Above average — CMS composite of the measures below.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Broadmead during CMS and state inspections, most recent first.
Unlabeled Opened Food Items in Kitchen Storage: During a kitchen tour, multiple opened and used food items were found in two walk-in refrigerators without labels or use-by dates, including sauces, dressings, hummus, horseradish, mayo, and pickle chips. An staff member stated that opened or used items should have been labeled with a use-by date.
The facility failed to maintain accurate records of staff COVID-19 vaccination status. Record review showed that four recently hired direct care staff members had no documentation of their COVID-19 vaccination status in their immunization records. The HR Director stated the facility did not collect employee COVID-19 vaccination data, and a spreadsheet presented by the DON and Infection Preventionist did not include those staff members. The DON later validated the deficiency.
Improper documentation of the primary decision maker for end-of-life decisions was identified for a resident reviewed for Advanced Directives. Two physicians documented that the resident lacked decision-making capacity, yet the MOLST later indicated the orders were based on discussion with and informed consent from the patient. The SW acknowledged the inconsistency, and the DON validated the concern.
Failure to Monitor and Provide Care for Urinary Difficulty: A resident with recent cystourethroscopy and lithotripsy had a required urology f/u that was not documented, and the appt was missed without explanation. After admission, the resident reported dark, tea-colored urine and concern about not urinating, then left AMA overnight with the spouse; the DON confirmed the resident’s condition was not monitored and appropriate care was not provided.
Respiratory Care Deficiencies: Two residents receiving oxygen via nasal cannula had tubing that was not labeled with the date of change, and an LPN observed that a resident was receiving 3 L/min of oxygen when the order required 4 L/min for SOB. Staff stated the tubing and humidifier should be labeled when changed, and the DON acknowledged the concerns.
A resident’s oxygen tubing was observed lying on the floor from the bathroom to the bed during two separate observations. An LPN stated the tubing was not supposed to touch the floor but said the resident kept it there because of a behavior issue. The resident’s record included notes about removing oxygen tubing and lack of safety awareness, but no documentation about the tubing being placed on the floor. The DON confirmed the tubing should not be on the floor due to infection prevention.
A resident did not receive the prescribed medication, Cefdinir, for 5 days after being discharged from the hospital, resulting in 11 missed doses. The error was confirmed by the DON and discussed with the Administration Team.
Pharmacy continued to prepackage Lasix 40mg for a resident after the medication was placed on hold. An LPN discovered the error during a medication pass, and the DON confirmed that the medication should not have been included in the package.
The facility failed to address a pharmacy recommendation in a timely manner for a resident. The pharmacist recommended discontinuing PRN artificial tears and melatonin due to no use in over six months. The medications were not discontinued until a month later, despite the facility's process requiring timely action. The delay was due to the interim DON not addressing the recommendation promptly, and the task was delegated to another staff member who failed to act.
The facility failed to store food in accordance with professional standards for food safety. During a kitchen tour, it was observed that several food items, including cans of black-eyed peas, boxes of salt, spice containers, and avocado smash, were missing expiration dates. A staff member confirmed the absence of expiration dates and stated they would verify the usability of these items.
Unlabeled Opened Food Items in Kitchen Storage
Penalty
Summary
Food items stored in the kitchen were found opened and used without labels or use-by dates during a tour of the kitchen on 11/17/2025 at 08:00 AM. In Walk in Refrigerator #1, staff found 1 gallon [NAME] sauce with red raspberries, 2 bottles of Sweet Baby Ray's BBQ sauce, 2 bottles of buffalo sauce, 1 gallon each of salad dressings including Ranch, Golden Italian, and French, a 3-pound hummus container, and a 32 oz horseradish container without labeling. In Walk in Refrigerator #2, staff found 1 gallon of mayo, 1 gallon of Harachino sauce, and 1 gallon of pickle chips without labels. During interview at 08:15 AM, staff #8 stated that all opened or used items should have had a label with a use-by date and that staff would need re-education on labeling and dating food items. The Nursing Home Administrator was informed of the kitchen findings on 11/19/2025 at 10:12 AM and acknowledged the concern.
Incomplete Staff COVID-19 Vaccination Records
Penalty
Summary
The facility failed to maintain accurate records of staff COVID-19 vaccination status. During record review of five recently hired direct care staff members, four staff members did not have documentation of their COVID-19 vaccination status in their immunization records. The Infection Preventionist and DON confirmed that staff immunization records are managed by HR, and the HR Director stated that the facility did not collect data regarding employees' COVID-19 vaccination status. A spreadsheet later presented by the DON and Infection Preventionist listed staff vaccination information, including initial vaccine, booster, and additional doses, but it did not include any data for the four staff members whose records were reviewed. When asked how the facility monitors and/or offers the COVID-19 vaccine to new staff hires, the DON and Infection Preventionist did not provide an answer, and the DON later validated the deficiency.
Improper Documentation of Primary Decision Maker for End-of-Life Decisions
Penalty
Summary
Facility staff failed to properly document the primary decision maker for end-of-life decisions for one resident reviewed for Advanced Directives. The resident’s capacity certifications were completed by two physicians, both of whom documented that the resident was not capable of making and communicating decisions regarding medical care. Despite those certifications, the MOLST completed later stated that the orders were entered as a result of a discussion with and the informed consent of the patient, which contradicted the earlier findings about the resident’s decision-making capacity. During interviews, the Social Worker acknowledged that the two certifications indicated the resident was not capable of making decisions, yet the MOLST was signed by the resident afterward, and the DON validated the concern.
Failure to Monitor and Provide Care for Urinary Difficulty
Penalty
Summary
The facility failed to ensure appropriate treatment and care were provided according to orders and the resident’s condition for one resident who had urinary difficulty. The resident had been hospitalized for a cystourethroscopy with lithotripsy and the discharge summary instructed a urology follow-up within 7-10 days after discharge, but there was no documentation of that follow-up in the resident’s record. Facility staff later confirmed that the scheduled urology appointment was not attended, and there was no documentation explaining why it was missed. After admission to the facility, the resident had several progress notes related to urinary difficulty. On 9/17/25 at 10:30 PM, the resident reported dark, tea-colored urine. A later note stated the resident left against medical advice overnight around 11:30 PM because he/she was not urinating and was concerned about the color of the urine; the spouse took the resident by wheelchair by car with all belongings and refused to sign AMA papers or use ambulance transport. During interview, the DON verified that the resident’s health condition was not monitored and appropriate care was not provided after the voiding issue was noted.
Respiratory Care Deficiencies
Penalty
Summary
The facility failed to provide safe and appropriate respiratory care by not labeling oxygen tubing with the date of change for two residents receiving oxygen therapy. During observation, Resident #46 and Resident #49 were seen using nasal cannula oxygen tubing without any label showing when the tubing had been changed. Record review showed Resident #46 had an order for oxygen at 2L to 4L/min via nasal cannula every shift for COPD, and Resident #49 had an order for oxygen at 2L/min continuously every shift for COPD. On continued observation the next day, the oxygen tubing remained unlabeled. Staff interviews indicated that oxygen tubing and humidifiers should be labeled when changed, and the DON acknowledged that the tubing should have been labeled. The facility also failed to administer oxygen as prescribed for Resident #23. During observation, Resident #23 was receiving oxygen at 3 L/min via nasal cannula, but the resident's order was for oxygen at 4 L/min via nasal cannula for shortness of breath. An LPN verified the flow meter was set at 3 L/min and confirmed the order was for 4 L/min, then adjusted the flow meter to 4 L. The DON was informed of the finding and acknowledged the concern.
Oxygen Tubing Left on Floor
Penalty
Summary
Provide and implement an infection prevention and control program was cited after surveyors observed that Resident #23’s oxygen tubing was lying on the floor in the resident’s room. During the initial tour, the resident’s oxygen tank was observed in the bathroom and the tubing extended from the tank to the bed across the floor. A second observation the next morning showed the tubing still lying on the floor in the same manner. An LPN stated that nurses manage residents’ oxygen equipment and acknowledged that the tubing was not supposed to touch the floor, but said the resident kept it there because of a behavior issue and that this had been documented. Review of the resident’s progress notes showed multiple entries about behaviors such as removing oxygen tubing and lack of safety awareness, but there was no documentation regarding the oxygen tube being placed on the floor. The DON later confirmed that the oxygen tube should not be placed on the floor due to infection prevention.
Medication Administration Error
Penalty
Summary
The facility failed to ensure that a resident received medications in accordance with professional standards of practice. Specifically, Resident #10 was discharged from the hospital with orders to receive Cefdinir twice a day for 9 days starting on 02/21/2024. However, the resident did not receive the medication until 02/26/2024, resulting in 11 missed doses. This deficiency was confirmed through a medical record review and an interview with the Director of Nursing, who acknowledged the medication error and findings in the facility investigation. The issue was discussed with the Administration Team at the time of exit on 03/21/2024.
Medication Packaging Error
Penalty
Summary
Pharmacy continued to prepackage a medication for Resident #29 after the medication was placed on hold. During a medication pass observation, an LPN discovered that Lasix 40mg was included in the prepackaged medications for Resident #29, despite the medication being placed on hold five days earlier. The medical record confirmed that the medication was put on hold on 3/15/24. The Director of Nursing confirmed that medications are delivered every two days and acknowledged that the Lasix should not have been included in the package.
Failure to Address Pharmacy Recommendation in a Timely Manner
Penalty
Summary
The facility failed to address a pharmacy recommendation in a timely manner for Resident #20. The pharmacist recommended discontinuing PRN artificial tears and melatonin due to no use in over six months. This recommendation was initially made on 1/25/24, but the medications were not discontinued until 2/26/24. The delay was due to the interim Director of Nursing (DON) not addressing the recommendation promptly, despite the process requiring skilled unit recommendations to be addressed within 24 hours and long-term care unit recommendations before the next Medication Regimen Review (MRR). The same recommendation appeared again in February 2024, prompting the Medical Director to finally discontinue the medications on 2/26/24. Interviews with facility staff revealed that the interim DON had delegated the task to another staff member, who failed to address it. The Director of Nursing confirmed the process for handling MRRs, highlighting the discrepancy in the timely handling of the pharmacist's recommendations. The deficiency was shared with the Administration Team at the time of exit on 3/21/24.
Food Storage Deficiency
Penalty
Summary
The facility failed to store food in accordance with professional standards for food safety. During an initial tour of the facility kitchen, it was observed that two cans of black-eyed peas, two boxes of classic salt, several spice containers including ground ginger, and two containers of avocado smash were missing expiration dates. Staff member (#8) confirmed during an interview that these items did not have expiration dates and stated they would check to ensure the items were not expired and could be used.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Cockeysville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Maryland Masonic Homes Ltd | 0.8 mi | ★★★★★ | 0 | 0 |
| Lorien Mays Chapel | 3.1 mi | ★★★★★ | 24 | 0 |
| Stella Maris, Inc. | 4.7 mi | ★★★★★ | 0 | 0 |
| Chestnut Grn Hlth Ctr Blakehur | 6.6 mi | ★★★★★ | 13 | 0 |
| Orchard Hill Rehabilitation And Healthcare Center | 6.6 mi | ★★★★★ | 42 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.