Waldorf, MD

Waldorf Center

4-star overall rating with 3-star inspections with 18 recent health deficiencies with 19 fire-safety deficiencies in the latest cycle

4140 Old Washington Highway, Waldorf, MD

(301) 645-2813

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

115

Certified beds

Average residents

101

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Genesis Healthcare

Operator or chain grouping

Approved since

1995-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.75

Registered nurse staffing

LPN hours / resident day

0.95

Licensed practical nurse staffing

Aide hours / resident day

1.93

Nurse aide staffing

Weekend hours

3.02

Weekend nurse staffing

RN turnover

31%

Annual RN turnover

Total nurse turnover

42%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.5	1.3 0.8 pts better	1.9 1.4 pts better	Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days	0.6	1.2 0.6 pts better	1.8 1.2 pts better	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	91.3%	91.9% 0.6 pts worse	93.4% 2.1 pts worse	Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents experiencing one or more falls with major injury	0.3%	2.3% 2 pts better	3.3% 3 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	61.8%	21.4% 40.4 pts worse	11.4% 50.4 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	4.1%	5.7% 1.6 pts better	5.4% 1.3 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.0%	16.1% 4.1 pts better	19.6% 7.6 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	20.2%	15.3% 4.9 pts worse	16.7% 3.5 pts worse	Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened	27.7%	26.6% 1.1 pts worse	16.3% 11.4 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	24.8%	22.9% 1.9 pts worse	14.9% 9.9 pts worse	Long Stay · 2024Q4-2025Q3
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
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
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.5%	25.4% 2.1 pts worse	19.8% 7.7 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	5.7%	6.3% 0.6 pts better	5.1% 0.6 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	83.7%	78.4% 5.3 pts better	81.7% 2 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	11.8%	9.9% 1.9 pts worse	12.0% 0.2 pts better	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	0.9%	1.3% 0.4 pts better	1.6% 0.7 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	84.4%	80.6% 3.8 pts better	79.7% 4.7 pts better	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	15.9%	21.2% 5.3 pts better	23.9% 8 pts better	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-20 · Fire 2024-08-20

18 health deficiencies

Top issue: Resident Rights (6 deficiencies)

19 fire-safety deficiencies

Top issue: Smoke (7 deficiencies)

Cycle 2 Health 2019-06-11 · Fire 2019-06-11

15 health deficiencies

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

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2018-02-27 · Fire 2018-02-27

6 health deficiencies

Top issue: Nursing and Physician Services (2 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-08-20

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-12-17

F · Potential for more than minimal harm 2024-08-20

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-11-19

F · Potential for more than minimal harm 2024-08-20

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-11-19

F · Potential for more than minimal harm 2024-08-20

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-11-19

F · Potential for more than minimal harm 2024-08-20

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-12-17

F · Potential for more than minimal harm 2024-08-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-17

F · Potential for more than minimal harm 2024-08-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-12-17

F · Potential for more than minimal harm 2024-08-20

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-12-17

E · Potential for more than minimal harm 2024-08-20

K200 · Egress Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-12-17

E · Potential for more than minimal harm 2024-08-20

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-12-17

E · Potential for more than minimal harm 2024-08-20

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 2024-12-17

E · Potential for more than minimal harm 2024-08-20

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-11-19

E · Potential for more than minimal harm 2024-08-20

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2024-11-19

D · Potential for more than minimal harm 2024-08-20

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-11-19

D · Potential for more than minimal harm 2024-08-20

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-11-19

D · Potential for more than minimal harm 2024-08-20

K362 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-11-19

D · Potential for more than minimal harm 2024-08-20

K524 · Services Deficiencies

Fire Safety

Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly.

Corrected 2024-11-19

D · Potential for more than minimal harm 2024-08-20

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-11-19

D · Potential for more than minimal harm 2024-08-20

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-11-19

D · Potential for more than minimal harm 2019-06-11

K200 · Egress Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2019-07-29

D · Potential for more than minimal harm 2019-06-11

K741 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2019-07-29

F · Potential for more than minimal harm 2018-02-27

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2018-06-15

D · Potential for more than minimal harm 2018-02-27

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2018-06-15

D · Potential for more than minimal harm 2018-02-27

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2018-06-15

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-23

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Not marked corrected

E · Potential for more than minimal harm 2026-01-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Not marked corrected

D · Potential for more than minimal harm 2026-01-23

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Not marked corrected

D · Potential for more than minimal harm 2026-01-23

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.

Not marked corrected

D · Potential for more than minimal harm 2026-01-23

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Not marked corrected

F · Potential for more than minimal harm 2024-08-20

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 2024-10-15

F · Potential for more than minimal harm 2024-08-20

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-10-15

E · Potential for more than minimal harm 2024-08-20

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 2024-10-15

E · Potential for more than minimal harm 2024-08-20

F565 · Resident Rights Deficiencies

Health

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

Corrected 2024-10-15

E · Potential for more than minimal harm 2024-08-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-15

D · Potential for more than minimal harm 2024-08-20

F553 · Resident Rights Deficiencies

Health

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

Corrected 2024-10-15

D · Potential for more than minimal harm 2024-08-20

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 2024-10-15

D · Potential for more than minimal harm 2024-08-20

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 2024-10-15

D · Potential for more than minimal harm 2024-08-20

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-10-15

D · Potential for more than minimal harm 2024-08-20

F623 · Resident Rights Deficiencies

Health

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

Corrected 2024-10-15

D · Potential for more than minimal harm 2024-08-20

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-10-15

D · Potential for more than minimal harm 2024-08-20

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-10-15

D · Potential for more than minimal harm 2024-08-20

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-15

D · Potential for more than minimal harm 2024-08-20

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-15

D · Potential for more than minimal harm 2024-08-20

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-15

D · Potential for more than minimal harm 2024-08-20

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2024-10-15

D · Potential for more than minimal harm 2024-08-20

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 2024-10-15

D · Potential for more than minimal harm 2024-08-20

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-15

D · Potential for more than minimal harm 2024-08-20

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-15

D · Potential for more than minimal harm 2024-08-20

F756 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-10-15

D · Potential for more than minimal harm 2024-08-20

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-10-15

D · Potential for more than minimal harm 2024-08-20

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 2024-10-15

D · Potential for more than minimal harm 2024-08-20

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 2024-10-15

D · Potential for more than minimal harm 2024-08-20

F925 · Environmental Deficiencies

Health

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

Corrected 2024-10-15

E · Potential for more than minimal harm 2019-06-11

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 2019-07-29

D · Potential for more than minimal harm 2019-06-11

F800 · Nutrition and Dietary Deficiencies

Health

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2019-07-29

D · Potential for more than minimal harm 2019-06-11

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 2019-07-29

D · Potential for more than minimal harm 2019-06-11

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 2019-07-29

E · Potential for more than minimal harm 2018-02-27

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 2018-04-13

D · Potential for more than minimal harm 2018-02-27

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 2018-04-13

D · Potential for more than minimal harm 2018-02-27

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2018-04-13

D · Potential for more than minimal harm 2018-02-27

F761 · Pharmacy Service Deficiencies

Health

Corrected 2018-04-13

D · Potential for more than minimal harm 2018-02-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2018-04-13

B · Minimal harm 2018-02-27

F636 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2018-04-13

Penalties and ownership

What sits behind the stars

Ownership

Genesis Md Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 2 facilities 2011-04-01

Berg, Michael

Corporate Officer · Individual

0% 175 facilities 2012-12-01

Bridgeford, Laura

Corporate Officer · Individual

0% 150 facilities 2024-06-01

Curtis, Edward

Operational/Managerial Control · Individual

0% 1 facilities 2024-03-01

Fc-Gen Operations Investment LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 171 facilities 2011-04-01

Fishman, Steven

5% Or Greater Indirect Ownership Interest · Individual

0% 161 facilities 2011-12-31

Gen Operations I LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 183 facilities 2011-04-01

Gen Operations Ii LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 183 facilities 2011-04-01

Genesis Healthcare Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 180 facilities 2015-02-02

Genesis Healthcare LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 181 facilities 2011-04-01

Genesis Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 169 facilities 2015-03-02

Genesis Operations LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 58 facilities 2011-04-01

Ghc Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 124 facilities 2011-04-01

Hccf Management Group Xi LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 184 facilities 2011-12-31

Mendelson, Avi

Corporate Officer · Individual

0% 149 facilities 2024-06-01

Sun Healthcare Group Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 174 facilities 2015-02-02

Sundance Rehabilitation Holdco Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 163 facilities 2016-01-01

Vazhappilly, Josjin

Operational/Managerial Control · Individual

0% 1 facilities 2024-06-01

Welltower Op LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 197 facilities 2024-03-01

Whitman, Arnold

5% Or Greater Indirect Ownership Interest · Individual

0% 170 facilities 2011-12-31

Zac Properties Xi LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 175 facilities 2011-12-31

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Complete Care At Laplata LLC

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2-star overall rating with 2-star inspections with $27,573 in total fines with 28 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle

Overall: 2 / 5
Health: 2 / 5
Staffing: 3 / 5
Fines: $27,573

Jump out

Supporting pages

City page

Best nursing homes in Waldorf, MD

See how this facility ranks inside its city.

1 facilities

County

Charles County

County ranking page for nearby alternatives.

4 facilities

Chain

Genesis Healthcare

Chain page for the operating group.

193 facilities