Deer's Head Center

Location & what’s nearby

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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

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.

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.

Therapy staffing: this home’s payroll records show 0.66 therapist hours per resident per day in 2026Q1 — more than 91% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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.

Staffing

How full it usually is: this home is certified for 80 beds and averages 31.9 residents a day — about 40% occupied, or roughly 48 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 9.55 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 4.58 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 4.21 is at or above 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 7.51 hrs/resident/day on weekends vs 10.37 on weekdays — 28% thinner on weekends — a notable drop. RN hours go from 5.05 to 3.44 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 31% 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

Deficiencies are more than at the previous inspection — worsening. 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.

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.

19 citations, most serious first. The 11 most serious are shown; the remaining 8 are one tap away and print in full.

• Actual harm · Gcited before2024-07-12 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 review of records, observation, and interview, it was determined that the facility failed to keep residents safe from physical and verbal abuse. This was evident for 4 (Residents #27, #2, #11, and #28) of 10 residents reviewed for abuse, one of which was determined to have sustained actual harm (Resident #27). The Findings include: 1) On 7/10/24 at 10:14 AM, the surveyor reviewed the facility's investigation of an incident that took place between Geriatric Nursing Assistant (GNA) #36 and Resident #27. The review revealed that, on 5/30/23 at about 10:00 AM, GNA #36 was working with Resident #27 and was transporting him/her to the shower. During transport, the resident defecated onto the floor. The GNA responded by yelling at the resident, grabbing the resident's face and turning his/her head to the floor, saying 'Look at what you did, why would you do this?' This was witnessed by GNA #37, registered nurse (RN) #8, RN #38, and Assistant Director of Nursing (ADON) #4, although not all of them witnessed 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-16 · tag F0578 — failed to honor advance directives / code status — isolated
  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.
  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 interview it was determined that the facility failed to ensure that advance directives were discussed with residents and/or responsible representatives. This was found to be evident for 3 (Resident #5, #8 and #7) out of 6 residents reviewed for advance directives during the annual survey.The findings include: 1. An advance directive is a legal document that specifies a person's wishes for end-of-life healthcare. It also specifies who should make healthcare decisions on your behalf if you are unable to do so yourself. During a review of medical records for Resident #5 on [DATE] at 4:05 PM it was revealed that there was no advance directive in the medical records for Resident #5. There was also no documentation of an attempt to obtain any previously created advance directives or that education was provided to the resident or resident's representative about forming advance directives. During a review of medical records for Resident #8 on [DATE] at 4:10 PM it was discovered that…

  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 · Dcited before2025-12-16 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on facility investigation, medical record review and interviews, it was determined that the facility failed to prevent an incident of resident-to-resident sexual abuse. This was evident for 1 (Resident #20) of 1 resident reviewed for abuse.The findings Include:Brief Interview for Mental Status (BIMS) is a quick, standardized screening tool used primarily in healthcare, especially long-term care facilities, to assess cognitive function. Scores range from 0-15, with higher scores (13-15) indicating intact cognition, while lower scores suggest moderate (8-12) or severe (0-7) impairment.The facility's investigation related to Facility Reported Incident # 340863 was reviewed by the surveyor on 12/09/25 at 6:45 PM. In the investigation, the facility substantiated through a witness, Staff RN # 11, that on 02/21/25 Resident #16 engaged in oral sexual interactions with Resident # 20 who was severely mentally impaired and incapable of giving consent.On 12/09/25 at 7:00 PM a review of the clinical records of Resident #16 and Resident #20 revealed as follows:Resident #16 was admitted 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-16 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review and interviews, it was determined that the facility failed to provide adequate side effects monitoring for residents on psychotropic medications. This was evident for 2 (Resident #7 and #20) of 5 residents reviewed for unnecessary medications.The findings include:Psychotropic medications are drugs that affect the brain and central nervous system, altering mood, thoughts, perceptions, and behaviors. They are primarily used to treat mental health conditions, such as anxiety, depression, schizophrenia, and bipolar disorder.1) On 12/09/2025 at 6:00 PM a review of Resident #7's medical record revealed that he/she was admitted to the facility in March 2021 with diagnoses which included Major Depressive Disorder, Anxiety Disorder, Borderline Personality Disorder and End Stage Renal Disease.A review of Resident #7's active physician orders for psychotropic medications revealed the following:Abilify 5 mg 1 tablet by mouth every Day Start Date: 01/17/23Hydroxyzine HCL 25 mg I tablet by mouth on Tuesday, Thursday and Saturday at 6:00 AM Start…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-16 · tag F0812 — failed to store, cook, and serve food safely — isolated
  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 observations, interviews and record reviews it was determined that the facility failed to store food in a manner that maintains professional standards of food service safety. This practice had the potential to affect all residents eating food prepared by the facility's kitchen. The findings include:During the initial tour of the Kitchen with the Dietary Manager on 12/08/25 at 9:11 AM there were foods found opened, unlabeled and foods kept past the best by dates. The following foods were identified: In the Walk-in Freezer the following items were found: 1. A clear bag of burger patties that had been opened and removed from the box was undated and unlabeled.2. A box of Oatmeal Raisin Frozen Cookie Dough had been opened with the bag left open to air and was not resealed. The cookie dough was also undated and unlabeled after opening.During an interview with the Dietary Director on 12/08/25 at 9:27 AM she reported items that have been opened should have been covered and labeled with an expiration date. She agreed that the burger patties and cookie dough should have been 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-16 · 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 staff interviews, it was determined that the facility failed to 1) maintain appropriate infection control practices for a resident with an indwelling urinary catheter and 2) store clean laundry in a manner that minimized the potential for the spread of infection. This was evident for 1 (Resident #6) out of 1 resident reviewed for urinary catheters and 1 random observation of the laundry room during the annual survey.The findings include:1. An indwelling urinary catheter is a tube that remains in the bladder to drain urine into a collection bag. On 12/08/25 at 12:37 PM, the surveyor observed Resident #6 lying in bed with his/her urinary drainage bag hanging from the side of the bed and touching the floor. On 12/08/25 at 12:40 PM, an interview with Charge Registered Nurse (RN) #1 confirmed that she was the assigned nurse for Resident #6 and that the urinary drainage bag was touching the floor. Charge RN #1 stated that she had just lowered Resident #6's bed and acknowledged that the urinary drainage bag should not be touching the floor. On 12/09/25 at 9:42 AM,…

  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 · D2025-12-16 · 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 observations and interviews, it was determined that the facility failed to keep a sanitary environment in the laundry. This was evident during 1 random observation of the laundry room during the annual survey.The findings include:On 12/09/25 at 11:00 AM the surveyor did a walkthrough of the laundry room with Laundry Aide #6. The surveyor observed a large amount of white lint heaped on the floor next to a white dryer. A broom was resting on top of the lint heap. Laundry Aide #6 stated that he had cleaned the dryer at 7:00 AM and left the lint on the floor I should have put it in the trash, but I did not.Further observation of the laundry room revealed three small washing machines with spillage of a blue substance on their covers. Inside two of the washing machines were visibly dirty bleach dispensers. Thick blackened material was observed around the edges of the bleach dispensers.On 12/09/25 at 11:18 AM in an interview, the concerns regarding the laundry room were brought to the attention of Environmental Services Supervisor Staff #10 who stated that he would address 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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-12 · tag F0623 — isolated
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on a review of medical records and interview with facility staff and interview with resident's family, it was determined that the facility failed to provide written notice with the reason for transfer to a resident or resident representative. This was evident for one resident (Resident #13) out of one resident reviewed for hospitalization. This findings include: On 07/11/24 at 02:29 PM, during review of Resident #13's record, surveyors discovered a nursing progress note written by registered nurse (RN) #60 on 7/7/2024 at 5:24 PM that stated that Resident #13 was transferred to the hospital for a change in mental status on that date at 4:50 PM. The note stated that the resident's representative was made aware. However, the note did not indicate that a written notice of discharge was provided to the resident or their representative at that time. No other progress note indicated that a written notice of transfer was provided to the resident or their representative. On 07/11/24 at 04:10 PM, during and interview with RN #44, she was asked about the protocols for documenting…

  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 · D2024-07-12 · tag F0625 — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of medical records and interview with facility staff, it was determined that the facility failed to implement a process to ensure that residents and resident representatives were made aware of the facilities bed hold policy upon transfer to the hospital. This was evident for one resident (Resident #13) out of one resident reviewed for hospitalization. This findings include: On 07/11/24 at 02:29 PM, during record review, surveyors discovered a nursing progress note written by registered nurse (RN) #60 on 7/7/2024 at 5:24 PM that stated that Resident #13 was transferred to the hospital for a change in mental status at 4:50 PM of the same day. The note stated that the resident's representative was made aware and the resident was sent out via physician' s order. There was no mention of a bed hold policy noted in the note. On 07/11/24 at 04:05 PM, surveyors conducted an interview with RN #44. When she was asked about the protocol for when a patient is to be sent to the hospital, she stated that nurses document in the electronic record and a packet is given to 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-12 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review and interviews it was determined that the facility staff administered a psychotropic medication that was contraindicated for Dementia, failed to monitor a resident for extrapyramidal side effects, and failed to complete a gradual dose reduction in the past year. This deficient practice was evidenced in 1 (#21) of 1 resident record reviewed for unnecessary psychotropic medications during the survey. The findings include: According to the Mayo Clinic )a not-for-profit academic medical center), Quetiapine is used alone or together with other medicines to treat bipolar disorder (depressive and manic episodes) and schizophrenia. Quetiapine extended-release tablet is also used together with other antidepressants to treat major depressive disorder. This medicine should not be used to treat behavioral problems in older adult patients who have dementia or Alzheimer disease. Quetiapine is an antipsychotic medicine that works in the brain. On 07/08/24 at 12:55 pm during observation rounds the surveyor entered Resident #21's room and observed the resident in a…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-12 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview with facility staff, it was determined that the facility failed to ensure the medication error rate was less than 5 percent. This was evident for 2 (#28, #42) of 4 residents observed with 32 medication administration opportunities which resulted in an error rate of 31.25% by 2 (#55, #58) of 4 staff observed. The findings include: On 7/11/24 at 8:45 AM the surveyor walked up, introduced self, and advised that they wanted to observe med (medication) pass. Registered Nurse (RN) #55 stated she just came from administering morning medications to Resident #28 who complained of 7/10 throat pain and wanted to see if he/she has a PRN (as needed) pain medication ordered. Upon scrolling through the electronic health record (EHR) she then stated, he/she does have an order for PRN acetaminophen 500mg (milligrams), 2 tablets. RN #55 dispensed the medication and at 8:47 AM entered Resident #28's room and administered the medication. On 7/11/24 at 9:20 AM, review of Resident #28's medical record revealed an order for Good Sense Pain Relief Extra…

  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.

  Pharmacy Service 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.

Fines & penalties

$41,265 in federal fines across 1 penalty.

• $41,265 — penalty dated 2024-07-12

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 3 rows in the source record cover these 1 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

What families pay in MD