Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 Citizens Care And Rehabilitation Center Of Frederi during CMS and state inspections, most recent first.
Food Temperatures Not Properly Monitored or Documented: Several residents reported that hot foods were typically served cold, and review of dietary logs showed many missing internal cooking temperatures and missing holding/serving temperature documentation. A random check of meal temperatures on multiple units found several hot items served below the facility's stated standard, with one dinner lacking a recorded holding temperature. The dietary GM confirmed cooks and servers were responsible for checking temperatures and that some log entries were missing.
A resident's dignity was not respected when two nursing assistants entered the room with a lunch tray without knocking, announcing themselves, or waiting for permission. Both staff later confirmed they should have knocked, and the ADON stated staff were expected to knock or announce their presence before entering if their hands were full.
A resident who was completely dependent on staff for shower assistance did not receive the scheduled showers. The MDS showed the resident needed full staff help, the unit schedule called for 2 showers per week, and GNA documentation instead showed partial baths on scheduled shower days with no evidence of actual showers in the reviewed records. The Unit Mgr reviewed the documentation with the surveyor but did not provide supporting evidence that the showers occurred.
A resident with a stage IV heel pressure ulcer missed multiple ordered dressing changes, and the charting did not explain why the care was not completed. The wound specialist also noted bacteria in the wound area and recommended a change to a silver alginate dressing, but the resident’s order was not updated to reflect that recommendation. In a separate finding, a high-risk resident with an air mattress was observed with the mattress set incorrectly on static pressure instead of the ordered alternating pressure setting, and staff had signed the monitoring order despite the incorrect setting.
Medication error rate exceeded 5% after surveyors observed 2 medication errors during med passes. An LPN gave a resident a half tablet of allopurinol from packaging labeled 50 mg even though the order had changed to 100 mg, and another nurse measured psyllium powder with a spoon and gave only a teaspoon instead of the ordered tablespoon for a resident with constipation.
Meals were not served according to predetermined menus for multiple residents. A resident who was supposed to receive a fortified dessert for malnutrition was given ice cream instead, and two other residents did not receive items listed on their meal tickets, including a muffin, banana, and grits. Staff confirmed the missing or substituted items during the dining observations.
A resident with respiratory failure with hypoxia had an oxygen order entered as continuous every shift, but the care plan reflected bedtime and PRN use instead. Surveyors observed the resident without the nasal cannula in place and later found the resident on no O2 while the MAR showed the day shift nurse had signed that oxygen was administered continuously; the nurse stated the resident only used O2 when in bed and confirmed he had signed the continuous order.
Staff failed to use required PPE for residents on EBP. A nurse provided oral care and G-tube care for one resident with a trach and G-tube while wearing gloves only, and another nurse performed G-tube site care for a second resident without a gown. A third resident with a urinary catheter had no EBP signage or gowns available, and a GNA was observed transferring the resident and preparing for a shower while wearing gloves only. Staff stated they misunderstood or did not fully understand EBP requirements, and the IP nurse confirmed the residents were on EBP and that PPE and signage were expected.
A resident with cognitive and psychiatric diagnoses reported missing money from a personal lock box. The facility's investigation included staff interviews but did not include interviews with other residents who might have had relevant information. Facility leadership acknowledged that not all investigative avenues were explored, resulting in an incomplete investigation of the alleged misappropriation.
Staff did not ensure that all prior MOLST forms in a resident's electronic medical record were properly voided as required, resulting in both voided and un-voided copies of the same forms being present. This did not meet accepted professional standards for maintaining accurate medical records.
The facility failed to ensure proper food safety and hygiene practices, affecting all 158 residents. Observations revealed unlabeled, undated, and expired food items in storage, improper dishwashing protocols, and staff not wearing appropriate hair coverings. The General Manager and Administrator acknowledged the need for compliance and training.
The facility failed to discard expired insulin pens from five medication carts, including those in the RCU, second-floor LTC, third-floor LTC, and memory care units. Observations revealed that several insulin pens were used beyond their 28-day expiration period, with some lacking proper labeling. The DON confirmed that insulin pens should be checked for correct open dates and discarded if expired, which was not followed.
The facility failed to maintain proper infection control during blood glucose testing and wound care. LPNs did not perform hand hygiene or use barriers as required, and a Treatment Nurse did not change gloves or perform hand hygiene during wound care for a resident with a stage IV pressure ulcer. These actions were contrary to facility policy, placing residents at risk for infections.
A facility failed to conduct a required Level II PASARR evaluation for a resident with PTSD, bipolar disorder, and anxiety, who was readmitted with a Level I PASARR indicating the need for further evaluation. The social worker confirmed the oversight, noting that counseling was considered unhelpful due to the resident's low BIMS score, and the VA did not provide further counseling upon readmission.
A facility failed to include a condom catheter in a resident's care plan, despite a physician's order. The resident, with multiple health issues and moderate cognitive impairment, was at risk for incomplete care. The DON and Unit Manager confirmed the omission, which violated the facility's policy for comprehensive care planning.
A facility failed to update a comprehensive care plan for a resident with multiple pressure and non-pressure ulcers. Despite changes in the resident's wound status, the care plan was not revised to reflect the healing of certain wounds and the development of new ones. The Unit Manager acknowledged the oversight, and the Director of Nursing confirmed the care plan should represent the care being provided, which it did not.
An LPN in an LTC facility was observed using a Novolog Insulin Pen on one resident and preparing to use the same pen on another, contrary to facility policy. The surveyor intervened, and the LPN acknowledged the mistake. Interviews confirmed that each resident should have their own pen to prevent bloodborne pathogen transmission.
The facility failed to provide and document education on the benefits and risks of pneumonia and influenza immunizations for three residents after vaccine refusals. The Infection Preventionist was unaware of some refusals, and the Administrator expected education to be documented. This oversight placed residents at risk for pneumonia and influenza.
Food Temperatures Not Properly Monitored or Documented
Penalty
Summary
The facility failed to ensure that residents received meals at a safe and palatable temperature. During an initial tour on 3/16/26, several residents reported that the facility's food was typically cold for hot foods. A review of the food service temperature logs for January 2026 showed missing internal cooking temperatures for multiple lunch, dinner, and breakfast meals on numerous dates, and the review also lacked documentation for holding and serving temperatures for breakfast on several dates. A random review of holding temperatures for lunch and dinner on the Memory Care, Rehab, 2nd, and 3rd floor units showed several hot foods below the facility's stated standard of 140 F or above, including seasoned potato wedges at 129 F, lemon butter angel hair at 125 F, mashed potatoes at 115 F, chicken alfredo with broccoli at 126 F, grilled ham and cheese sandwich at 119 F, lasagna at 120 F, beef stroganoff at 128 F, egg noodles at 133 F, sweet and spicy glazed chicken stir-fry at 117 F, and fish sticks at 129 F. One dinner had no recorded holding temperature. Staff #17, the dietary general manager, stated that cooks were expected to check internal food temperatures and servers were responsible for checking holding temperatures before service, and confirmed that holding and serving temperatures were missing from the log for some days.
Failure to Knock Before Entering Resident Room
Penalty
Summary
The facility failed to treat residents with respect and dignity by not knocking and requesting permission before entering a resident's room. During an observation on 3/16/26 at 12:28 PM, staff entered the room of Resident #75 with a lunch tray without knocking, announcing their presence, or waiting for permission to enter. In a later interview the same day, both nursing assistants confirmed they did not knock before entering and stated they should have done so. The Assistant Director of Nursing later stated that staff were expected to knock on residents' doors or announce their presence before entering rooms if their hands were full.
Failure to Provide Scheduled Showers
Penalty
Summary
The facility failed to ensure that a resident who was completely dependent on staff for showers received the scheduled showers. Resident #2 stated that showers occurred only a few times and did not happen regularly. The resident’s MDS showed complete dependence on staff for shower assistance, and the unit shower schedule called for 2 showers per week, or 8 per month. Review of GNA shower documentation showed that from January 1 to January 23, 2026, the resident received four partial baths on days scheduled for showers, and three partial baths were documented in February 2026. The record review did not show any evidence that the resident received showers in January or February 2026. During interview, the Unit Manager reviewed the documentation with the surveyor, and the interview did not provide supporting evidence that the resident received showers on the scheduled days.
Failure to Provide Ordered Wound Care and Implement Wound Specialist Recommendations
Penalty
Summary
The facility failed to ensure that a resident with a stage IV left heel pressure ulcer received ordered wound care on multiple occasions. The resident was admitted in December 2025 and was seen weekly by a wound specialist for pressure ulcers and skin tears. For the left heel ulcer, there was an order in effect from 2/4/26 to 2/18/26 to clean the wound with normal saline, apply mupirocin ointment, and cover it with a dressing every day and evening shift. The MAR showed a "9" on six occasions when the dressing change was due, and chart codes indicated that "9" meant the treatment was not completed and required review of nursing notes. Review of the nursing notes for those missed dressing changes did not show why the care was not performed; the notes only repeated the dressing order. A nurse confirmed that the code meant the dressing change was not completed for some reason and that the notes should have explained why it was not done. The ADON also reviewed the concern and no additional documentation was found by survey exit to show the dressing changes were completed as ordered on those six occasions. The same resident’s wound specialist note from 3/11/26 stated that bacterial fluorescence imaging showed bacteria in the periwound area of the left heel wound and recommended changing the dressing to calcium alginate with silver once daily and as needed. However, the resident’s current order remained normal saline cleansing, plurogel, and border dressing every day shift, and the record did not show that the specialist’s recommended change was implemented or addressed with the PCP. A nurse who attended wound rounds stated that the specialist’s recommendations were written down and entered into the system, but then acknowledged that the current order did not reflect the recommended change and that the order had been missed.
Medication Error Rate Exceeded 5 Percent
Penalty
Summary
The facility failed to maintain a medication error rate of less than 5%, with 2 errors identified out of 32 opportunities during medication observation involving 2 of 3 residents observed. One error involved a resident who had an order for Allopurinol 100 mg that had recently changed from 0.5 tablet daily to 1 tablet daily. During the medication pass, Nurse #12 prepared the medication from packaging that identified the tablet as 50 mg, but the nurse did not recognize that the tablet was a half tablet and administered it as part of the resident’s medications while signing the MAR as if 13 medications had been given, including Allopurinol 100 mg. After the observation, the nurse confirmed the tablet was the half tablet and stated she would give another 50 mg to make the full dose. The second error involved a resident with an order for Metamucil 1 tablespoon by mouth daily for constipation. During observation, Nurse #13 used a small plastic spoon to measure Reguloid powder and told the surveyor it was one teaspoon, then mixed it with water and administered it. Review of the record showed the resident was ordered Metamucil, a psyllium fiber product, in a tablespoon dose, and the nurse later acknowledged he only gave a teaspoon and stated, "I misread the order." The ADON also confirmed staff should use a medicine cup to measure powders and that the nurse had not used one.
Meals Served Did Not Match Predetermined Menus
Penalty
Summary
The facility failed to serve residents meals according to a predetermined menu that reflected their preferences, as shown in 2 of 3 dining observations. During a tray line observation on the second-floor unit, a test tray for Resident #38 listed pureed bread, pureed mandarin oranges, a Magic Cup, pureed Salisbury steak, gravy, cheddar mashed potatoes, and pureed summer squash and carrot medley, but the tray observed did not include the pureed bread, pureed mandarin oranges, or the Magic Cup. The Dietary General Manager stated the facility was out of Magic Cup and substituted regular ice cream. The RD stated Resident #38 was supposed to receive a Magic Cup at lunch for malnutrition and that it had more calories than ice cream, with an expectation that it be provided daily at lunch. During breakfast observations on the second-floor unit, Resident #5’s meal ticket listed Smart Balance buttery spread, a double chocolate chip muffin, fresh banana, cranberry juice, orange juice, and scrambled eggs, but the tray did not include the double chocolate chip muffin or the fresh banana; a speech therapist confirmed the resident did not receive the banana, and the muffin had been replaced with a plain muffin. In a separate breakfast observation, Resident #114’s meal ticket listed grits, Smart Balance buttery spread, orange juice, pancakes, and turkey sausage, but the tray did not include grits, which was confirmed by staff during the observation.
Incorrect oxygen order entry and inaccurate documentation
Penalty
Summary
The facility failed to ensure medical orders were entered correctly and that nurses documented accurate oxygen administration for one resident with a diagnosis of respiratory failure with hypoxia. The resident had an order for oxygen at 2 L/min continuously every shift with a start date of 12/30/25, but the care plan did not reflect continuous oxygen every shift; instead, it included oxygen at 2 L/min continuously at bedtime and as needed for shortness of breath. During observation on 3/16/26, the resident was sitting in a wheelchair watching TV with oxygen flowing at 2 L/min, but the nasal cannula was not on the resident and was coiled on the bed. A later observation on 3/18/26 found the resident in the room watching TV with no oxygen being administered, yet the day shift nurse had signed the administration record indicating oxygen was given continuously for that shift. When interviewed, the nurse stated the resident was on oxygen only when in bed and not during the day, then confirmed after reviewing the record that the order was for continuous administration and that he had signed it for his shift. The Assistant DON stated the resident had returned from hospitalization in December 2025 and the oxygen order had been entered as continuous rather than as needed, and acknowledged that nurses were signing the record as if oxygen had been administered continuously even though the resident only used oxygen at bedtime.
Failure to Use Required PPE for Residents on EBP
Penalty
Summary
The facility failed to ensure staff donned appropriate PPE for residents placed on Enhanced Barrier Precautions (EBP). For one resident with a G-tube and tracheostomy, signage on the door indicated EBP was required, and PPE supplies were available outside the room. During observation, a registered nurse provided oral hygiene after turning off and flushing the resident’s G-tube, but wore gloves only and did not wear a gown. The nurse later stated she believed gloves were required but not gowns because the resident did not have an active infection. For a second resident with EBP signage on the door, staff were observed performing a dressing change to the resident’s G-tube site while wearing gloves and a mask but no gown. The same nurse later stated she did not fully understand the meaning of the EBP signage. The Infection Preventionist Nurse stated that staff were expected to know what EBP means and which PPE to wear during direct care activities, and that training had been provided. A third resident had an order for EBP related to a urinary catheter, but no EBP signage was found in or outside the room and no gowns were available in or outside the room. During observation, a GNA transferred the resident and reported she was about to give a shower while wearing gloves only and no gown. The unit manager confirmed the resident was on EBP due to the urinary catheter and stated gowns and gloves were required for high-contact activities such as transferring, showering, and bathing. The Infection Preventionist Nurse confirmed the missing signage and lack of readily available PPE, and acknowledged the concern.
Failure to Thoroughly Investigate Missing Property Incident
Penalty
Summary
The facility failed to conduct a thorough investigation into an incident involving missing property reported by a resident's representative. The incident involved a resident with multiple diagnoses, including vascular dementia, depression, anxiety, and cognitive communication deficit, who had been residing in the facility for long-term care since October 2019. The resident reported approximately $500 missing from a lock box kept in their room. The facility's investigation included interviews with staff but did not include interviews with other residents who may have been potential witnesses or victims, despite the possibility that they could have relevant information. During interviews, the Nursing Home Administrator and Chief Operating Officer confirmed that resident interviews were not conducted, citing that the resident typically kept their room door closed and had the only key to the lock box. However, the lack of resident interviews was acknowledged as a concern by both administrators, and it was noted that the facility had not fully explored all possibilities regarding the missing funds. The deficiency was identified due to the incomplete investigative process, specifically the omission of resident interviews.
Failure to Properly Void and Maintain MOLST Forms in Medical Records
Penalty
Summary
Facility staff failed to ensure that all prior Maryland Orders for Life Sustaining Treatment (MOLST) forms in a resident's medical record were properly voided according to MOLST instructions. Review of the electronic medical record (EMR) for one resident revealed the presence of both voided and un-voided copies of multiple MOLST forms for the same dates, in addition to the most recent MOLST form. According to MOLST protocol, when a change is made to any order, the previous form must be voided by drawing a diagonal line through the sheet, writing VOID in large letters, and signing and dating below the line. While the paper record contained voided originals for all but the most recent MOLST, the EMR retained both voided and un-voided versions, which is not in accordance with accepted professional standards for maintaining medical records. The deficiency was identified during a review of the resident's EMR and confirmed through interviews with the facility Administrator and Corporate Nurse. The Administrator acknowledged that the EMR contained both voided and active copies of each MOLST form, despite the paper record being properly maintained. This failure to properly void and manage MOLST forms in the EMR resulted in noncompliance with requirements to safeguard resident-identifiable information and maintain accurate medical records.
Food Safety and Hygiene Deficiencies in Kitchen
Penalty
Summary
The facility failed to ensure proper food safety and hygiene practices in the kitchen, which had the potential to affect all 158 residents consuming food from the facility. Observations revealed that food items in the walk-in freezer, refrigerator, and dry storage were not labeled, dated, or sealed properly. Specifically, bags of chicken, sausage, and a metal container in the freezer lacked labeling and dating, while some items were expired. Similarly, the refrigerator contained expired items such as salami, boiled eggs, tuna, fortified pudding, feta cheese, and cut potatoes. Additionally, the dry storage room had a bag of dried cranberries that was not labeled, dated, or sealed. The facility also failed to adhere to proper dishwashing and personal hygiene protocols. Newly washed dishes were not allowed to air dry, as evidenced by wet metal pans and a wet Robot Coupe container. Furthermore, staff members, including the Dietary Manager and Dietary Aides, were observed not wearing appropriate hair coverings, which is against the facility's policy and FDA Food Code guidelines. The General Manager and Administrator acknowledged the need for compliance with food safety regulations and continuous training for kitchen staff.
Expired Insulin Pens Not Discarded
Penalty
Summary
The facility failed to ensure that expired insulin pens were discarded from five medication carts, which included the respiratory care unit (RCU) cart two, second-floor long-term care (LTC) medication carts one and two, third-floor LTC medication cart one, and memory care medication cart one. During observations, it was found that several insulin pens had exceeded their expiration dates but were still in use. For instance, on the RCU cart two, a Lantus insulin pen for a resident had an orange label indicating it should not be used after a certain date, and an Aspart insulin pen had an open date label, both of which were past the 28-day discard period. Similarly, on the second-floor LTC cart two, a Humalog insulin pen was found with an open date that exceeded the 28-day usage period. Further observations revealed additional expired insulin pens on other carts. On the second-floor LTC cart one, a Novolog insulin pen was found with an open date that had surpassed the 28-day discard period. On the third-floor LTC cart one, a Humalog insulin pen had an open date that was past the expiration, and another Humalog pen lacked an open date entirely. Additionally, an Aspart insulin pen on the same cart was also past its discard date. In the memory care medication cart one, a Novolog insulin pen had an unreadable open date, leading to its continued use beyond the recommended period. The Director of Nursing confirmed that the expectation was for insulin pens to be checked for correct open dates and discarded if expired, which was not adhered to in these instances.
Infection Control Deficiencies in Blood Glucose Testing and Wound Care
Penalty
Summary
The facility failed to implement and maintain proper infection control measures during blood glucose testing for four residents. Observations revealed that LPNs did not perform hand hygiene before or after the procedure, and glucometers were not placed on barriers as required by the facility's policy. In one instance, an LPN placed a dirty glucometer on top of clean supplies, and in another, the glucometer was cleaned without wearing gloves. These actions were contrary to the facility's policy, which mandates hand hygiene and the use of barriers to prevent contamination. Additionally, the facility did not ensure wound care was performed in a manner to prevent infection for a resident with a stage IV pressure ulcer. During a wound care observation, the Treatment Nurse did not change gloves or perform hand hygiene when transitioning from cleaning the wound to applying treatment. The nurse used the same gauze to clean both inside and around the wound, which is against proper wound care protocol. The nurse acknowledged the mistake, attributing it to nervousness. Interviews with the Director of Nursing, the Administrator, and the Infection Preventionist highlighted expectations for staff to follow infection control policies, including proper hand hygiene and equipment handling. However, the observed practices during blood glucose testing and wound care did not align with these expectations, placing residents at risk for infections.
Failure to Conduct Required Level II PASARR Evaluation
Penalty
Summary
The facility failed to ensure a Level II PASARR was obtained for a resident with serious mental illness, as required by Medicaid regulations. The resident, who was readmitted to the facility with diagnoses including PTSD, bipolar disorder, and anxiety, had a Level I PASARR completed during a psychiatric hospital stay in 2022. This Level I PASARR indicated that a Level II evaluation was necessary, as the resident met two of the three criteria for serious mental illness. However, the facility did not conduct the required Level II PASARR evaluation. During an interview, the social worker confirmed that the Level I PASARR from 2022 indicated the need for a Level II evaluation, which was not completed. The social worker mentioned that counseling was deemed unhelpful due to the resident's low BIMS score and that the VA did not provide further counseling upon the resident's readmission. This oversight placed the resident at risk of not receiving specialized services for their mental health conditions.
Failure to Document Condom Catheter in Care Plan
Penalty
Summary
The facility failed to develop a comprehensive care plan for a resident who was using a condom catheter. The resident, who was admitted with chronic kidney failure, malignant neoplasm of the pancreas, chronic respiratory failure with ventilator dependence, tracheostomy, and gastrostomy, was moderately cognitively impaired with a BIMS score of eight out of 15. Despite a physician's order dated 11/13/24 to maintain a 35mm condom catheter, the care plan did not document this aspect of the resident's care. During an interview, the Director of Nursing and Unit Manager confirmed that the condom catheter was not included in the care plan and acknowledged that it should have been added following the physician's order. The facility's policy mandates the development of a comprehensive, person-centered care plan that includes measurable objectives and timeframes to address the resident's needs as identified in their comprehensive assessment. The omission of the condom catheter from the care plan increased the risk of incomplete or inconsistent care for the resident.
Failure to Update Comprehensive Care Plan for Wound Management
Penalty
Summary
The facility failed to review and revise a comprehensive care plan for a resident, identified as R155, to reflect the resolution and development of pressure ulcers and non-pressure wounds. R155 was admitted with multiple diagnoses, including malignant neoplasm of the pancreas, chronic respiratory failure, and several pressure and non-pressure ulcers. The resident's Minimum Data Set (MDS) indicated a moderate cognitive impairment and a risk for developing pressure ulcers. Despite changes in the resident's wound status, such as the healing of certain wounds and the emergence of new ones, the care plan was not updated to reflect these changes. The care plan, dated 11/26/24, only included the wounds present at admission and did not document the healing of the right 4th toe, sacrum, and left and right plantar foot wounds, nor the addition of new pressure wounds to the right heel and right buttock. During an interview, the Unit Manager admitted to not updating the care plan when wounds healed or new ones were found. The Director of Nursing confirmed that the care plan should represent the care the resident was receiving, which it did not. The facility's policy stated that the comprehensive care plan should be reviewed and revised as necessary when a resident experiences a status change, which was not adhered to in this case.
Insulin Pen Misuse During Medication Administration
Penalty
Summary
The facility failed to adhere to its policy regarding the use of insulin pens, which states that each pen must be used only for a single resident and never shared. During a medication administration observation, an LPN was seen using a Novolog Insulin Pen on one resident and then preparing to use the same pen on another resident. The surveyor intervened before the second administration occurred, prompting the LPN to acknowledge the mistake and express that they should have obtained a new pen for the second resident. Interviews with the Unit Manager and the Director of Nursing confirmed that the facility's policy requires each resident to have their own individual insulin pen. The incident involved two residents, one of whom was almost administered insulin with a pen previously used on another resident, posing a risk of bloodborne pathogen transmission. The Director of Nursing confirmed the policy and acknowledged the error when informed of the incident.
Failure to Provide Education on Immunization Risks and Benefits
Penalty
Summary
The facility failed to ensure that education on the benefits and risks of immunizations for pneumonia and influenza was provided after refusals for vaccinations for three residents. The facility's policy required that education be documented in the clinical record prior to offering pneumococcal and influenza immunizations. However, for Resident 36, the responsible party refused the pneumococcal vaccine, and no documented education was provided. For Resident 20, a voicemail was left for the responsible party to obtain consent for the influenza and pneumococcal vaccines, but no follow-up was conducted, and no education was documented. Resident 80's responsible party agreed to the vaccine, but the resident refused, and no education documentation was provided, nor was there an attempt to contact the responsible party for assistance. During interviews, the Infection Preventionist expressed concern about not always being informed of vaccine refusals and acknowledged the need to review the immunization process. The Administrator stated that the expectation was for the Infection Preventionist to review vaccines and refusals and provide education on the risks and benefits, with documentation in the resident's records. The lack of documented education placed the residents at risk for pneumonia and influenza.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 442 citations issued within 25 miles in the last 12 months — including the 5 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Frederick
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Frederick Crossing Of Journey | 1.5 mi | ★★★★★ | 38 | 0 |
| Northampton Manor Nursing And Rehabilitation Cente | 1.8 mi | ★★★★★ | 26 | 0 |
| Homewood Living Frederick | 3 mi | ★★★★★ | 12 | 0 |
| Autumn Lake Healthcare At Braddock Heights | 4.6 mi | ★★★★★ | 3 | 0 |
| Autumn Lake Healthcare At Glade Valley | 5.2 mi | ★★★★★ | 5 | 0 |
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