Above average — CMS composite of the measures below.
A standard survey is most likely before around September 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 Future Care Northpoint during CMS and state inspections, most recent first.
A resident's nephrostomy drainage bag was observed resting on a towel on the floor mat and, on another occasion, hanging from the bedrail with the cap touching the floor. An LPN explained the bag was placed on the towel to prevent leaks onto the floor and did not correct its position during the survey. Unit managers confirmed that urinary drainage bags should not touch the floor, and the infection control nurse acknowledged the non-compliance with infection control protocols.
A resident's right to a clean and comfortable environment was not honored when a heavily soiled privacy curtain, marked with brown stains, remained in place despite the resident's requests for it to be changed. Both an LPN and the DON confirmed the curtain's condition and acknowledged it was inappropriate for a resident's room.
Facility staff did not report an allegation of abuse by a GNA within the required 2-hour window and failed to submit the investigation results to the State Survey Agency within 5 working days. A resident reported rough care and an inappropriate comment by a night shift aide to the night nurse, but the incident was not reported to authorities as required, and facility leadership confirmed the omission.
A resident was transferred to an acute care facility for a change in medical condition, but there was no written evidence that the required bed hold policy notification was provided to the resident or their representative at the time of transfer. Documentation and staff interviews confirmed the absence of this notification.
A resident receiving medications via gastrostomy tube did not receive their prescribed medications at the scheduled time due to staff scheduling issues, and the nurse administering the medications failed to change gloves or wash hands after touching potentially contaminated surfaces before administration.
A resident with documented impaired vision and a need for corrective lenses was observed struggling to eat without glasses and confirmed difficulty seeing. Medical records showed a missed follow-up eye exam, and the DON could not verify if the resident received the required care, with an appointment only scheduled after surveyor intervention.
Two residents experienced inconsistent pain management, with PRN pain medications administered outside of physician-ordered parameters and without documentation of non-pharmacological interventions. Both the DON and an LPN confirmed that pain medications should be given according to orders and pain scales, but staff did not consistently follow these practices or document required interventions.
A required annual performance review for a GNA was not completed or documented, as confirmed by both the HRD and DON after a review of employee files and interviews. The missing evaluation was not found in any office files or binders, resulting in a deficiency related to staff performance monitoring.
A facility did not timely implement a consulting pharmacist's recommendation to document the rationale and duration for a resident's PRN lorazepam order, despite the prescriber agreeing with the recommendation. The PRN order remained active without a specified duration or rationale in the medical record, contrary to regulatory requirements.
A resident with impaired dentition did not receive timely periodic and annual dental exams by a dentist, despite multiple notes from the dental hygienist and a care plan indicating the need for dental follow-up. The exams were not scheduled or completed as required until after surveyor intervention, and facility staff confirmed the delay in providing these routine dental services.
Surveyors found excessive ice accumulation in both the main kitchen walk-in freezer and the second-floor nourishment room refrigerator/freezer, with dietary staff unaware of the preventive maintenance schedule. Residents' snacks and outside food were stored in these affected units.
Staff did not consistently discuss or document advance directives with several residents, and current copies of these legal documents were missing from medical records. Interviews confirmed that some residents were not offered the opportunity to complete advance directives upon admission, and required documentation of these discussions was not present until after surveyor intervention.
A resident who was fully dependent on staff for bathing, due to medical conditions including seizures and muscle weakness, did not receive any showers or baths for an entire month as scheduled. There was no documentation of care provided or of any refusal by the resident, and this was confirmed by facility nursing leadership.
Staff failed to maintain accurate and complete medical records for two residents. In one case, a physician's incapacity certification for one resident was incorrectly filed in another's record. In another instance, a resident received a dose of Dilaudid that was not documented in the medical record, as confirmed by the nurse who administered it.
Failure to Maintain Proper Positioning of Nephrostomy Drainage Bag
Penalty
Summary
Clinical staff failed to follow infection control protocols regarding the proper positioning of a nephrostomy drainage bag for a resident with urinary drainage needs. During a survey, it was observed that the resident's nephrostomy bag was placed on a towel on top of a floor mat next to the bed, rather than being hung off the floor as required. An LPN explained that the bag was placed on the towel to prevent urine from leaking onto the floor, and indicated that the bag had been properly hung at the end of her previous shift, suggesting the night shift may have moved it. The LPN did not correct the positioning of the bag during the observation. Further observations revealed that, on a subsequent day, the nephrostomy bag was hanging from the bedrail but the cap of the bag was touching the floor. Unit managers confirmed that urinary drainage bags should not be in contact with the floor. The infection control nurse was later notified of the issue and acknowledged the non-compliance with infection control policies regarding the proper hanging of nephrostomy drainage bags.
Failure to Maintain Clean and Homelike Resident Environment Due to Soiled Privacy Curtain
Penalty
Summary
The facility failed to provide a clean, comfortable, and homelike environment for a resident, as evidenced by a heavily soiled privacy curtain in the resident's room. The resident reported that the curtain was dirty and had requested it be changed, noting that in a previous room, a similarly soiled curtain was not changed for months despite staff being aware of its condition. During an interview and observation, both the Regional Mobile Director of Nursing and an LPN confirmed the curtain was dirty and soiled with brown marks, and the LPN acknowledged that this was not appropriate for a resident's environment. These findings were based on direct resident interviews and staff observations, with staff verifying the presence of the soiled curtain and acknowledging its unsuitability for the resident's living space.
Failure to Timely Report Alleged Abuse and Investigation Results
Penalty
Summary
Facility staff failed to report an allegation of abuse involving a resident within the required 2-hour timeframe and did not submit the results of the investigation to the State Survey Agency within 5 working days, as mandated by regulation. The incident began when a resident reported to a surveyor that a night shift Geriatric Nursing Assistant (GNA) was rough while providing care and made an inappropriate comment. The resident stated that this concern was reported to the night nurse. However, the Unit Manager (UM) was not aware of the allegation until informed by the surveyor and subsequently indicated she would follow up. Further interviews revealed that neither the initial self-report nor the final investigation report was submitted to the Office of Health Care Quality (OHCQ) as required. The DON confirmed that the facility did not report the allegation within the specified timeframes, citing the resident's later statement that the GNA's actions were not intentional. A review of facility records corroborated that the required reports were not made to the appropriate agencies, and no additional information was provided by facility leadership to validate that reporting occurred.
Failure to Provide Written Bed Hold Policy Notification Upon Hospital Transfer
Penalty
Summary
The facility failed to provide written notification of the bed hold policy to a resident and/or the resident's representative when the resident was transferred to an acute care facility due to a change in medical condition. Medical record review showed that the resident was admitted to the facility and later sent to an acute care hospital, but there was no written evidence in the medical record that the bed hold policy was given at the time of transfer. Documentation reviewed, including the change in condition transfer form, nurse's progress notes, and the eINTERACT SBAR Summary, did not indicate that the required notification was provided. Staff interviews confirmed that while the bed hold policy is typically signed and sent with the resident, no documentation could be produced to verify that this occurred for the resident in question.
Failure to Administer G-Tube Medications as Ordered and Lapse in Hand Hygiene
Penalty
Summary
A deficiency was identified when a registered nurse failed to administer medications to a resident with a gastrostomy tube according to the physician's orders and scheduled times. The resident, who was receiving long-term care and required multiple medications via G-tube, did not receive their medications at the scheduled 9 AM time. The delay in administration was attributed to the absence of a Certified Medicine Aide, which resulted in the nurse administering the medications later than ordered. Additionally, the nurse did not follow proper infection control procedures during medication administration. The nurse was observed touching the bathroom faucet and the resident's bed control without changing gloves or washing hands before administering the medications. The nurse acknowledged these lapses in both medication timing and hand hygiene during an interview with the surveyor.
Failure to Ensure Timely Vision Services for Resident
Penalty
Summary
A deficiency was identified when a resident was observed eating breakfast with their eyes closed, not wearing glasses, and using their hands to locate food items. During an interview, the resident confirmed difficulty seeing and was noted to have impaired vision on their most recent MDS assessment, with corrective lenses indicated as being used. The medical record showed an order for ophthalmology evaluation and treatment as needed, and a prior eye exam recommended a comprehensive follow-up in March 2024. Despite these documented needs and recommendations, there was no evidence that the required follow-up eye exam was provided as scheduled. The DON was unable to confirm whether the resident had received the necessary follow-up care, relying instead on a service provider's list of upcoming appointments. It was only after surveyor intervention that the resident was scheduled for an eye appointment, indicating a lapse in ensuring timely access to vision services as required by the resident's care plan and medical orders.
Failure to Ensure Safe and Consistent Pain Management
Penalty
Summary
Facility staff failed to provide safe and appropriate pain management for two residents, as evidenced by inconsistent administration of pain medications and lack of adherence to physician orders. One resident, who had a history of surgical amputation, diabetes, bacteremia, and atrial fibrillation, reported severe pain rated at 10/10 and stated that pain medications were not given regularly and were delayed. Review of clinical records showed that PRN Oxycodone was administered without clear parameters or pain scale, and was sometimes given for a pain score of 0, contrary to the intended use for moderate to severe pain. Additionally, there was no documentation of non-pharmacological interventions being attempted prior to administering PRN pain medications. A second resident, with diagnoses including urinary tract infection, aseptic necrosis of the femur, low back pain, atrial fibrillation, muscle weakness, and legal blindness, also reported chronic, severe pain that was not well managed. Clinical record review revealed that PRN pain medications, including Oxycodone and Acetaminophen, were administered without consistent use of pain scales or parameters, and were sometimes given for pain scores outside the ordered range, including for a pain score of 0. Again, there was no documentation of non-pharmacological interventions prior to medication administration. Interviews with the DON confirmed that PRN pain medications should be administered according to physician orders and that non-pharmacological interventions are expected to be attempted and documented prior to PRN medication use. However, the DON acknowledged that staff did not consistently document these interventions. An LPN also stated that pain medications should be given based on ordered parameters and pain scores, but records showed this was not consistently followed.
Failure to Complete Annual Performance Review for GNA
Penalty
Summary
The facility failed to conduct annual performance reviews for Geriatric Nursing Assistants (GNAs) as required. During a recertification survey, a review of two randomly selected GNA employee files revealed that one GNA, hired in April 2022, did not have a documented performance evaluation for the 2023 calendar year. The absence of this required evaluation was confirmed through examination of employee files and interviews with the Human Resources Director (HRD) and the Director of Nursing (DON). Both the HRD and DON were unable to locate the 2023 performance review for the GNA in question, despite searching through office files and binders. The HRD acknowledged that some performance reviews had not been filed and were possibly misplaced, but after a thorough search, neither the 2022, 2023, nor 2024 performance reviews for the GNA could be found. The DON also confirmed that she did not have copies of the missing performance reviews and only had access to a binder from the previous DON containing 2022 reviews. The lack of a documented performance review for the specified period was acknowledged by both the HRD and DON during the survey process.
Failure to Implement Pharmacist's PRN Psychotropic Medication Recommendations
Penalty
Summary
The facility failed to respond in a timely manner to recommendations made by the consulting pharmacist and agreed upon by the medical director regarding a resident's PRN lorazepam order. The pharmacist's monthly medication regimen review identified that the PRN lorazepam order lacked a specified duration, as required by CMS regulations, and recommended that the prescriber document both the rationale for continued use and the duration of the PRN order in the medical record. The prescriber agreed with the pharmacist's recommendation and signed the form, but did not document the required rationale or specify the duration in the resident's medical record. Subsequent review of the resident's medical orders showed that the PRN lorazepam order remained active with an indefinite end date and no documented rationale or duration in the medical record. Interviews with the DON and Regional Director of Operations confirmed that, prior to surveyor intervention, there was no documentation in the medical record addressing the pharmacist's recommendation. The deficiency was identified for one resident reviewed for unnecessary medications during the facility's recertification survey.
Failure to Provide Timely Routine Dental Services
Penalty
Summary
Facility staff failed to ensure that a resident received routine dental services in a timely manner. The resident, who reported having bad teeth and a need to see the dentist, had multiple notes from the facility's dental hygienist indicating that periodic and annual dental exams were due. However, there was no documentation that the resident had been seen by a dentist for these required exams. The medical record showed only an initial dental exam by the dentist, with subsequent recommendations for periodic and annual exams, but no evidence that these were completed as scheduled. Interviews with facility staff, including the DON and the medical scheduler, confirmed that annual and periodic dental exams are to be performed by a dentist, not a hygienist. Despite this, the resident was not scheduled for these exams until after surveyor intervention. The resident's care plan also identified impaired dentition and included an approach to consult with a dentist and follow up with recommendations, but this was not carried out in a timely manner. The deficiency was confirmed when the DON acknowledged that the resident was not seen for the required exams until prompted by the surveyor.
Ice Buildup in Kitchen and Nourishment Room Cold Storage
Penalty
Summary
Surveyors observed significant ice buildup in two cold storage areas within the facility's kitchen. In the main kitchen's walk-in freezer, ice was found on the floor and covering approximately 75% of the ceiling. Dietary staff present during the observation was unaware of the preventive maintenance schedule for the freezer room. Additionally, in the second-floor nourishment room, the refrigerator/freezer used to store residents' outside food had more than an inch of ice accumulation around the freezer. Residents' snacks were also stored in this refrigerator. These findings were based on direct observations and staff interviews during the survey period. No information about the medical history or condition of residents was provided in relation to the deficiency.
Failure to Ensure Advance Directives Are Discussed and Documented
Penalty
Summary
Facility staff failed to ensure that advance directives were discussed with residents or their responsible representatives and did not maintain current copies of residents' advance directives in the medical records. This deficiency was identified for six residents out of forty-seven reviewed during the recertification survey. Surveyor review of the medical records for these residents did not reveal any advance directives on file. Interviews with the Unit Manager confirmed that not all residents had advance directives and that, if available, they should be located in both the paper chart and the electronic medical record (PCC). Further interviews with the Social Services Director (SSD) revealed that, while the process requires offering advance directives at admission and quarterly for LTC residents, there was no documentation of these discussions for several residents. The SSD acknowledged that for some residents, there was no record of advance directive discussions or copies in the medical record. Additionally, it was confirmed that some residents were not offered the opportunity to formulate an advance directive upon admission, and documentation of these discussions was lacking until prompted by the surveyor.
Failure to Provide Bathing Assistance for Dependent Resident
Penalty
Summary
A deficiency was identified when a resident, who was dependent on staff for bathing due to a history of seizures, muscle weakness, and osteoarthritis, did not receive the required assistance with activities of daily living (ADL). The resident's admission Minimum Data Set (MDS) assessment documented total dependence on staff for bathing, and the geriatric nursing assistant (GNA) Kardex indicated that the resident was scheduled to receive showers twice weekly. However, a review of the resident's ADL documentation revealed that no showers were provided throughout the entire month of January, and there was no record of a bed bath or any documentation indicating that the resident had refused bathing or showering during this period. This deficiency was further substantiated by staff interview, where the Corporate Director of Nurses confirmed that the resident did not receive a shower or bath in January and that there was no documentation of refusal. The lack of both care provision and documentation demonstrated a failure to meet the resident's individualized care needs as identified in the assessment and care plan.
Failure to Maintain Accurate and Complete Medical Records
Penalty
Summary
Facility staff failed to maintain complete and accurate medical records in accordance with accepted professional standards for two residents. In one instance, a review of a closed medical record revealed that a physician certification of incapacity for one resident was incorrectly filed in another resident's record. The certification, which documented incapacity due to dementia, was signed and dated by the physician, but a second certificate in the same record pertained to a different resident entirely. The facility administrator was unaware of this error until it was identified by the surveyor. In another case, a complaint alleged improper administration of pain medication to a resident who had been admitted following lower extremity surgery. Physician orders directed nursing staff to administer pain medication as needed. Medication administration records showed three documented doses of Dilaudid on a specific date, but a printout from the interim medication dispensing machine indicated an additional dose was administered that was not documented in the resident's medical record. The nurse involved confirmed that the medication was given but admitted to forgetting to document the administration.
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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 Baltimore
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Complete Care At Heritage Llc | 1 mi | ★★★★★ | 34 | 0 |
| Future Care Canton Harbor | 1.8 mi | ★★★★★ | 7 | 0 |
| Autumn Lake Healthcare Post-acute Care Center | 3.3 mi | ★★★★★ | 27 | 0 |
| Transitional Care Services At Mercy Medical Center | 4.1 mi | ★★★★★ | 5 | 0 |
| Autumn Lake Healthcare At Riverview | 4.5 mi | ★★★★★ | 5 | 0 |
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