Cycle 1
Health 2025-04-03 · Fire 2025-04-03
28 health deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Baltimore, MD
Westgate Hills Rehab & Healthcare Ctr
1-star overall rating with 2-star inspections with 28 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
10 North Rock Glen Road, Baltimore, MD
(410) 646-2100
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
111
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Marquis Health Services
Operator or chain grouping
Approved since
1996-10-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
81 facilities
Chain averages 3 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
0.70
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
0.89
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
1.86
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.45
All reported nurse hours · state 3.87 · national 3.89
Licensed hours
1.59
RN + LPN hours · state 1.72 · national 1.54
Weekend hours
3.06
Weekend nurse staffing · state 3.46 · national 3.43
Weekend RN hours
0.56
Weekend registered nurse coverage · state 0.61 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.58
CMS adjusted RN staffing hours
Adjusted total hours
2.85
CMS adjusted total nurse staffing hours
Case-mix index
1.66
Higher values indicate more complex resident acuity
RN turnover
62%
Annual RN turnover · state 40% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,264
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
30.24
Composite VBP score used to determine payment impact.
Payment multiplier
0.9859
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.50
Baseline 20.41% · Performance 19.35% · Measure score 4.50 · Achievement 4.50 · Improvement 2.65
Healthcare-associated infections
4.51
Baseline 7.47% · Performance 6.49% · Measure score 4.51 · Achievement 4.51 · Improvement 3.47
Total nurse turnover
3.09
Baseline 64.41% · Performance 51.04% · Measure score 3.09 · Achievement 3.09 · Improvement 2.88
Adjusted total nurse staffing
0
Baseline 3.05 hours · Performance 2.91 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.65% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 249 · Observed rate 13.65% · Lower 95% interval 8.28% |
| Discharge to community | 54.42% |
50.57%
3.9 pts better
|
No Different than the National Rate · Eligible stays 230 · Observed rate 41.3% · Lower 95% interval 47.32% |
| Medicare spending per beneficiary | 1.08 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 99.4% |
95.27%
4.1 pts better
|
Numerator 166 · Denominator 167 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 167 |
| Discharge self-care score | 39.76% |
53.69%
13.9 pts worse
|
Numerator 33 · Denominator 83 |
| Discharge mobility score | 43.37% |
50.94%
7.6 pts worse
|
Numerator 36 · Denominator 83 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 167 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.49% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 141 · Observed rate 7.8% · Lower 95% interval 4.44% |
| Staff COVID-19 vaccination coverage | 6.25% |
8.2%
1.9 pts worse
|
Numerator 9 · Denominator 144 |
| Staff flu vaccination coverage | 45.78% |
42%
3.8 pts better
|
Numerator 76 · Denominator 166 |
| Discharge function score | 48.19% |
56.45%
8.3 pts worse
|
Numerator 40 · Denominator 83 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 61 · Denominator 61 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 63 · Denominator 63 |
| Resident COVID-19 vaccinations up to date | 30.49% |
25.2%
5.3 pts better
|
Numerator 25 · Denominator 82 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.3
0.2 pts worse
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.7 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.2
0.1 pts worse
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.4 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.6% |
91.9%
2.7 pts better
|
93.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.1% · Q2 98.0% · Q3 93.7% · Q4 91.6% · 4Q avg 94.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.1% |
96.6%
2.5 pts better
|
95.5%
3.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.5% |
2.3%
1.8 pts better
|
3.3%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 83.3% |
21.4%
61.9 pts worse
|
11.4%
71.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 89.1% · Q2 78.5% · Q3 75.6% · Q4 90.4% · 4Q avg 83.3% |
| Percentage of long-stay residents who lose too much weight | 2.7% |
5.7%
3 pts better
|
5.4%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.3% · Q3 4.4% · Q4 2.2% · 4Q avg 2.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.8% |
16.1%
0.7 pts worse
|
19.6%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 17.9% · Q3 19.8% · Q4 16.1% · 4Q avg 16.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.5% |
15.3%
9.8 pts better
|
16.7%
11.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 4.3% · Q3 8.8% · Q4 4.3% · 4Q avg 5.5% · 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 | 38.4% |
26.6%
11.8 pts worse
|
16.3%
22.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 48.3% · Q2 54.5% · Q3 31.3% · Q4 4.3% · 4Q avg 38.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 32.5% |
22.9%
9.6 pts worse
|
14.9%
17.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.4% · Q2 42.7% · Q3 40.3% · Q4 9.6% · 4Q avg 32.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.4% |
0.7%
0.7 pts worse
|
1.0%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.5% · Q3 2.1% · Q4 0.8% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
1.5%
1 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.3% |
25.4%
3.1 pts better
|
19.8%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.4% · Q2 21.8% · Q3 24.1% · Q4 20.9% · 4Q avg 22.3% |
| Percentage of long-stay residents with pressure ulcers | 7.9% |
6.3%
1.6 pts worse
|
5.1%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 9.9% · Q3 5.7% · Q4 7.3% · 4Q avg 7.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 41.8% |
78.4%
36.6 pts worse
|
81.7%
39.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 65.2% · Q2 42.6% · Q3 29.1% · Q4 36.3% · 4Q avg 41.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.3% |
9.9%
1.6 pts better
|
12.0%
3.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.3% · Observed 10.6% · Expected 14.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.3%
1 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 48.0% |
80.6%
32.6 pts worse
|
79.7%
31.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 48.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.0% |
21.2%
5.8 pts worse
|
23.9%
3.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.0% · Observed 37.3% · Expected 33.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2020-02-28 · Fire 2020-02-28
29 health deficiencies
Top issue: Resident Assessment and Care Planning (8 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Cycle 3
Health 2018-08-09 · Fire 2018-08-09
17 health deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
7 fire-safety deficiencies
Top issue: Egress (4 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-04-03
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-05-12
E · Potential for more than minimal harm
2020-02-28
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2020-09-25
E · Potential for more than minimal harm
2020-02-28
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-09-25
D · Potential for more than minimal harm
2020-02-28
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2020-09-25
D · Potential for more than minimal harm
2020-02-28
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2020-09-25
F · Potential for more than minimal harm
2018-08-09
K200 · Egress Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2018-12-03
F · Potential for more than minimal harm
2018-08-09
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2018-12-03
F · Potential for more than minimal harm
2018-08-09
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2018-12-03
E · Potential for more than minimal harm
2018-08-09
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2018-12-03
D · Potential for more than minimal harm
2018-08-09
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2018-12-03
D · Potential for more than minimal harm
2018-08-09
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2018-12-03
D · Potential for more than minimal harm
2018-08-09
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2018-12-03
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-12-31
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-25
D · Potential for more than minimal harm
2025-12-31
F740 · Quality of Life and Care Deficiencies
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2026-01-25
E · Potential for more than minimal harm
2025-10-09
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-12-12
D · Potential for more than minimal harm
2025-10-09
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 2025-12-05
D · Potential for more than minimal harm
2025-10-09
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 2025-12-05
D · Potential for more than minimal harm
2025-10-09
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-12-05
D · Potential for more than minimal harm
2025-10-09
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 2025-12-05
D · Potential for more than minimal harm
2025-10-09
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-12-05
D · Potential for more than minimal harm
2025-10-09
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 2025-12-05
D · Potential for more than minimal harm
2025-10-09
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 2025-12-05
E · Potential for more than minimal harm
2025-04-03
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 2025-05-12
D · Potential for more than minimal harm
2025-04-03
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 2025-05-12
D · Potential for more than minimal harm
2025-04-03
F625 · Resident Rights Deficiencies
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 2025-05-12
D · Potential for more than minimal harm
2025-04-03
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-05-12
D · Potential for more than minimal harm
2025-04-03
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 2025-05-12
D · Potential for more than minimal harm
2025-04-03
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 2025-05-12
D · Potential for more than minimal harm
2025-04-03
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 2025-05-12
D · Potential for more than minimal harm
2025-04-03
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2025-05-12
D · Potential for more than minimal harm
2025-04-03
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-05-12
D · Potential for more than minimal harm
2025-04-03
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 2025-05-12
D · Potential for more than minimal harm
2025-04-03
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 2025-05-12
D · Potential for more than minimal harm
2025-04-03
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 2025-05-12
D · Potential for more than minimal harm
2025-04-03
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 2025-05-12
D · Potential for more than minimal harm
2025-04-03
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 2025-05-12
D · Potential for more than minimal harm
2025-04-03
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 2025-05-12
D · Potential for more than minimal harm
2025-04-03
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 2025-05-12
D · Potential for more than minimal harm
2025-04-03
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2025-05-12
D · Potential for more than minimal harm
2025-04-03
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-12
E · Potential for more than minimal harm
2025-01-16
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 2025-02-28
E · Potential for more than minimal harm
2025-01-16
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-01-16
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 2025-02-28
D · Potential for more than minimal harm
2025-01-16
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-01-16
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 2025-02-28
D · Potential for more than minimal harm
2025-01-16
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 2025-02-28
D · Potential for more than minimal harm
2025-01-16
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-01-16
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-01-16
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-01-16
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-02-28
D · Potential for more than minimal harm
2025-01-16
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 2025-02-28
D · Potential for more than minimal harm
2025-01-16
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 2025-02-28
D · Potential for more than minimal harm
2020-02-28
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2020-03-31
D · Potential for more than minimal harm
2020-02-28
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 2020-03-31
D · Potential for more than minimal harm
2020-02-28
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 2020-03-31
D · Potential for more than minimal harm
2020-02-28
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 2020-03-31
D · Potential for more than minimal harm
2020-02-28
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2020-03-31
D · Potential for more than minimal harm
2020-02-28
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 2020-03-31
D · Potential for more than minimal harm
2020-02-28
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 2020-03-31
D · Potential for more than minimal harm
2020-02-28
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-03-31
D · Potential for more than minimal harm
2020-02-28
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2020-03-31
D · Potential for more than minimal harm
2020-02-28
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2020-03-31
D · Potential for more than minimal harm
2020-02-28
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 2020-03-31
D · Potential for more than minimal harm
2020-02-28
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2020-03-31
D · Potential for more than minimal harm
2020-02-28
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 2020-03-31
D · Potential for more than minimal harm
2020-02-28
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 2020-03-31
D · Potential for more than minimal harm
2020-02-28
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 2020-03-31
D · Potential for more than minimal harm
2020-02-28
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 2020-03-31
D · Potential for more than minimal harm
2020-02-28
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 2020-03-31
E · Potential for more than minimal harm
2018-08-09
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 2018-09-18
E · Potential for more than minimal harm
2018-08-09
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2018-09-18
E · Potential for more than minimal harm
2018-08-09
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 2018-09-18
D · Potential for more than minimal harm
2018-08-09
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 2018-09-18
D · Potential for more than minimal harm
2018-08-09
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 2018-09-18
D · Potential for more than minimal harm
2018-08-09
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 2018-09-18
D · Potential for more than minimal harm
2018-08-09
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2018-09-18
D · Potential for more than minimal harm
2018-08-09
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2018-09-18
D · Potential for more than minimal harm
2018-08-09
F687 · Quality of Life and Care Deficiencies
Health
Provide appropriate foot care.
Corrected 2018-09-18
D · Potential for more than minimal harm
2018-08-09
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 2018-09-18
D · Potential for more than minimal harm
2018-08-09
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2018-09-18
D · Potential for more than minimal harm
2018-08-09
F742 · Quality of Life and Care Deficiencies
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected 2018-09-18
D · Potential for more than minimal harm
2018-08-09
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 2018-09-18
D · Potential for more than minimal harm
2018-08-09
F770 · Administration Deficiencies
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2018-09-18
D · Potential for more than minimal harm
2018-08-09
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2018-09-18
D · Potential for more than minimal harm
2018-08-09
F825 · Quality of Life and Care Deficiencies
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2018-09-18
D · Potential for more than minimal harm
2018-08-09
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 2018-09-18
Penalties and ownership
What sits behind the stars
Ownership
Quinto Guardian LLC
5% Or Greater Direct Ownership Interest · Organization
Kohn 2020 Family Trust
5% Or Greater Direct Ownership Interest · Organization
Ukr Consulting LLC
5% Or Greater Direct Ownership Interest · Organization
Cibc Bank Usa
5% Or Greater Mortgage Interest · Organization
D'alesandro, Kevin
Operational/Managerial Control · Individual
D'alesandro, Kevin
Corporate Director · Individual
Danielle Lowinger 2006 Trust
5% Or Greater Indirect Ownership Interest · Organization
David Lowinger 2006 Trust
5% Or Greater Indirect Ownership Interest · Organization
Kohn Fam Tr Gst Exempt Uad 3-25-13
5% Or Greater Indirect Ownership Interest · Organization
Marquis Limited LLC
Operational/Managerial Control · Organization
Michael Lowinger 2006 Trust
5% Or Greater Indirect Ownership Interest · Organization
Nfr 2020 Irrv Tr
5% Or Greater Indirect Ownership Interest · Organization
Nutraco LLC
Operational/Managerial Control · Organization
Posen, Mindee
Corporate Officer · Individual
Presidential Holdings At Maryland LLC
5% Or Greater Indirect Ownership Interest · Organization
Reliant Pro Rehab LLC
Operational/Managerial Control · Organization
Rizqui, Ibrahim
Operational/Managerial Control · Individual
Rsbrmk Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Sk 2013 Investment Tr Ua 03252013
5% Or Greater Indirect Ownership Interest · Organization
Tryko Guardian Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Uak 2020 Irrv Tr
5% Or Greater Indirect Ownership Interest · Organization
Yr 2013 Investment Trust U/A/D 3/25/13
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Future Care Irvington
Baltimore, MD
4-star overall rating with 3-star inspections with $8,417 in total fines with 13 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#2
Ridgeway Rehab Center
Catonsville, MD
3-star overall rating with 3-star inspections with $37,805 in total fines with 24 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Frederick Villa Healthcare
Catonsville, MD
3-star overall rating with 2-star inspections with 30 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
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