Average — CMS composite of the measures below.
A standard survey is most likely before around November 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 Hammonds Lane Center during CMS and state inspections, most recent first.
Unsanitary Environment and Unusable Bathing/Shower Rooms: Persistent urine and feces odors were observed throughout multiple units and common areas, along with visible soiled conditions including a urine puddle, a moist substance on a wall near a shower room, and overflowing trash cans in the soiled utility room. Staff reported limited housekeeping coverage after 2:00 PM and no cleaning supplies available after hours. In addition, 9 of 12 resident bathing/shower stalls were unusable because they were being used for storage, and 2 of those stalls lacked a connected shower head; the NHA agreed only 3 stalls were usable for resident bathing needs.
Surveyors identified multiple deficiencies in the facility's medical record-keeping, including missing physician orders and consent for bed rail use, inconsistent documentation of code status, inaccurate smoking supervision records, and failure to update mental health and hospice status. These issues resulted in incomplete or inaccurate records for several residents, as well as discrepancies between care plans, assessments, and facility lists.
Surveyors found multiple environmental deficiencies in resident rooms and shared bathrooms, including soiled privacy curtains, damaged baseboards, a loosely secured phone jack outlet, rusted commode parts, peeling paint, missing cove base, cracked caulking, a sink disconnecting from the wall, a musty and damaged vent grate, missing drywall, and a broken toilet seat lid. A resident reported the bathroom did not look good and that the toilet lid was broken, and the DON and NHA were made aware of the concerns.
Food items were found in the kitchen without expiration dates during the annual survey. Surveyors observed a can of banana pudding, a can of marinara sauce, several spice containers, and multiple pudding mix packages missing expiration dates, and staff confirmed that food items were supposed to be labeled with expiration dates when received.
Failure to protect resident dignity during personal care was observed for two residents. One resident was seen in a shower stall with the privacy curtain left open while staff provided morning care, leaving the resident fully visible in the shower/tub room. Another resident was seen in bed with a urinary catheter drainage bag hanging on the side of the bed without a privacy bag, making it visible from the hallway.
Failure to Timely Report Abuse Allegations: The facility did not report three abuse allegations to OHCQ within the required 2-hour timeframe. One resident’s representative alleged verbal abuse by a GNA and an LPN, another resident reported abuse to an RN, and a third resident was involved in an alleged physical incident; in each case, the NHA was aware of the allegation before the initial report was submitted, and the reports were filed hours late.
The facility failed to provide written transfer and bed-hold notices to a resident representative for multiple hospital transfers, failed to document ombudsman notification for facility-initiated transfers involving two residents, and gave one resident an inaccurate bed-hold policy form stating Medicaid would pay to hold the bed for 15 days when that was not correct.
The facility failed to develop and implement person-centered care plans with measurable interventions for residents with hospice needs, impaired communication, and smoking-related needs. A resident on hospice had no hospice interventions in the care plan, another resident with dementia and aphasia had no communication care plan despite staff noting the resident could sometimes speak and use gestures, and a third resident’s smoking care plan initially listed no interventions.
A facility failed to provide adequate supervision when two residents who smoked were found with cigarettes and lighters in their rooms. Staff and the DON stated smoking materials were supposed to be secured at the receptionist desk, but one resident was observed retrieving cigarettes and a lighter from a dresser and another was found holding cigarettes and a lighter in the room. The written smoking policy also stated residents could not keep lighters, lighter fluid, or matches.
Surveyors found multiple medication storage deficiencies involving Unit C and Unit B. A freezer in a medication storage room had ice buildup and no documented temperature, an expired emergency medication kit with expired epinephrine, haloperidol, phytonadione, and promethazine was left in storage, two residents’ medications were stored in a drawer instead of the medication cart, and expired eye drops remained in a medication cart. Staff and the DON were unable to explain why these issues occurred.
A resident with poor dentition, periodontal disease, caries, retained roots, and risk for dental infection did not receive timely dental follow-up after a dental exam documented that the resident needed referral for panoramic x-ray and extractions with nitrous or IV sedation. The dental provider later placed the resident on do not treat status, and the facility did not arrange an outside dental appointment after the resident was removed from the dental group’s services.
PPE carts outside resident rooms on the C wing and A wing were observed without face masks inside. The IP stated that all PPE carts were expected to have gowns, gloves, face shields, and face masks, but 3 carts on the C wing and 4 carts on the A wing did not have masks readily accessible in the resident care area.
Missing Closet Doors Exposed Residents’ Belongings: Two residents’ rooms lacked closet doors, leaving personal belongings visible and accessible to others. One resident said the door had been removed months earlier because it was loose and unsafe, but the promised replacement and curtain never occurred. Maintenance staff reported multiple doors had been taken down because they were falling off the hinges, and the NHA said replacement timing was unknown.
Failure to Maintain Effective Pest Control: Surveyors observed gnats and flies throughout multiple resident rooms and hallways, including around residents and on a resident's bedside table. A resident reported the pests were an ongoing issue, and during interviews the NHA and pest control rep confirmed routine visits but could not explain the presence of pests in rooms without food items.
Unsanitary Environment and Unusable Bathing/Shower Rooms
Penalty
Summary
The facility failed to maintain a sanitary and comfortable environment, as persistent odors of urine and unsanitary conditions were observed throughout multiple resident care units and common areas on six separate survey dates. On entry into the facility, a strong pungent urine odor was detected in the main lobby and continued through the hallways of Unit A, Unit C, and the conference room, and a similar odor was later noted throughout Unit B. The DON acknowledged the odor concerns and stated the issue had been discussed with housekeeping. The Housekeeping Manager reported that three housekeepers were assigned from 7:00 AM to 2:00 PM daily and confirmed that no housekeeping staff were present after 2:00 PM. Additional observations showed unsanitary conditions on Unit C, including a yellow puddle of fluid with a strong urine odor in the hallway and a dark brown moist substance on the wall near the shower room. A strong odor of urine and feces was later traced to the soiled utility room, where large trash cans were filled and overflowing with multiple bags of soiled incontinent products. Staff stated the odor was bad in the hallway, that laundry staff were supposed to take out the trash, and that after 9:00 PM there was no housekeeping or laundry staff and no cleaning supplies available if a resident had an accident. The facility also failed to keep bathing/shower rooms operational and in good repair: of 12 resident bathing/shower stalls observed, 9 were unusable because they were being used for storage of boxes, wheelchairs, bedside tables, oxygen concentrators, resident mattresses, and other medical devices, and 2 of those 9 stalls did not have a shower head connected to the shower faucet piping. The NHA agreed that only 3 of the 12 stalls were usable for resident bathing/shower needs and preferences.
Failure to Maintain Accurate and Complete Medical Records
Penalty
Summary
The facility failed to maintain accurate and complete medical records for multiple residents, as required by accepted professional standards. Several residents using bed rails did not have the necessary physician orders or documented consent from the resident or their representative, despite bed safety evaluations recommending these steps. In some cases, the bed rails were observed in use without the required documentation in the electronic medical record. Additionally, inconsistencies were found in the documentation of residents' code status, with one resident's MOLST form indicating a different resuscitation and intubation preference than what was recorded in the social services assessment. There were also discrepancies in the facility's management of smoking status and supervision requirements. Multiple residents were listed as independent smokers on facility records, while their medical records and care plans indicated they required supervision or were not care planned for smoking at all. In one instance, a resident was observed with cigarettes and a lighter but was not included on the facility's smoker list. Furthermore, the facility's matrix failed to accurately reflect a resident's hospice status, and staff attributed this to a data entry oversight. Additional deficiencies included a failure to update PASRR documentation to reflect current mental health diagnoses for a resident with significant psychiatric history, and inconsistencies in MDS assessments regarding a resident's functional abilities compared to other clinical documentation and staff interviews. There was also a lack of required progress notes documenting side effects of psychotropic medications when indicated by the medication administration record. These lapses in documentation and record-keeping led to inaccurate or incomplete medical records for at least eleven residents reviewed during the survey.
Unsafe and Poorly Maintained Resident Rooms and Bathrooms
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment in multiple resident rooms and shared bathrooms observed on the A and B wings. Surveyors found soiled privacy curtains in two A-wing rooms, including scattered white smears and reddish-brown spots, as well as another curtain with scattered white smears. In one A-wing room, the baseboard under the air conditioning unit was damaged, the phone jack outlet between the residents’ head of bed was loosely sticking out of the wall and held in place with a black duct tape-like product, and the over-the-toilet commode in the shared bathroom had rust buildup and damage on the frame and legs. The NHA and Maintenance Director were informed of these concerns during the tour, and the DON later confirmed the environmental concerns in the room and stated Maintenance would address the issue. On the B wing, surveyors observed peeling paint and missing plaster behind a resident’s bed, a missing cove base behind a room door, and in another room a bathroom sink with cracked caulking, a sink disconnecting from the wall, a dented and discolored vent grate with a musty smell, peeling bathroom cove base, missing drywall, and a broken toilet seat lid not attached to the toilet. A resident stated the bathroom did not look good and that the toilet lid was broken. The DON was made aware of the concerns and stated she would let Maintenance know, and later staff confirmed the items would be fixed.
Food Items Stored Without Expiration Dates
Penalty
Summary
The facility failed to store food in accordance with professional standards for food safety during the annual survey. During an initial kitchen tour, surveyors found one 7 lb. can of Banana Pudding, one 6.56 lb. can of Ultra-Premium Marinara Sauce, several spice containers, and five 5 oz packages of Reduced Calorie Vanilla Pudding and Pie Filling mix that were missing expiration dates. During the tour interview, staff #6 confirmed that these items did not have expiration dates and stated that staff were supposed to label all food items with an expiration date. Later, staff #7 stated that all food items are to be labeled by staff with an expiration date upon being received.
Failure to Protect Resident Privacy During Personal Care
Penalty
Summary
The facility failed to ensure that residents were provided care in a manner that protected and promoted dignity for 2 of 3 residents reviewed for dignity. Resident #40 was observed in a shower stall during morning care with the privacy curtain left open in a shower/tub room that also contained other shower stalls, a bathtub, and a toilet, leaving the resident in full view of the room while staff were present rendering care. Resident #93 was observed lying in bed with a urinary catheter drainage bag hanging on the side of the bed without a privacy bag, making it visible from the hallway to anyone walking by. During the observation, staff confirmed that the curtain should have been pulled for privacy during bathing and that catheter drainage bags should be covered or positioned so they are not visible to others.
Failure to Timely Report Abuse Allegations
Penalty
Summary
The facility failed to report allegations of abuse within the required 2-hour timeframe to the Office of Health Care Quality (OHCQ) for three facility reported incidents. In one incident involving Resident #112, the resident’s representative alleged that two staff members verbally abused the resident during the overnight shift, and the resident stated that GNA staff #20 and LPN staff #21 were speaking negatively about the resident and the resident’s representative. The facility became aware of the allegation on 7/31/24 at 1:00 PM, but the initial report was not submitted to OHCQ until 8/1/24 at 11:57 AM. In a second incident involving Resident #34, the resident reported an allegation of abuse to an RN at 5:00 AM, and the NHA was informed at 5:30 AM, but the initial report was not submitted to OHCQ until 11:00 AM. In a third incident involving Resident #120, staff became aware of an alleged physical incident at 3:30 AM and reported it to the NHA at 3:45 AM, but the report was submitted to OHCQ at 10:48 AM, more than 7 hours later. During interview, the NHA stated that reporting was delayed because he did not have access to a computer at the time and that the DON or another designated staff member could have submitted the report, but this did not occur.
Missing and inaccurate transfer and bed-hold notifications
Penalty
Summary
The facility failed to provide written notification of hospital transfer and bed-hold information to the resident representative for Resident #41 after transfers to the hospital on 4/19/2025, 5/15/2025, and 6/9/2025. Record review did not show documentation that the resident representative was notified in writing of the transfers or of the facility's bed-hold policy for the 5/15/2025 and 6/9/2025 transfers. The Business Office Manager stated that when a resident is transferred to the hospital, a Bed Hold Policy & Authorization form and a Notice of Hospital Transfer letter are completed and sent to the resident representative, with copies maintained in the medical record, but she could only provide the documents for the 4/19/2025 transfer and not for the other two transfers. The facility also failed to ensure the local ombudsman was notified of facility-initiated hospital transfers for Resident #37 and Resident #41. For Resident #37, documentation was available for the 8/7/2025 transfer, but the facility could not provide a copy of the envelope mailed to the ombudsman for the 8/9/2025 transfer. For Resident #41, the Business Office Manager could not provide documentation showing ombudsman notification for the 5/15/2025 and 6/9/2025 transfers. In addition, Resident #109 received a bed-hold policy form on 5/19/2025 that stated Medicaid would pay to hold the bed for 15 days, although the state-approved bed-hold duration was no Medicaid bed-hold coverage; the Business Office Manager confirmed this was the version currently being distributed and acknowledged the information was not correct.
Incomplete Care Plans for Hospice, Communication, and Smoking Needs
Penalty
Summary
The facility failed to develop and implement person-centered care plans with measurable interventions for residents identified during the smoking investigation. For Resident #13, the medical record showed hospice status in the eINTERACT Change in Condition Evaluation and the care plan noted hospice start date and an end-stage diagnosis, but the surveyor could not locate any hospice interventions in the care plan. The DON confirmed the resident was on hospice and later stated she was not certain why the care plan did not list any hospice interventions. For Resident #41, the resident had diagnoses including dysphagia, dementia, and aphasia, with MDS findings of severe cognitive impairment, rarely making self understood, and impaired speech. The surveyor observed the resident awake in bed and not acknowledging the surveyor, and record review failed to reveal a care plan for impaired communication. Staff later stated the resident could sometimes express himself verbally to certain people, could follow some commands, and used gestures and yes/no head shakes to communicate, while the DON stated she was unaware the resident was verbal. For Resident #97, the care plan stated the resident may smoke independently per smoking evaluation, but it contained no interventions until after surveyor intervention.
Smoking Materials Found in Residents’ Rooms
Penalty
Summary
The facility failed to provide adequate supervision to prevent accidents when two residents who smoked were found with cigarettes and lighters stored in their rooms instead of being secured as described by facility staff and policy. During interviews, the DON stated that residents who smoke must have cigarettes and lighters stored in a locked box at the receptionist desk, and staff confirmed that smoking materials were supposed to be kept there. However, staff also acknowledged that Resident #24 had cigarettes and a lighter in his/her room, and the surveyor observed the resident retrieve a pack of Cheyenne cigarettes and a gray lighter from a dresser beside the bed. Resident #97 was also observed in his/her room holding a pack of cigarettes and a blue lighter and stated that the items belonged to him/her and that he/she smoked. The DON stated that Resident #97 should not have those items in the room and that residents who smoke should not have cigarettes or lighters in their rooms at any time. Facility records showed the smoking policy stated residents may keep tobacco products in a locked compartment if cognitively and physically able, but the policy also stated residents would not be allowed to maintain their own lighter, lighter fluid, or matches. The NHA and DON later stated that all smoking items should be kept at the front desk, despite the written policy language.
Medication Storage and Expired Drug Management Deficiencies
Penalty
Summary
Drugs and biologicals were not properly managed in the facility’s medication storage areas and carts. During observation of Unit C’s medication storage room, surveyors found a buildup of ice in the freezer and no documented freezer temperature on the facility’s Temperature Log for Refrigerator and Freezer. The Unit C Manager stated she was not aware that the freezer temperature needed to be documented. Surveyors also found an expired emergency medication kit in Unit C’s medication storage room. The kit, labeled as a Genesis ANA Kit with an expiration date of February 2025, contained expired Epinephrine auto-jectors, Haldol IM, Mephyton tablets, and Phenergan Injection. The Unit C Manager acknowledged that the kit was expired, and the DON stated the pharmacy normally exchanges the kits for newer ones but was not certain why this kit had not been replaced. In Unit B’s medication storage room, surveyors observed two blister packs of Isosorbide Mononitrate 120 mg ER for one resident and Albuterol Sulfate Inhalation Solution for another resident stored in a drawer rather than in the medication cart. Staff stated they were not certain why the medications were stored there, and the DON said the discharged resident should have received the Isosorbide Mononitrate at discharge. Surveyors also found expired Olopatadine Hydrochloride 0.1% eye drops for another resident in a Unit B medication cart, and staff acknowledged the expired medication should be removed.
Failure to Obtain Timely Dental Follow-Up
Penalty
Summary
The facility failed to ensure that a resident who required dental services on a routine or emergent basis received necessary or recommended dental care in a timely manner. Record review showed the resident’s last dental examination was on 9/26/2024. The dental note from that visit documented poor oral condition, including heavy soft plaque and food debris buildup, heavy hard calculus deposits, severe inflamed, swollen, bleeding gums, poor periodontal condition, and high risk for caries. The resident’s remaining teeth were described as having a poor prognosis due to periodontal disease, caries, and retained roots, and the resident was noted to be non-verbal, have difficulty swallowing, and be at risk for dental infection. The dental note also stated the resident was not a candidate for surgical extractions or x-rays in the facility and would benefit from referral for panoramic x-ray and extraction with nitrous or IV sedation. During interview, the UM stated nursing staff should enter consultation orders into the medical record for physician review and sign-off, and that recommendations for further consultation should be reviewed and appointments made accordingly. However, the resident had not been seen by another dental provider after the 9/26/2024 exam, the [Dental Group] had removed the resident from its services, and the facility made no attempt to schedule an outside dental appointment to address the documented dental concerns. The DON later provided an email stating the resident was not a good candidate for onsite treatment and that the provider had placed the patient on do not treat status.
PPE Carts Missing Face Masks
Penalty
Summary
The facility failed to ensure face masks were included in the PPE carts outside residents’ rooms as part of its infection prevention and control program. During a tour of the C wing nursing unit, the surveyor observed 3 PPE carts along one side of the hallway, and each cart did not have face masks inside. During a tour of the A wing nursing unit, the surveyor observed 4 PPE carts along one side of the hallway, and each cart also did not have face masks inside. During interview, the Infection Preventionist stated that all PPE carts were expected to have gowns, gloves, face shields, and face masks. Later, the DON stated that the carts were stocked with masks.
Missing Closet Doors Exposed Residents’ Belongings
Penalty
Summary
The facility failed to ensure that residents had enclosed closet space protected from casual access by others because closet doors were missing in 2 of 21 resident rooms observed during the annual survey. During a tour of the A wing nursing unit, the Surveyor observed that Resident #41 and Resident #57 did not have closet doors, and their personal belongings were visible. During an interview, Resident #57 stated that the closet door had been removed months earlier because it was loose and posed a safety issue. The resident said the door was supposed to be replaced and a curtain provided in the meantime, but that this never happened and the resident felt uncomfortable with personal belongings exposed to anyone entering the room. On a later environmental tour, the Surveyors again confirmed the missing closet doors in both residents' rooms. Maintenance Director #12 stated that multiple closet doors had been taken down because they were falling off the hinges and posed a safety issue, and that replacing them had been difficult because the company no longer made that model to fit properly. The NHA stated the facility was discussing curtains and was in the process of ordering new cabinets, but could not determine when the missing closet doors would be replaced.
Failure to Maintain Effective Pest Control
Penalty
Summary
The facility failed to ensure effective pest control, as flying gnats and flies were observed throughout multiple areas of the building during survey observations. On 8/14/2025, during a tour of the A wing nursing unit, multiple gnats were seen flying around rooms A-1 and A-2, including on used tissues sitting on Resident #1's bedside table. Gnats and flies were also observed flying around the room, and Resident #2 stated that the gnats and flies had been an issue within the facility. Later that morning, gnats were observed flying in the C wing hallway near the conference room. On 8/15/2025, during another tour of the A wing nursing unit, multiple gnats were again observed in rooms A-1 and A-2, flies were seen crawling on Resident #41, gnats were observed on Resident #34's side of the room, and flies were observed flying around the room and gnats were present in the bathroom. On 8/18/2025, during an environmental tour of the A, B, and C wings, Resident #22 in room B stated that gnats were an issue in the room and were constantly flying around while eating meals. During interviews, the NHA stated the facility used a pest control company that visited a couple times a month and as needed, and the pest control representative confirmed visits 2 to 3 times a month but could not explain the presence of flies and gnats in rooms without food items.
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Illustrative
What surveyors actually found near you
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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 Brooklyn Park
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Autumn Lake Healthcare At Glen Burnie | 3.3 mi | ★★★★★ | 4 | 0 |
| St. Elizabeth Rehabilitation & Nursing Center | 4.5 mi | ★★★★★ | 35 | 0 |
| Roland Park Place | 4.5 mi | ★★★★★ | 0 | 0 |
| Marley Neck Rehabilitation And Wellness Center | 4.7 mi | ★★★★★ | 9 | 0 |
| Carroll Park Healthcare | 4.9 mi | — | 19 | 0 |
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