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F0921
D

Failure to Maintain Safe and Functional Resident Room Environment

Baltimore, Maryland Survey Completed on 02-24-2026

Penalty

Fine: $55,890
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to maintain a safe, sanitary, comfortable, and functional environment in a specified resident room, resulting in multiple unresolved maintenance issues. During an interview in that room related to a complaint, a resident reported that staff had not ensured a safe interior environment. A subsequent tour of the room with the Maintenance Director identified that the bathroom grab bar next to the toilet was not firmly attached to the wall, and the bathroom floor tile was missing and cracked, making it difficult for residents to roll in and out of the bathroom using a wheelchair or walker. Additional observations included a cable cover plate that was not attached to the wall, a ceiling with visible water damage and marked brown areas, a nightstand with a broken handle, and damaged walls throughout the room with peeling paint and scrapes, particularly at the head of the beds. These conditions were directly observed by surveyors and were cited under F584 for failure to ensure a safe, easy to use, clean, and comfortable environment for residents, staff, and the public in that room.

Long-term care team reviewing survey readiness and plan of correction

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