Above average — CMS composite of the measures below.
The next survey window likely opens around January 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 Future Care Chesapeake during CMS and state inspections, most recent first.
The facility did not ensure that nursing staff completed and had documentation of annual clinical skills competency training. A GNA employed for multiple years had no recorded annual clinical skills competency training over an extended period, and an RN lacked documentation of such training for two consecutive years. The facility’s written policy addressed only annual performance evaluations and did not include requirements for annual clinical skills training for RNs, LPNs, or GNAs. During interviews, the DON and HR manager confirmed they could not provide proof of skills competency evaluations for the affected staff, and these findings were shared with surveyors at exit.
Surveyors identified that required annual performance evaluations for GNAs were not consistently completed or documented. A review of several GNA personnel files showed that one GNA had no annual evaluations on file for multiple consecutive years, and another GNA lacked evaluations for two years. These evaluations are intended to identify clinical competency skills that GNAs should improve or maintain based on the mandated annual 12-hour competency skills training. When the findings were discussed with the DON and Human Resources, leadership confirmed they could not provide evidence that the annual evaluations had been performed for the identified periods.
Surveyors found multiple sanitation and food storage deficiencies in the kitchen, including canned beverages stored directly on the floor near a floor drain, an open undated spice container, debris in a floor drain beneath the dishwasher, used plastic gloves on the floor, broken floor tiles with standing gray water, and brown stains on a wall by a handwashing sink. In a refrigerator, hard-boiled eggs and muffins were wrapped together without labels or dates, and applesauce containers were past their labeled use-by date. In dry storage, a broken floor tile partially covered a missing section of flooring, and a box of condiments lacked a received date while other items were properly dated. Staff acknowledged concerns about missing dates, expired and unlabeled food, debris in drains, and damaged flooring holding standing water.
A resident’s medical record did not accurately reflect current diagnoses in relation to a prescribed psychotropic/anticonvulsant medication. The care plan identified a potential safety risk related to a seizure disorder, and a medication order listed Lamotrigine as being given for seizures, while a psychiatric note documented Lamotrigine use for Bipolar Disorder. Despite these entries, the resident’s diagnosis list did not include a seizure disorder, and staff acknowledged there was no documentation confirming such a diagnosis, resulting in incomplete and inconsistent medical records.
The facility failed to secure and store medications safely, as observed during a survey. Insulin pens were improperly stored outside refrigeration, loose pills were found in a medication cart, and a medication cup was left at a resident's bedside. Additionally, an unlocked medication cart was left unattended in a hallway, highlighting lapses in medication security protocols.
Facility staff failed to provide necessary ADL care, such as showers and incontinence care, for a resident with advanced dementia who was dependent on them. The resident did not receive scheduled showers or bed baths, and personal hygiene was not documented on several occasions. Staff training indicated 'N/A' should not be used unless the resident was unavailable, but there was no evidence the resident was out of the facility on those days.
The facility failed to maintain accurate medical records for residents, as evidenced by discrepancies in medication administration, missing lab results, and incorrect documentation of service dates. Interviews confirmed that a resident refused Boost VHC despite records showing administration, a BMP lab was not conducted for another resident, and a physician's note contained an incorrect service date.
The facility failed to report allegations of abuse and injuries within the required timeframe for three residents. A resident's abuse allegation was reported late, another resident's injury was initially misclassified, delaying the report, and a third resident's fall with injury was not reported at all. The DON and Administrator acknowledged these reporting failures.
A resident experienced multiple falls, but the facility failed to update the care plan to reflect these incidents. The oversight was confirmed by the Regional Clinical Services Manager, who noted that the care plan had not been revised to include the falls.
A resident fell during a transfer from bed to wheelchair when a GNA improperly attempted to pull them by their pants from behind the bed, despite the resident's warning about improper leg positioning. The resident required partial/moderate assistance, and the Rehabilitation Director confirmed that the GNA should have stood in front of the resident for a safe transfer.
The facility was found to have several infection control deficiencies, including improper storage of personal items in the laundry area, lack of Enhanced Barrier Precautions (EBP) signage for two residents with specific medical needs, and a nurse eating in the clean utility room against policy.
The facility failed to maintain an effective pest control program, as evidenced by the presence of flies in the kitchen and gnats in the conference room. Despite regular pest control treatments, issues with ants, fruit flies, and roaches persisted, indicating inadequate pest management.
Failure to Maintain Annual Clinical Skills Competency Documentation for Nursing Staff
Penalty
Summary
The facility failed to ensure that nursing staff completed annual skills-based competency training, resulting in missing documentation of clinical skills competency for selected staff. During an employee record review on 02/04/2026, the surveyor found that a GNA hired on 01/28/2014 had no evidence of annual clinical skills competency training documentation in the personnel file for the years 2015 through 2024. The same review showed that an RN hired on 06/22/2022 lacked documentation of annual clinical skills training for 2023 and 2024. The facility’s performance evaluation policy, provided to the surveyor, addressed only annual performance evaluations based on job descriptions and did not reference annual clinical skills training. The facility did not provide a policy related to annual clinical training for licensed RNs, LPNs, or GNAs prior to the exit conference. In an interview on 02/04/2025 at 12:00 noon, the DON and HR manager confirmed the absence of skills competency evaluations for the identified staff and stated they were unable to provide proof of such evaluations, and these findings were discussed during the exit conference on 02/04/2026. No resident-specific medical histories or conditions were described in the report, and the deficiency centers on the lack of documented annual clinical skills competency training for nursing staff as identified through administrative record review and staff interviews.
Failure to Complete Required Annual Performance Evaluations for GNAs
Penalty
Summary
The facility failed to ensure that annual performance evaluations for Geriatric Nursing Assistants (GNAs) were completed at least every twelve months, as required. During a review of four GNA personnel files conducted between 10:00 AM and 12:00 noon on 02/04/2026, surveyors found that GNA #15, hired on 01/28/2014, had no annual performance evaluations documented for the years 2016 through 2026. In addition, GNA #9, hired on 07/26/2023, did not have annual performance evaluations present for 2024 or 2025. The annual performance evaluation is used to identify which clinical competency skills each GNA should improve or maintain based on the required annual 12-hour competency skills training. At 12:00 noon on 02/04/2026, the surveyor reviewed these findings with the Director of Nursing and the Human Resources Manager, and the Human Resources Manager confirmed that the facility could not provide evidence that the required annual performance evaluations had been completed for the identified time periods. This deficient practice was discussed with facility leadership during the exit conference on 02/04/2026.
Unsanitary Kitchen Conditions and Improper Food Storage and Labeling
Penalty
Summary
Surveyors identified a failure to maintain the kitchen and food service areas in a sanitary manner and to properly store and label food items. During observation of the main kitchen, a box containing cans of ginger ale and tomato juice was stored directly on the floor near a hand sink floor drain. A spice rack held an open, undated container of dill weed that was approximately two-thirds full. Debris was seen in the floor drain beneath the dishwasher, and a pair of used plastic foodservice gloves was found on the floor near the dishwasher. Multiple broken floor tiles were noted near the dishwasher, with standing gray water present in the crevices, and brown, dried stains were observed on the wall adjacent to the handwashing sink. Further observations revealed additional food storage and labeling deficiencies. In a freestanding refrigerator in the kitchen, two hard-boiled eggs and two muffins were wrapped together in plastic wrap without any labels or dates, and two containers of applesauce were marked with a preparation date and a use-by date that had already expired at the time of observation. In the dry storage area, a broken floor tile was partially covering the area from which it was missing, and a box of condiments was stored on a shelf without any date indicating when the items were received, while other items in the area were appropriately marked with received dates. During an interview, staff acknowledged concerns related to missing dates on food items, expired and unlabeled food, debris in floor drains, used gloves on the floor, and broken tiles collecting standing water.
Inaccurate Medical Record Diagnosis for Psychotropic/Anticonvulsant Medication
Penalty
Summary
The facility failed to maintain medical records in accordance with accepted professional standards by not accurately documenting a resident’s current medical diagnosis in relation to prescribed medication. Medical record review showed a care plan problem dated 12/15/2025 identifying a potential safety risk related to a seizure disorder, supported by a medication order dated 12/02/2025 for Lamotrigine 200 mg daily “for Seizure,” and a psychiatric note dated 01/29/2026 stating the resident was taking Lamotrigine for a diagnosis of Bipolar Disorder. However, the resident’s Diagnosis Report, which listed all active diagnoses, did not include a seizure disorder diagnosis, and staff confirmed there was no diagnosis or medical documentation in the record verifying that the resident had a seizure disorder. This inconsistency between the care plan, medication indication, psychiatric documentation, and the formal diagnosis list resulted in medical records that did not accurately reflect the resident’s current diagnoses.
Medication Storage and Security Deficiencies
Penalty
Summary
The facility failed to ensure that medications were secured and stored safely, as evidenced by multiple observations during the recertification survey. In one instance, an unopened Lispro Kwikpen insulin pen for a resident was found in a medication cart, dated and labeled to be refrigerated until opened, but was not stored in a refrigerator. This was confirmed by the RN responsible for the cart, who acknowledged that the pharmacy instructions were not followed. Similarly, another insulin pen for a different resident was found in a similar condition in another LPN's medication cart. Additionally, loose pills were discovered in the bottom of the same LPN's medication cart drawer. Further deficiencies were noted when a medication cup with a pink tablet was found at a resident's bedside, contrary to the facility's expectations that medications should not be left unattended. The Assistant Director of Nursing confirmed the medication was PreserVision, as per the resident's physician orders. Moreover, an unlocked medication cart was observed unattended in a hallway, with several staff members and a resident passing by before a nurse eventually locked it. These observations indicate lapses in medication storage and security protocols within the facility.
Failure to Provide ADL Care for Resident with Advanced Dementia
Penalty
Summary
Facility staff failed to provide necessary activities of daily living (ADL) care, such as showers, dressing, and toileting, for a resident who was dependent on them for this care. The resident, who had advanced dementia and was previously on hospice care, was admitted to the facility for therapy after a fall and a broken arm. During the 15 days at the facility, the resident did not receive scheduled showers, with documentation marked as 'N/A' or 'no' on multiple occasions. Additionally, the resident did not receive bed baths on specific dates, and incontinence care and personal hygiene were not documented as provided on several occasions. An interview with a geriatric nursing assistant (GNA) revealed that staff were trained to document care provided, and 'N/A' should not be used unless the resident was unavailable. However, there was no evidence that the resident was out of the facility on the days marked 'N/A' for care. The Director of Nursing (DON) stated that 'N/A' was acceptable if the resident was not available, but the medical record did not support this claim.
Inaccurate Medical Records in LTC Facility
Penalty
Summary
The facility failed to ensure the accuracy of residents' medical records, as evidenced by discrepancies found during a recertification survey. For one resident, the Medication Administration Record (MAR) inaccurately documented the administration of Boost VHC, despite the resident's refusal to consume it, preferring chocolate milk instead. This discrepancy was confirmed through interviews with the resident and their assigned Geriatric Nursing Assistant (GNA). Another resident's medical records lacked a Basic Metabolic Panel (BMP) lab result, which was supposed to be drawn due to concerns about the resident's declining oral intake and potential dehydration. The Nursing Home Administrator confirmed that the lab test was not conducted after contacting the laboratory company. Additionally, an error was found in the documentation of a Facility Reported Incident (FRI) involving another resident. The physician's note inaccurately recorded the date of service, which was later corrected by the Director of Nursing after consulting with the physician. The physician admitted to documenting the wrong date, which led to inaccuracies in the investigation timeline of the FRI. These findings highlight the facility's failure to maintain accurate and reliable medical records for its residents.
Failure to Timely Report Allegations of Abuse and Injuries
Penalty
Summary
The facility failed to report allegations of abuse to the state agency within the required timeframe for three residents. For Resident #100, an allegation of abuse was reported to facility staff on 10/6/23 at 12:15 PM, but the report was not sent to the state agency until 3:14 PM, exceeding the 2-hour reporting requirement. The Director of Nursing (DON) admitted that the facility lacked a process to ensure timely submission of such reports, which was confirmed by the Nursing Home Administrator (NHA). Resident #69 had an x-ray on 10/25/23 revealing an acute fracture, and was transferred to the ER. The injury was initially thought to be from a previous fall, but later considered an injury of unknown origin. Despite this, the report was not submitted to the Office of Health Care Quality (OHCQ) until 10/31/23, well beyond the 2-hour requirement for serious bodily injuries. For Resident #2, a fall occurred on 9/9/22, resulting in a head injury, but there was no evidence that the state agency was notified. The Administrator confirmed the incident was not reported.
Failure to Revise Care Plan After Resident Falls
Penalty
Summary
The facility failed to ensure that a resident's care plan was revised in a timely manner following multiple falls. During a review of the medical records for a resident, it was discovered that the resident experienced falls on three separate occasions. Despite these incidents, the care plan for falls had not been updated to reflect these events. This oversight was confirmed during an interview with the Regional Clinical Services Manager, who acknowledged that the care plan had not been revised to include the falls that occurred on the specified dates.
Improper Transfer Technique Leads to Resident Fall
Penalty
Summary
The facility failed to ensure the safety of a resident during a transfer from the bed to an electric wheelchair. On the specified date, a Geriatric Nursing Assistant (GNA) attempted to assist the resident in transferring from a lying position to a sitting position on the side of the bed. The resident informed the GNA that their legs were not properly positioned against the mattress, which was necessary for a safe transfer using a transfer board. Despite this, the GNA proceeded to pull the resident by their pants from behind the bed, resulting in the resident sliding off the bed and onto the floor. A review of the resident's Minimum Data Set (MDS) mobility assessment indicated that the resident required partial/moderate assistance for moving from lying to sitting on the side of the bed without back support. The Rehabilitation Director confirmed that the resident required one-person assistance when using the transfer board and that the GNA should have stood in front of the resident to perform the transfer safely. The incident highlights a failure in following proper transfer protocols, leading to the resident's fall.
Infection Control Deficiencies in Facility
Penalty
Summary
The facility failed to adhere to proper infection prevention and control practices during the annual recertification survey. During an initial tour of the laundry department, a surveyor observed an employee's personal backpack on the floor underneath the clean laundry folding table, which was acknowledged by the Housekeeping Floor Technician and the Laundry Aide as against the facility's expectations. Additionally, on Nursing Unit 1, the surveyor noted the absence of Enhanced Barrier Precautions (EBP) signage on the doors of two residents' rooms, despite physician orders for such precautions. The Assistant Director of Nursing/Infection Preventionist confirmed the lack of signage, which is required for residents with specific medical conditions such as catheters and enteral feedings. Further observations on Nursing Unit 3 revealed a Registered Nurse eating lunch in the clean utility room, which was against the facility's policy as stated by the Unit Manager. The Licensed Practical Nurse present also reminded the Registered Nurse of this policy. These incidents highlight lapses in maintaining infection control protocols, including the improper storage of personal items in clean areas and the failure to post necessary precautionary signage for residents requiring enhanced infection control measures.
Ineffective Pest Control Program
Penalty
Summary
The facility failed to maintain an effective pest control program, as evidenced by observations in the kitchen and conference room. During an initial tour of the kitchen, a surveyor observed a fly near the top shelf of the food storage rack in the dry storage room. The Certified Food Service Manager (CFSM) acknowledged the presence of the fly and mentioned that the pest control company is scheduled for service and treatment every other week. Additionally, on a separate occasion, surveyors observed gnats flying around in the conference room, and the Nursing Home Administrator (NHA) was seen swatting at a gnat while delivering documents to the surveyors. The review of ORKIN Pest Control Service Reports from March 2024 through August 2024 revealed multiple instances of pest issues, including ants, fruit flies, and roaches, in various areas of the facility. The reports indicated that treatments were conducted throughout the kitchen, storage areas, and office areas, with specific mentions of sanitation issues in the kitchen, such as drains and trash cans needing cleaning. Despite these treatments, the presence of pests during the survey indicates that the pest control measures in place were not effective in preventing or addressing the pest issues in the facility.
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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 Arnold
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Complete Care At Severna Park Llc | 4.2 mi | ★★★★★ | 6 | 0 |
| Fairfield Nursing & Rehabilitation Center | 5.7 mi | ★★★★★ | 48 | 0 |
| Autumn Lake Healthcare At Spa Creek | 6.1 mi | ★★★★★ | 11 | 0 |
| Baywoods Of Annapolis | 6.1 mi | — | 0 | 0 |
| Complete Care At Annapolis | 6.1 mi | ★★★★★ | 11 | 0 |
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