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Future Care Old Court

5412 Old Court Road, Randallstown, MD 21133 · For profit - Corporation · 141 certified beds · (410) 922-3200 Medicare & Medicaid certified

Call the home — (410) 922-3200 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0602) — cited Dec 2024
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a strong health-inspection score (5/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • lower-than-typical staff turnover (35% vs 45% nationally) — better care continuity
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0602), cited Dec 2024
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

5/5
CMS overall
5 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 5 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
5305 Old Court Rd · (410) 505-0818 · Call to confirm hours
Pharmacy
5401 Old Court Rd · (410) 701-4455 · Call to confirm hours
Grocery
5316 Old Court Rd · (410) 496-1501 · Call to confirm hours
Park
3834 Fernside Rd · (410) 887-0700 · Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 4 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 3 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 3 to 4 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased12.1%20.4%15.4%better
Long-stay residents who lose too much weight7.3%5.4%5.4%worse
Long-stay residents with a catheter left in their bladder0.1%0.5%0.9%better
Long-stay residents with a urinary tract infection0.2%1.5%2.0%better
Long-stay residents with depressive symptoms15.5%22.8%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury2.1%2.4%3.3%better
Long-stay residents whose ability to walk worsened9.7%22.2%16.1%better
Long-stay residents on antianxiety or hypnotic medication6.0%16.7%18.9%better
Long-stay residents given the seasonal flu vaccine99.1%96.6%95.3%typical
Long-stay residents with pressure ulcers5.8%5.9%4.7%worse
Long-stay residents with worsening bladder/bowel control18.1%25.0%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table13.7%13.8%17.1%better
Short-stay residents who newly got an antipsychotic medication1.8%1.1%1.4%worse
Short-stay residents given the seasonal flu vaccine98.7%80.6%79.4%better
Short-stay residents rehospitalized after admission24.0%21.0%22.6%typical
Short-stay residents with an outpatient ER visit11.6%9.8%12.0%typical
Long-stay hospitalizations per 1,000 resident days1.961.331.67worse
Long-stay outpatient ER visits per 1,000 resident days1.081.201.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

56.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 266 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

56.7%U.S. median 51.5%
Got home and stayed home
9.6%U.S. median 10.7%
Went back to hospital
64.5%U.S. median 56.6%
Met the expected recovery
0.29U.S. median 0.31
Therapy hours / resident / day
0.14hours / resident / day
Physical therapy
0.11hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 64.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 141 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.29 therapist hours per resident per day in 2026Q1 — more than 45% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF56.7%CMS range 49.4–64.151.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.6%CMS range 7.5–12.210.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge64.5%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge56.7%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge61.0%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting93.6%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge97.1%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened4.1%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.3%CMS range 3.8–8.87.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.051.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.87
RN hours/ resident / day
0.75
LPN hours/ resident / day
2.01
Aide hours/ resident / day
3.63
Total nurse hours/ resident / day
0.66
RN hoursweekends
35.3%
Total nursing turnover
20.0%
RN turnover

How full it usually is: this home is certified for 141 beds and averages 137.4 residents a day — about 97% occupied, or roughly 4 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.63 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.87 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.01 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.29 hrs/resident/day on weekends vs 3.77 on weekdays — 13% thinner on weekends. RN hours go from 0.96 to 0.66 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 35% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

2
deficiencies at the latest standard inspection (2026-03-17)
10
at the previous standard inspection (2024-12-12)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.

  • Potential for harm · E2026-03-17 · tag F0944 — pattern
    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and staff interviews, it was determined that the facility failed to ensure staff received ongoing Quality Assurance and Performance Improvement (QAPI) training. This deficient practice was evident for 4 of 5 employee files reviewed during the annual survey.The findings include:On 03/13/2026 at 10:45 AM, a review of Geriatric Nursing Assistant (GNA) #4, GNA #13, GNA #14 and GNA #15 employee files failed to show evidence of ongoing QAPI training following initial hire. The GNA hire dates ranged from 2010 through 2025, indicating continued employment without documented QAPI training.During an interview on 03/13/2026, with the Administrator, the surveyor inquired about the facility's QAPI training for staff. The Administrator stated the facility conducts performance improvement town hall meetings; however, the meetings do not include required ongoing QAPI training. The surveyor informed the Administrator of the missing QAPI training for GNA #4, GNA #13, GNA #14 and GNA #15.On 03/17/2026 at 9:27 AM, the Administrator acknowledged that ongoing QAPI training had not…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-17 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interviews with facility staff, it was determined that the facility failed to a keep a sanitary environment in the kitchen. This was evident during the initial observation of the kitchen during the annual re-certification survey. The findings include: Observation on 03/10/2026 at 8:05 AM: During the initial tour of the kitchen with Staff #9, the Dietary Manager, the following conditions were observed: At least five torn areas on the floor were noted, with the underlying red brick exposed. In the dishwashing area, the floor was torn in several places, and the red brick underneath was exposed. A rusted bait trap was observed under the triple sink. Chipped flooring was noted in the corner by the walk-in freezer and the walk-in refrigerator. The baseboard was detached from the walls in the dishwasher area. The baseboard behind the ice machine was chipped and detached from the wall separating the walk-in freezer and walk-in refrigerator. The ceiling above the walk-in refrigerator, adjacent to the ice machine, showed peeling with visible light-colored large pieces…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-12-12 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on the kitchen tour and staff interview, it was determined that the facility failed to ensure that stored food items were properly labeled and dated. This deficient practice has the potential to affect all residents in the facility. The Findings Include: On 12/04/24 at 07:45 AM, during the initial kitchen tour with the Certified Dietary Manager (Staff#10), the following deficiencies were observed: 1. The walk-in refrigerator revealed a stand-alone plastic bag of chicken breast, approximately 20 frozen pieces, and a plastic bag of link sausages that did not have labels and were not dated. 2. A bottle of honey was found in the dry storage area with a prep date of 11/26/2024 and a used date of 12/03/2024. Staff #10 stated, honey is good for 3 years. 3. The dry food section had a container of graham crackers in individual packets that were not dated. An original box of graham crackers had a date. However, there was no way to identify which box the individual crackers came from. 4. Two of one gallon bottles of Cattlemen's BBQ Sauce: one had a sticker label with prep on 11/30/2024…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-12-12 · tag F0947 — failed to train nurse aides adequately — widespread
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews and administrative record review, it was determined that the facility failed to provide all geriatric nursing assistants (GNA) with the required annual dementia training. This deficient practice was evident for 32 out of 43 GNA's reviewed during the survey. The findings include: On 12/09/2024 at 8:59 AM, review of employee records for GNA #27, GNA #28, GNA #29, and GNA #31 failed to show evidence of required annual dementia training. During an interview with the Director of Nursing (DON) #2 on 12/09/24 at 10:43 AM she explained that annual competency for GNA includes a skills fair. The fair covers education on dementia care, abuse prevention and reporting, resident rights, infection control, and additional in-services to address any concerns that may have arisen during the year. The DON #2 reported that the most recent skills fair was held on 6/27/24. On 12/9/24 at 11:48 AM, a review of the in-service dementia training provided during the GNA annual skills fair, compared to the facility's current list of active GNA's, revealed that only 11 out of 43 employees…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-12 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, it was determined that the facility failed to ensure residents were treated with respect and dignity while assisting residents with meals. This was evident for 1 (Resident #283) of 1 resident observed being fed by staff. The findings include: On 12/10/24 at 1:00 PM, the surveyor observed Geriatric Nursing Assistant (GNA, Staff #46) standing over Resident #283 when feeding the resident. On 12/10/24 at 1:06 PM, an interview with agency GNA #46 revealed that she was agency staff and she was not aware that staff should not stand when feeding residents. On 12/11/24 at 8:43 AM, an interview with agency GNA (Staff #45) revealed that she was agency staff and she was not aware that staff should not stand when feeding residents. On 12/11/24 at 12:43 PM, an interview with the Staffing Coordinator (Staff #22) and the Nursing Home Administrator (NHA, Staff #1) revealed that agency GNAs are not educated on maintaining resident dignity pertaining to feeding upon working at the facility. Staff #22 indicated that GNA's are educated on such skills in school to…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-12 · tag F0602 — failed to protect residents from theft of their belongings — isolated
    Protect each resident from the wrongful use of the resident's belongings or money.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on reviews of a facility reported incident, interviews, and record review, it was determined that a staff member had removed money from a resident's account without permission. This was evident for 1 of 36 facility reported incidents reviewed during an annual recertification survey. The findings include: On 12/06/2024 at 12:09 PM, a review of the facility-reported incident, MD00183120, reported on 11/16/2022, revealed an allegation of misappropriation of funds. Resident #23 reported that she/he did not have his/her checkbook. Resident #23's daughter reported that two checks had cleared Resident #23's account, one for $600 and another for $400. Resident #23's bank confirmed that the name on the two checks was Geriatric Nursing Assistant (GNA) #32. The facility confirmed that GNA#32 worked as an agency GNA on 11/16/2022 on 7-3 and 3-11 shifts. The investigation conducted by the facility determined that two checks totaling $1000 were written to GNA #32 and were cashed. Resident #23's bank blocked her/his account and reimbursed Resident #23. The Nursing Home Administrator (NHA)…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-12 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview with staff, it was determined that the facility failed to timely report an allegation of abuse to the State Agency, the Office of Health Care Quality (OHCQ), immediately but not later than 2 hours after the allegation of abuse was made. This was evident for 2 (Resident #34 and #147) out of 15 residents investigated for abuse during the survey. The findings include: 1) On 12/5/2024 at 1:45PM, the Surveyor reported an allegation of abuse which involved Resident #34 to the Nursing Home Administrator (NHA) #1. On 12/6/2024 at 11:38AM, the NHA #1 provided the Surveyor with the Facility Reported Incident (FRI) initial report form for the abuse investigation. During a review of the FRI document, the Surveyor discovered that the report was completed on 12/6/2024 at 9:45AM and not within the two-hour timeframe. During an interview with NHA #1 and Regional Nurse #3 on 12//6/2024 at 1:40PM, the Surveyor confirmed that the FRI initial report form was not completed within the two-hour timeframe of the abuse allegation. 2) On 12.06.24 at 2:00 PM the surveyor…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-12-12 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview with residents and staff, it was determined that the facility failed to develop and implement a comprehensive care plan for residents. This was evident for 1 (Resident #103) out of 61 residents reviewed during survey. The findings include: A care plan is used to summarize a person's health conditions, specific care needs, and current treatments and outlines what needs to be done to plan, assess, and manage a resident's care. On 12/9/2024 at 7:00AM, during an interview with Geriatric Nursing Assistant (GNA) #55, the Surveyor was informed that residents are scheduled to have two showers a week and showers are usually given during the 7AM-3PM shift or 3PM-11PM shift. During review of Resident #103's task care report for November 2024 and December 2024 on 12/9/2024 at 1:30PM, the Surveyor discovered a GNA task for showers/tub bath on Mondays and Thursdays during the 3pm-11pm shift. Further review revealed documentation of N, the resident did not receive a shower or RR, the resident refused a shower on Mondays and Thursdays from November through…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-12 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview with staff, it was determined that the facility failed to facilitate timely care plan meetings after a resident's quarterly assessment to allow the resident and resident representative to participate in the care planning process. This was evident for 1 (Resident #48) out of 2 residents investigated for care planning during the survey. The findings include: Interdisciplinary team (IDT) is a team of medical professionals that provide specific patient centered care to the residents within a facility. The MDS (Minimum Data Set) is a standardized, comprehensive assessment of a resident's functional, medical, psychosocial, and cognitive status to develop a plan of care based on the resident's individualized needs. A care plan is used to summarize a person's health conditions, specific care needs, and current treatments and outlines what needs to be done to plan, assess, and manage care. Care plans are developed, reviewed, and/or revised by the IDT after the completion of a comprehensive MDS assessment (Admission, Annual, Quarterly, Significant Change)…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-12 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record reviews and interviews, it was determined that the facility failed to provide the necessary Range of Motion (ROM) exercises for a resident in the functional maintenance program. This was evident for 1 (Resident #11) out of the 5 residents reviewed for mobility during the survey. The findings include: A functional maintenance program (FMP) is a set of activities designed to help residents maintain or improve their functional abilities, including range of motion (ROM), after therapy. The program aims to maintain the strength, independence, and functionality gained during therapy and prevent or slow further decline in function. On 12/04/24 at 08:09 AM, during an interview with Resident #11, she/he stated that staff did not provide ROM exercises to his/her wrist and hands. The resident had a history of multiple sclerosis with contractures (permanent restriction to the ROM of a joint). On 12/09/24 at 09:15 AM, the restorative aide (staff # 23) was interviewed. She explained that her job as a restorative aide is to carry out the orders written by the Physical Therapist…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 12 citations
  • Potential for harm · D2024-12-12 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview with resident and facility staff, it was determined that the facility failed to offer and provide showers to a dependent resident twice per week. This was evident for 1 (Resident #103) of 2 residents investigated for Activities of Daily Living (ADL) during the annual survey. The findings include: On 12/4/2024 at 11:40AM, the Surveyor conducted an interview with Resident #103, which revealed that the resident would like to have a shower and that he/she had not had a shower in a long while. On 12/9/2024 at 7:00AM, during an interview with Geriatric Nursing Assistant (GNA) #55, the Surveyor was informed that residents are scheduled to have two showers a week and showers are usually given during the 7AM-3PM shift or 3PM-11PM shift. During review of Resident #103's task care report for November 2024 and December 2024 on 12/9/2024 at 1:30PM, the Surveyor reviewed a GNA task for showers/tub bath on Mondays and Thursdays during the 3pm-11pm shift. Further review revealed that the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-12-12 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview with staff, it was determined that the facility failed to ensure a physician's order for a STAT (without delay) x-ray was performed timely, preventing a delay in treatment. This was evident for 1 (Resident #34) out of 3 residents investigated for accidents during the survey. The findings include: On 12/4/2024 at 11:36AM, during an interview with Resident #34, the Surveyor was informed that the resident sustained an injury to his/her left ankle in June 2024 while attempting to be weighed using a wheelchair scale. On 12/6/2024 at 10:00AM, a review of Resident #34's electronic medical record revealed a change in condition note written on 6/14/2024 at stating the resident complained of left ankle pain and the resident stated that he/she got his/her left leg caught on the scale while he/she was being weighed on 6/13/2024. Further review of Resident #34's electronic medical record revealed an physician order for a STAT(without delay) x-ray placed on 6/14/2024 at 1:31PM and confirmed by Registered Nurse (RN) #56. The left x-ray exam was completed on…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-12 · tag F0730 — isolated
    Observe each nurse aide's job performance and give regular training.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews, and administrative record reviews, it was determined that the facility staff failed to complete annual nursing aide performance reviews. This was evident for 3 out 7 ( GNA #28, GNA #31, and GNA #53) nursing aide performance appraisals, reviewed during the survey. The findings include: On 12/09/2024 at 8:59 AM, the review of employee records for Geriatric Nursing Assistant (GNA) #28 revealed the last performance review was conducted on 8/29/18, and GNA #31 showed no evidence of a performance review. On 12/11/24 at 8:16 AM, the surveyor requested annual performance reviews for GNA #23, GNA #28, GNA #31, GNA #52, and GNA #53. On 12/11/24 at 9:44 AM, the surveyor received employee performance appraisal for GNA #23, and GNA #52. On 12/11/24 at 1:12 PM, the Administrator #1 informed the surveyor that Human Resource personnel were having difficulty locating the performance appraisals for GNA #28, GNA #31, and GNA #53. On 12/12/2024 at 7:08am, during an interview with the Human Resource Director (HR) #47 regarding the process for employee annual reviews, she explained…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-12-12 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview with staff, it was determined that the facility failed to maintain accurate medical records. This was evident for 2 (Resident #51 and #129) out of 61 resident records reviewed during the survey. The findings include: Maryland Medical Orders for Life-Sustaining Treatment (MOLST) is a form which includes medical orders for emergency medical services or other medical personnel regarding CPR (cardiopulmonary resuscitation) and other life-sustaining treatment options. Cardiopulmonary resuscitation (CPR) is a lifesaving technique used in emergencies in which someone's breathing or heartbeat has stopped. 1) On [DATE] at 12:26PM, a review of Resident #51's paper medical record revealed a MOLST form dated [DATE] and elected a full code status to attempt CPR. An additional review of Resident #51's electronic medical record revealed an Advanced Directive Note which indicated the resident was to remain a Full Code and that an updated MOLST form was completed to reflect that on [DATE]. Do…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-12 · tag F0943 — isolated
    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on a review of a Facility Reported Incident, resident interview, and staff interviews, it was determined that the facility failed to ensure that the agency Geriatric Nursing Assistant (GNA) had received the annual abuse education required to work with long-term care residents. This was evident for 1 (staff #32) of 3 GNAs reviewed for abuse education during the survey. The findings included: During an interview on 12/05/24 at 12:58 PM with Resident #23, the resident's daughter stated there had been an incident of missing checks. Upon further questioning, Resident #23's daughter stated that a GNA had stolen and cashed two checks, but the funds were reimbursed. On 12/06/24 at 11:50 AM, the Surveyor requested the Facility Reported Incident for the above incident. On 12/06/2024 at 12:09 PM, a review of the facility-reported incident, MD00183120, reported on 11/16/2022, revealed an allegation of misappropriation of funds. Resident #23 reported that she/he did not have his/her checkbook. Resident #23's daughter reported that two checks had cleared Resident #23's account, one for $600…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2019-12-23 · tag F0842 — failed to keep accurate, complete medical records — pattern
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on a review of the facility investigations, medical records, interviews with facility staff and other pertinent documentation it was determined that the facility failed to 1) document a Rehabilitation screen was done for resident #89, 2) document the correct dates on a narcotic sheet for Resident #123) and 3.) accurately document on the controlled drug receipt record for a resident that received a narcotic medication (#173). This was true for 3 of 39 residents reviewed during the annual survey. The findings include: 1. Review of Resident #89's medical record on 12/16/19 at revealed on 6/15/19 the resident was noted with a bruise to the right upper inner arm. According to the facility investigation, it was determined that the bruise to the right upper inner arm was consistent with the leaning position of the resident in the wheelchair. The investigation noted the resident was referred to Rehab for positioning and seating. Continued review of the medical record failed to reveal a rehab screen and/or documentation that the resident was evaluated by rehab for seating and…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-12-23 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview it was determined the facility failed to 1) develop and implement an ADL care plan based on a comprehensive assessment that included special instructions/precautions for repositioning Resident #275 who was noted to have left-sided tenderness and pain; and 2) develop and implement a care plan that addressed nutrition and weight loss for Resident #274 who received nutrition via a feeding tube and was noted to have weight loss. This was evident for 2 of 4 residents reviewed for care plan development during this annual survey. The findings include: Activities of Daily Living (ADL), are the basic tasks of everyday life, such as eating, bathing, dressing, toileting, and transferring. A care plan is a guide that addresses the unique needs of each resident. It is used to plan, assess and evaluate the effectiveness of the resident's care. 1. Medical record review on 12/17/19 revealed Resident #275 was admitted to the facility with diagnoses that included but were not…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-12-23 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview it was determined the facility staff failed to: 1) consistently follow a physician's order for the administration of Insulin for Resident #86; and 2) develop and implement a plan to monitor Resident #119 during periods of excessive drowsiness due to the administration of multiple medications that have the potential to induce excessive drowsiness and compromise the resident's safety. This was evident for 2 of 4 residents reviewed for quality of care during this annual re-certification survey. The findings include 1) Medical record review on 12/17/19 revealed Resident #86 was admitted to the facility with a diagnosis of Diabetes. The resident had a physician's order, dated 11/7/19, for Humalog Kwikpen Solution with meals. KwikPen, is a mealtime insulin pen that can help the with treatment of diabetes by controlling high blood sugar. The physician's order instructed nurses to hold the medication if the resident's blood sugar was less than 120 milligrams per…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-12-23 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff and resident interview, it was determined facility staff failed to ensure the appropriate method for transferring a functionally impaired resident was utilized to ensure the resident's safety. This was evident for 1 of 3 residents (#114) reviewed for safety. The findings included: Medical record review on 12/17/19 revealed Resident #114 had a history of Muscle Weakness and Communication Deficit. Facility staff initiated a care plan on 8/17/19 that addressed ADL self-care performance deficit related to deconditioning. The care plan did not include interventions for transferring the resident. Activities of Daily Living, or ADLs, are the basic tasks of everyday life, such as eating, bathing, dressing, toileting, and transferring. Review of the quarterly MDS assessment dated [DATE] revealed the facility staff coded the resident in Section G Functional Status G0110 Activities of Daily Living B- Transfers as a 3/3 (required the extensive assistance of 2 staff). The Minimum Data…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-12-23 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on medical record review and staff interview it was determined the facility staff failed to establish and maintain a system for ensuring accuracy in weight measurements for a nutritionally compromised resident (Resident #274). This was evident for 1 of 3 residents reviewed for possible weight loss. The findings include: The facility failed to evidence the use of a consistent method of weighing Resident #274 who was nutritionally compromised. Medical record review on 12/18/19 revealed Resident #274 was admitted to the facility with diagnoses that included but were not limited to Cerebrovascular Accident (stroke), Dysphagia (difficulty swallowing), Diabetes and Heart Disease. The facility's policy and procedure Obtaining Weights, with a revision date of 5/3/19, instructed staff to use the same equipment when weighing residents to provide consistency. A Dietary Note dated 10/7/19 at 13:16 noted the resident was at nutritional risk due to obesity. It was also noted that the resident was dependent on a feeding tube to meet 100% of his/her nutritional needs. A Dietary Note dated…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-12-23 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews with facility staff it was determined the facility failed to ensure that staff adhered to infection control policies and practices to prevent the spread of germs and transmission of infections. This was found to be evident during random observations throughout the survey and have the potential of affecting all residents. The findings include: 1. Observation of a lunch dining experience was done on 12/13/19 from 11:50 AM - 12:15 PM. Staff #10, the Quality Assurance Nurse, was sitting between Resident #53 and Resident #29. Resident #53 touched Staff #10's hand several times as she cut food for Resident #29. Staff #10 proceeded to feed both residents and did not wash or sanitize her hands when Resident #53 touched her hands. 2. Medication administration observation was done on 12/12/19 at 8:00 AM. Licensed Practical Nurse (LPN) #1 obtained Resident #28's blood sugar reading and after getting the result she returned to the cart to prepare medications. LPN #1 did not wash or sanitize her hands after obtaining a blood sugar test. Observation was made…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-12-23 · tag F0947 — failed to train nurse aides adequately — isolated
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on review of employee files, training records and staff interview it was determined the facility failed to ensure all nurses' aides received 12 hours of training, annually, that included abuse prevention and Dementia management, and addressed areas of weakness as determined in the nurse aides' performance reviews. This was evident for 2 of 4 geriatric nursing assistants (GNAs; #3 and #4) reviewed for training compliance during this annual re-certification survey. The findings include: During an interview with the surveyor on 12/13/19 at 7:26 AM, Resident #114 reported a concern about a potential incident of neglect by 2 GNA's. Review of the employee files for GNA #3 and #4, who provided care to the resident on the date of the alleged incident revealed they did not receive the required 12 hours of in-service training for the year 2019. The findings were discussed with the Regional Nurse Consultant on 12/23/19 at approximately 1:15 PM. Refer to F689

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to FUTURE CARE/LIFEBRIDGE HEALTH — 18 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 5 of 53.8+1.2 vs chain
Health inspection 5 of 53.4+1.6 vs chain
Staffing 4 of 53.5+0.5 vs chain
Quality measures 4 of 54.3-0.3 vs chain
The other 17 homes this chain runs (chain average 3.8★, per CMS)

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
FUTURECARE OLD COURT, INC.Organization5% OR GREATER DIRECT OWNERSHIP INTEREST60%since 07/01/2016
PRACTICE DYNAMICS, INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST40%since 07/01/2016
LIFEBRIDGE INVESTMENTS, INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST40%since 07/01/2016
ALVIN POWERS RESIDUARY TRUST FBO JEFFREY POWERSOrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 12/01/2025
ALVIN POWERS RESIDUARY TRUST FBO MARK POWERSOrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 12/01/2025
ATTMAN, GARYIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/01/2016
ATTMAN, LEONARDIndividualCORPORATE OFFICER; ADP OF THE SNFsince 07/01/2016
FINGLASS, BRIANIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/01/2016
SPADARO, JOHNIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/01/2016
FUTURE CARE HEALTH AND MANAGEMENT OF OLD COURT INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/01/2016
ATTMAN, JEFFREYIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 12/24/2025
GILDEN, SHELLYEIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 12/24/2025
LEVITAS, WENDEIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 12/24/2025
FUTURE CARE HEALTH AND MANAGEMENT CORPORATIONOrganizationADP OF THE SNFsince 12/23/2025
OLD COURT NURSING CENTER, LLCOrganizationADP OF THE SNFsince 02/02/1998
KEARNS, AMEEIndividualADP OF THE SNFsince 01/04/2019
POWERS, JEFFREYIndividualADP OF THE SNFsince 12/01/2025
POWERS, MARKIndividualADP OF THE SNFsince 12/01/2025

CMS files one row per role, so the 28 rows in the source record cover these 18 parties — each is shown once here with every role it holds. Nothing is omitted.

8 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$17.9M
Net patient revenuemost recent cost report
+0.3%
Operating marginrevenue minus expenses
$2.5M
Related-party expense14% of expenses
Who pays — share of resident-days
Medicaid 0%Medicare 13%Other / private 87%

This home reported $2.5M paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$373per resident / day
operating cost
$11,346per month
≈ monthly operating cost
$374per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MD

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Maryland Medicaid page.

Typical monthly cost in Maryland
$12,927/mo
Nursing home (semi-private)
$14,448/mo
Nursing home (private)
$7,173/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 215118. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-17, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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