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 2025-11-24
D · Potential for more than minimal harm
2025-10-23
F711 · Nursing and Physician Services Deficiencies
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2025-11-24
D · Potential for more than minimal harm
2025-10-23
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-11-24
D · Potential for more than minimal harm
2025-10-23
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 2025-11-24
D · Potential for more than minimal harm
2025-05-30
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 2025-06-18
D · Potential for more than minimal harm
2025-05-30
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-06-18
E · Potential for more than minimal harm
2024-10-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-10
D · Potential for more than minimal harm
2024-10-11
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 2024-11-10
D · Potential for more than minimal harm
2024-10-11
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-11-10
D · Potential for more than minimal harm
2024-10-11
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 2024-11-10
J · Immediate jeopardy
2024-05-21
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 2023-05-27
D · Potential for more than minimal harm
2024-05-21
F573 · Resident Rights Deficiencies
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2024-06-20
D · Potential for more than minimal harm
2024-05-21
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 2024-06-20
D · Potential for more than minimal harm
2024-05-21
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 2024-06-20
D · Potential for more than minimal harm
2024-05-21
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-06-20
D · Potential for more than minimal harm
2024-05-21
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-06-20
D · Potential for more than minimal harm
2024-05-21
F688 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2024-06-20
D · Potential for more than minimal harm
2024-05-21
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-06-20
D · Potential for more than minimal harm
2024-05-21
F838 · Administration Deficiencies
Health
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.
Corrected 2024-06-20
D · Potential for more than minimal harm
2024-05-21
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 2024-06-20
D · Potential for more than minimal harm
2024-05-21
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 2024-06-20
D · Potential for more than minimal harm
2019-08-02
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2019-08-30
D · Potential for more than minimal harm
2019-08-02
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 2019-08-30
D · Potential for more than minimal harm
2019-08-02
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 2019-08-30
D · Potential for more than minimal harm
2019-08-02
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 2019-08-30
D · Potential for more than minimal harm
2019-08-02
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 2019-08-30
D · Potential for more than minimal harm
2019-08-02
F688 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2019-08-30
D · Potential for more than minimal harm
2019-08-02
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 2019-08-30
D · Potential for more than minimal harm
2019-08-02
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2019-08-30
D · Potential for more than minimal harm
2019-08-02
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 2019-08-30
E · Potential for more than minimal harm
2018-04-18
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 2018-05-28
E · Potential for more than minimal harm
2018-04-18
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 2018-05-28
D · Potential for more than minimal harm
2018-04-18
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 2018-05-28
D · Potential for more than minimal harm
2018-04-18
F553 · Resident Rights Deficiencies
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2018-05-28
D · Potential for more than minimal harm
2018-04-18
F563 · Resident Rights Deficiencies
Health
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected 2018-05-28
D · Potential for more than minimal harm
2018-04-18
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2018-05-28
D · Potential for more than minimal harm
2018-04-18
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 2018-05-28
D · Potential for more than minimal harm
2018-04-18
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 2018-05-28
D · Potential for more than minimal harm
2018-04-18
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 2018-05-28
D · Potential for more than minimal harm
2018-04-18
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 2018-05-28
D · Potential for more than minimal harm
2018-04-18
F711 · Nursing and Physician Services Deficiencies
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2018-05-28
D · Potential for more than minimal harm
2018-04-18
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 2018-05-28
Penalties and ownership
What sits behind the stars
$10,036
2024-05-21
Fine
Fine · fine $10,036
Fine
Ownership
Trr SNF Operations Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Bak, Pinchos
Operational/Managerial Control · Individual
Bak, Pinchos
Corporate Officer · Individual
Buelto, Laverne
Operational/Managerial Control · Individual
Goldberger, Shlomo
Operational/Managerial Control · Individual
Jmh Family LLC
5% Or Greater Indirect Ownership Interest · Organization
Jmh Family LLC
Limited Partnership Interest · Organization
Jmh Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Jmh Family Trust
Limited Partnership Interest · Organization
Malt Family Trust
Limited Partnership Interest · Organization
Mls Family LLC
5% Or Greater Indirect Ownership Interest · Organization
Mls Family LLC
Limited Partnership Interest · Organization
Mls Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Mls Family Trust
Limited Partnership Interest · Organization
Nandal, Poonam
Operational/Managerial Control · Individual
Oppenheimer, Aaron
5% Or Greater Indirect Ownership Interest · Individual
Oppenheimer, Aaron
Limited Partnership Interest · Individual
Oppenheimer, Aaron
Operational/Managerial Control · Individual
Sewaralthahab, Kamal Salah H
Operational/Managerial Control · Individual
Sgs 2010 Family Trust
Limited Partnership Interest · Organization
Sgs Family LLC
5% Or Greater Indirect Ownership Interest · Organization
Sgs Family LLC
Limited Partnership Interest · Organization
Sgs Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Sgs Family Trust
Limited Partnership Interest · Organization
Sonnenschein, Moshe
Operational/Managerial Control · Individual
Trr Opco Manager LLC
Operational/Managerial Control · Organization
Tyh 2017 Trust
Limited Partnership Interest · Organization
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Edenwald
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5-star overall rating with 5-star inspections with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
Complete Care At Multi Medical Center LLC
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#3
Orchard Hill Rehabilitation And Healthcare Center
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1-star overall rating with 1-star inspections with abuse icon flag with $50,122 in total fines with 35 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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