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 Ginger Cove during CMS and state inspections, most recent first.
Failure to timely report an allegation of misappropriation of property. A resident's family member reported a missing ring, and the facility was aware of the missing item but did not submit the initial report to the OHCQ until several days later. The DON acknowledged the delay and stated the incident should have been reported within 24 hours of the ring being reported missing.
The facility failed to provide written notification of hospital transfers to residents and their representatives. In two cases, residents were transferred to the hospital without written notice being given to their representatives, despite verbal notifications being made. The DON confirmed the deficiency.
The facility failed to provide written bed hold notices to residents or their representatives within 24 hours after hospital transfers. Two residents did not receive the necessary documentation, as confirmed by the Director of Nursing. Interviews with LPNs revealed a misunderstanding of the policy, as they believed the bed hold policy was only provided to EMS staff and not directly to the resident or their representative.
A resident with progressing weakness, recurring falls, Parkinson's disease, and worsening dementia was discharged without a complete and accurate summary. The attending physician failed to document the resident's medications and the need for 24-hour supervision, despite the family's initiation of the discharge and safety concerns for independent living. The physician admitted to not always documenting all medications if the facility form does not allow it.
The facility failed to maintain a homelike environment, as observed in the rooms of three residents with black marks on walls, peeling grip strips in bathrooms, and other maintenance issues. Despite having a system for work orders and regular room checks, these deficiencies were not addressed.
The facility failed to provide baseline care plans to two residents and their representatives within 48 hours of admission. One resident's care plan was delayed by two weeks, while another's family was informed six days post-admission. The delays were partly due to weekend admissions and staff availability.
A resident receiving dialysis three times a week had a care plan that failed to include specific dietary and fluid restrictions, as well as necessary interventions for dialysis access site care. The resident was unaware of their specialized diet and fluid limits, and the care plan did not address precautions for the dialysis access site or other care needs like numbing cream application and weight assessments. These deficiencies were noted during a review with the DON.
The facility failed to measure resident-centered objectives and ensure interdisciplinary team involvement in care plan reviews for two residents. One resident's care plan evaluations lacked documentation, and the facility did not reschedule a requested meeting. Another resident did not have a quarterly care plan meeting as required.
The facility failed to implement effective pneumococcal vaccination policies, resulting in two residents not being offered or administered the appropriate vaccines. The policy lacked guidance on determining the recommended vaccine based on residents' history, leading to non-compliance with national standards. The Infection Preventionist and ADON confirmed the absence of vaccination records in both the hard chart and EMR.
The facility did not comply with federal requirements to post daily nurse staffing information, including the total number and actual hours worked by RNs, LPNs, and CNAs per shift. Observations and a review of staffing records confirmed the absence of this information in the nursing units.
Failure to Timely Report Allegation of Misappropriation of Property
Penalty
Summary
The facility failed to report an allegation of misappropriation of property in a timely manner. Record review showed that Resident #43's family member reported a missing ring, and the facility was made aware of the missing ring on 3/26/2025. The facility did not make the initial report to the Office of Health Care Quality until 4/3/2025. During interview, the DON acknowledged the delay and stated that the facility realized on 4/3/2025 that the incident should have been reported within 24 hours of when the ring was reported missing.
Failure to Provide Written Notification of Hospital Transfers
Penalty
Summary
The facility failed to ensure that residents and their representatives received written notification of transfers to the hospital, as required. This deficiency was identified during a survey that reviewed the cases of three residents who were hospitalized. Specifically, Resident #40 was transferred to the hospital on January 9, 2024, but there was no written notification provided to the resident's representative, despite the resident having two physician certifications of incapacity. The Director of Nursing confirmed that the facility staff did not provide the necessary written notification to the resident's representative. Similarly, for Resident #246, the survey revealed that the resident was transferred to a local acute care hospital for emergent treatment, and the family was informed via a phone call. However, there was no written notice of transfer provided to either the resident or their representative. Interviews with two LPNs indicated that while a transfer form was completed and given to EMS staff, it was not provided to the resident or their representative. The Director of Nursing confirmed that the notice of transfer was not provided as required.
Failure to Provide Bed Hold Notices After Hospital Transfers
Penalty
Summary
The facility failed to provide written bed hold notices to residents or their representatives within 24 hours after a hospital transfer, as required by regulations. This deficiency was identified during an annual survey, where it was found that two residents, Resident #40 and Resident #246, did not receive the necessary documentation. Resident #40 was transferred to the hospital on January 9, 2024, and had two physician certifications of incapacity, yet there was no evidence of a bed hold notice being provided to the resident's representative. The Director of Nursing confirmed this oversight during an interview. For Resident #246, the electronic medical record did not initially show the resident, but a progress note indicated a transfer to a hospital for emergent treatment. The resident was nonresponsive at the time, and the family was informed via phone call. However, there was no documentation of a bed hold notice being given to the resident or their representative. Interviews with two LPNs revealed a misunderstanding of the policy, as they believed the bed hold policy was only provided to EMS staff and not directly to the resident or their representative, unless the resident was alert and oriented. The Director of Nursing confirmed that the policy was not provided within the required timeframe.
Incomplete Discharge Summary for Resident
Penalty
Summary
The facility failed to ensure that a discharge summary for a resident was complete and accurate. The medical record review revealed that the attending physician did not include the medications the resident was on or specify which medications should be continued after discharge. The resident had a history of progressing weakness, recurring falls, Parkinson's disease, and worsening dementia, with a treatment plan involving physical and occupational therapy, continuation of medications, and repeat labs. Despite the resident's poor prognosis and fair potential for rehabilitation, the discharge summary inaccurately stated that the resident had completed their course of treatment and was being discharged back to independent living with family. Interviews with the social worker and the DON confirmed that the discharge was initiated by the resident's family, despite safety concerns for the resident living independently due to frequent falls. The attending physician acknowledged the omission of critical information in the discharge summary, including the family's initiation of the discharge and the recommendation for 24-hour supervision. He admitted that he might not document all medications if the facility form does not accommodate this information, especially if the resident is on multiple medications.
Failure to Maintain Homelike Environment
Penalty
Summary
The facility failed to ensure a homelike environment for residents, as evidenced by observations of rooms with multiple black marks on walls and peeling grip strips in bathrooms. Specifically, Resident #21's room had black marks on the hallway walls and partially peeled grip strips in the shower stall. Resident #34's room had black marks on the hallway walls, holes in the bathroom door, and peeling grip strips in the shower stall. Resident #39's room had black marks on walls, exposed metal corner pieces, and peeling grip strips in the bathroom, along with tiles with peeled-off coating. Interviews with the Director of Maintenance and the Chief Engineer revealed that the facility uses a computer-based system for staff to submit work orders and conducts weekly rounds to check rooms. They also reported that rooms are painted and new carpet installed when residents are discharged. However, the issues in the rooms of Residents #21, #34, and #39 had not been addressed, indicating a lapse in maintaining a homelike environment for the residents.
Failure to Provide Timely Baseline Care Plans
Penalty
Summary
The facility failed to provide a baseline care plan to residents and their representatives within 48 hours of admission, as required. For Resident #40, the baseline care plan was developed but not signed by the resident's representative, and it was not provided to them until two weeks after completion. The resident was admitted from the hospital and had two physician certifications of incapacity, indicating the need for a representative's involvement. The facility did not offer a summary of the baseline care plan, including initial goals and services, within the required timeframe. For Resident #42, the family reported not being informed of the care plan until six days after admission. The baseline care plan was signed by dietary, nursing, and rehab staff, but there was no indication of the resident or their agent's participation in the review. The Unit Manager, who works Monday to Friday, acknowledged the delay, attributing it to the resident's weekend admission. The Director of Nursing confirmed the facility's failure to meet the 48-hour requirement and mentioned that weekend supervisors could ensure compliance.
Deficient Care Plan for Dialysis Resident
Penalty
Summary
The facility staff failed to ensure that the care plan for a resident receiving dialysis included all necessary individual care needs and interventions. The resident, who undergoes dialysis three times a week, was unaware of the specifics of their specialized diet and fluid restrictions, which were crucial for their renal health. The medical record review revealed that the care plan did not incorporate the resident's dietary restrictions, such as avoiding certain foods and limiting fluid intake, as ordered by the physician. Additionally, the care plan omitted the provision of ice chips, which was part of the physician's orders. Furthermore, the care plan lacked detailed interventions related to the resident's dialysis access site and potential complications from hemodialysis. It did not specify the precautions staff should take, such as avoiding blood pressure measurements and blood draws from the arm with the access site, or the prohibition of tub baths. The plan also failed to include necessary assessments of the access site for patency, infection, or complications other than bleeding. Other care needs, such as the application of numbing cream and weight assessments before dialysis, were also not reflected in the care plan. These omissions were identified during a review of the care plan with the Director of Nursing.
Deficiencies in Care Plan Development and Review
Penalty
Summary
The facility staff failed to measure resident-centered objectives to determine the effectiveness of care plan interventions for Resident #10. The care plan evaluations were not documented comprehensively, and the most recent evaluation notes did not reflect how the treatment team concluded that the approaches were appropriate. Additionally, there was no evidence that resident-specific objectives were measured and evaluated to determine the resident's progress. Furthermore, the facility did not ensure that Resident #10's care plan reviews were completed by an interdisciplinary team, including the attending physician, a registered nurse, a nurse aide, a member of the food and nutrition services staff, and the resident or their representative. Resident #10, who receives dialysis three times a week, was unaware of the specifics of their specialized diet and fluid restriction. The medical record review revealed no evaluations of the effectiveness of Resident #10's Nutrition Care Plan interventions or any revisions made to assist the resident in better meeting their goals. The facility also failed to reschedule a care plan meeting as requested by the resident's representative, and there was no documentation of the interdisciplinary team members who attended the meeting. For Resident #40, the facility staff failed to hold a quarterly care plan meeting. The resident was admitted to the facility, and a quarterly MDS assessment was completed, but no care plan meeting was held since January 2024. The Director of Nursing confirmed that the facility staff did not conduct the required quarterly care plan meeting for Resident #40 in April 2024.
Failure to Implement Effective Pneumococcal Vaccination Policies
Penalty
Summary
The facility failed to develop and implement effective policies and procedures for pneumococcal vaccinations, as evidenced by the lack of appropriate vaccination records and offers for two residents. The facility's policy lacked specific guidance on determining which pneumococcal vaccine was recommended based on residents' immunization history, medical conditions, and age. This resulted in confusion and non-compliance with national standards, as the policy incorrectly suggested offering the vaccine only to residents over a certain age, which did not align with the CDC and ACIP guidelines. For one resident, there was no evidence of a pneumococcal vaccination being offered or administered since their admission in 2023. The Infection Preventionist (IP) and Assistant Director of Nursing (ADON) confirmed the absence of vaccination records in both the hard chart and electronic medical record (EMR). Another resident, admitted in 2022, also lacked documentation of a pneumococcal vaccination offer or administration, despite having a previous PPSV23 vaccination in 1997. The IP was unaware of the need for additional vaccinations according to national standards, and the ADON confirmed that the vaccination history was not properly documented in the EMR.
Failure to Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to comply with federal requirements for posting daily nurse staffing information. Observations made on June 4th at 10:30 AM revealed that the facility did not display the total number and actual hours worked by Registered Nurses, Licensed Practical Nurses, and Certified Nursing Aides per shift in any part of the nursing units. An interview with the Director of Nursing at 11 AM on the same day confirmed that the current staffing record did not document the total number of hours worked by these categories of staff. This deficiency was identified through observations, a review of daily staffing records, and staff interviews.
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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 Annapolis
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| South River Rehabilitation And Wellness Center | 1.6 mi | ★★★★★ | 22 | 0 |
| Future Care Annapolis | 1.7 mi | — | 0 | 0 |
| Autumn Lake Healthcare At Spa Creek | 3 mi | ★★★★★ | 11 | 0 |
| Complete Care At Annapolis | 3.7 mi | ★★★★★ | 11 | 0 |
| Baywoods Of Annapolis | 4.6 mi | — | 0 | 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.