Average — CMS composite of the measures below.
A standard survey is most likely before around December 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 Lorien Taneytown, Inc during CMS and state inspections, most recent first.
Failure to Post Required Nurse Staffing Information: The facility did not post daily nurse staffing information in a clear, accessible location, and the postings reviewed were incomplete for all days examined. A whiteboard near the nursing station lacked the facility name, manager on duty, full staff names and titles, census, and clear hours scheduled versus worked, and no staffing information was posted at the second nursing station. The staffing coordinator said the schedule was kept in OnShift and was not posted for the public, and the DON confirmed the required information was not posted anywhere in the facility.
Food Storage and Temperature Control Deficiencies: Surveyors found multiple unlabeled or improperly dated food items in refrigerators and freezers, including sauces, eggs, frozen breads, waffles, pancakes, chicken tenders, and meatballs. Raw burgers were stored above ready-to-eat foods while thawing, and one refrigerator holding resident food was at 50 degrees; freezer logs also showed repeated temperatures above the required range.
Dishwasher Final Rinse Temperatures Below Required Range: The facility failed to keep the dishwasher in safe operating condition when the Dietary Director reported the unit had broken and staff were washing dishes manually. Review of the temp logs showed repeated final rinse readings below the required 180 F minimum for a high-temp dishwasher over multiple months, and the Dietary Director confirmed she did not routinely check the logs and was unaware the final rinse temps were out of range.
Food was not served at proper temperatures during tray line service. Two residents reported bland, cold food, and a test tray showed hot items below the expected range and cold items above the required range. The DON stated the acceptable temperatures for the items, while the facility policy required foods to be kept refrigerated below 45 degrees F and heated above 140 degrees F.
Failure to immediately report an allegation of abuse/neglect. A resident admitted for rehab and without cognitive decline reported that an agency nurse threatened to withhold eye drops and made other concerning statements about medications. The NS knew the eye drops were not given and later administered them, but the allegation was not reported to the DON or other management at the time and was not submitted to OHCQ within the required timeframe.
Inaccurate MDS Medicare End Dates: The facility failed to accurately record Medicare A end dates on MDS assessments for two residents reviewed for SNF beneficiary protection notifications. One resident’s discharge MDS listed an end date that did not match the beneficiary checklist, and another resident’s MDS listed an end date that did not match the NOMNC. The MDS Coordinator confirmed both entries were inaccurate.
A resident’s comprehensive care plan was not developed within 7 days after a significant change MDS. The chart showed only an admission care plan meeting, with no documentation of another interdisciplinary meeting after the resident transitioned to hospice care. The SS director said she attends and documents care plan meetings, and the MDS coordinator confirmed she was responsible for scheduling them but acknowledged the meeting was missed.
Incomplete and inaccurate medication administration records were identified for two residents. One resident had hydralazine held for a BP parameter, but the LPN did not document the BP reading when the dose was held. Another resident’s eye drops were documented by an agency nurse as given with other meds, but staff later confirmed the drops had not been administered at that time and were given later, leaving the MAR inaccurate.
A resident with intact cognition and documented decision-making capacity had an arbitration agreement signed by the spouse instead of the resident. Records showed the spouse was only named as health care agent if the resident could not make decisions, and there was no documentation that the resident lacked capacity or authorized the spouse to sign legal documents. The Admissions Coordinator said family members typically signed arbitration agreements through DocuSign without verification of legal authority, while the DON confirmed the resident had capacity and the resident later said they did not remember being asked about the agreement.
Failure to use isolation signage and EBP for two residents. One resident with COVID had Contact/Droplet precautions ordered, but the room had no isolation sign or PPE notice despite PPE being staged outside the door. Another resident with an infected abdominal surgical wound was not placed on EBP and had no room signage, even though the record showed an incision infection and antibiotic treatment; the IP later confirmed the resident should have been on EBP.
Failure to thoroughly investigate abuse allegations: A resident with stroke-related hemiplegia and intact cognition reported rough care by two GNAs and a Unit Manager, but the file showed only statements from the resident, the accused staff, and one roommate, with no broader staff or resident interviews and no suspension of the Unit Manager during the investigation. A second resident’s allegation of rough care was also documented only with statements from the resident and the accused GNA, with no evidence of additional interviews.
A deficiency was cited when a facility area was found to contain accident hazards and lacked adequate supervision to prevent accidents, resulting in unsafe conditions for residents.
The facility did not provide mandatory infection prevention and control (IPC) training that included its own written standards, policies, and procedures. Instead, staff received only a general overview from a corporate online program, and contracted staff were not required to complete any IPC training. Leadership was unaware that facility-specific IPC training was required.
A resident was left unsupervised by two agency GNAs after previously attempting to get out of a reclined Geri chair unassisted. The resident fell, sustained a head injury, and later died. Review showed no evidence of competency evaluation or training for agency staff, and interviews confirmed a lack of orientation or documentation. The RN who responded failed to properly assess or monitor the resident after the fall, and 911 was not called until 31 minutes later.
The facility did not ensure that all new and existing staff, including contracted personnel, received required facility-specific training in Compliance and Ethics, QAPI, and Infection Control and Prevention. Several staff files lacked documentation of completed trainings, and contracted staff were not provided with necessary orientation or behavioral health and communication training. The trainings that were provided were generic and not tailored to the facility as required.
A contracted staff member began working at the facility without documentation of required communication training. The HR Director reported that there were no online training requirements for contracted staff and relied on the staffing agency to provide necessary training, without reviewing the agency's training program. This deficiency was confirmed through interviews with facility leadership.
The facility did not ensure that contracted staff received required compliance and ethics training. Two contracted employees began work without completing the mandatory, facility-specific training, and the HR Director confirmed there was no process in place to verify or require this training prior to their start date.
Failure to Post Required Nurse Staffing Information
Penalty
Summary
The facility failed to post the required daily nurse staffing information in a clear and accessible location for 31 of 31 days reviewed. On 9/22/2025, the surveyor observed a whiteboard near the central nursing station that did not include the facility name, left the manager on duty section blank, listed two nurses without full names or titles, identified CMAs and GNAs by first name only, and showed staffing ratios without clarifying licensed versus unlicensed staff or whether hours were scheduled versus worked. The surveyor also observed that no staffing information was posted at the second nursing station, and the staffing binder did not contain prior dates or previous postings. During interviews, the LPN/unit manager stated the charge nurse was responsible for the board and that the information came from the staffing coordinator. The staffing coordinator stated that the daily schedule included nurses, aides, and on-call staff, but did not usually include census or hours scheduled versus worked, and that the information was kept in the internal OnShift system rather than posted for the public. She acknowledged she was not aware of the regulatory guidelines for posting nursing schedules and agreed the reviewed postings were missing required information. The DON also confirmed that neither the whiteboard nor paper schedules included all required information and that staffing assignments were not posted at any nursing station or elsewhere in the facility.
Food Storage and Temperature Control Deficiencies
Penalty
Summary
The facility failed to store food in accordance with professional standards. In Refrigerator #10, surveyors observed leftover onion ring sauce, ranch dressing, orange sesame dressing, and crab syrup that were dated as prepared but had no use-by dates. The same refrigerator also contained an open carton of liquid whole egg with no open date, and a container of raw frozen burgers was stored on the top shelf above salad dressings and sauces while thawing. Staff acknowledged that the burgers should have been placed on a lower shelf and moved them during the observation. In Walk-in Freezer #3, surveyors observed an open bag of frozen toasted bread and open bags of waffles, pancakes, and chicken tenders with no open or use-by dates. The freezer temperature was observed at 10 degrees, and the temperature logs from July through September showed repeated temperatures above zero, including readings as high as 36 degrees, while the facility did not respond to those temperatures. In Walk-in Freezer #1, a bag of meatballs had an open date of 1/16/25 but no use-by date. Refrigerator #6, which contained resident juices, milk, and sandwiches, was observed at 50 degrees, above the facility policy limit of 40 degrees.
Dishwasher Final Rinse Temperatures Below Required Range
Penalty
Summary
The facility failed to ensure the dishwasher was maintained in a safe operating condition. During a kitchen tour, the Dietary Director reported that the dishwasher had just broken and staff were washing dishes manually. A later review of the dishwasher temperature logs from June through August 2025 showed that the form required wash temperatures of 140-160 degrees and a final rinse temperature of 180 degrees or higher, but the recorded final rinse temperatures were repeatedly below the required minimum. For June 2025, the final rinse temperatures after breakfast and lunch were documented at 100 to 130 degrees on 23 of 30 days, with 7 days showing no recorded temperatures. In July 2025, the final rinse temperatures were recorded at 130 to 150 degrees on 30 of 31 days, and in August 2025, the final rinse temperatures after breakfast and lunch were recorded at 120 to 135 degrees on 28 of 31 days. Manufacturer information identified the unit as a high-temperature dishwasher that sanitizes dishes with hot water and requires a final rinse temperature of 180 F or higher. The Dietary Director confirmed the temperatures were outside the acceptable range and stated she did not typically check the logs and was not aware the final rinse temperatures had been below the required minimum.
Food Served at Improper Temperatures
Penalty
Summary
Food and drink were not maintained at palatable, attractive, and safe temperatures during meal service. During the initial tour, two residents reported that the facility's food was bland and cold when foods should have been warm. During observation of the lunch tray line service, a test tray was requested and included roast beef, steamed vegetables, roasted red potatoes, pumpkin pie, vanilla ice cream, cranberry juice, a dinner roll, margarine, salt, and pepper. The Dietary Director took temperatures of the tray items and found the steamed vegetables at 137 degrees F, the roasted potatoes at 121 degrees F, the roast beef at 146 degrees F, the pumpkin pie at 63 degrees F, and the cranberry juice at 61 degrees F. The Dietary Director stated the acceptable temperatures should have been 140-165 degrees F for the hot items and 40 degrees F or less for the cold items. The facility policy stated that foods must be kept refrigerated below 45 degrees F and heated above 140 degrees F while stored, prepared, served, or transported, but the observed tray items were served outside those temperature ranges.
Failure to Immediately Report Allegation of Abuse/Neglect
Penalty
Summary
Facility staff failed to immediately report an allegation of resident abuse involving Resident #69, a resident admitted for rehabilitation and documented as having no cognitive decline. On 9/23/25, a family member reported concerns that a nurse had threatened to withhold medication from the resident. During a later interview, Resident #69 stated that after a call bell was activated for eye drops on the first day at the facility, the nurse responded, "You aren't getting nothing tonight," and the resident confirmed receiving other medications but not the eye drops. The resident also described a separate interaction in which a nurse questioned the medications in a medication cup and said, "I don't know if they are just your medications," followed by, "If you don't want them, throw them out." The Nursing Supervisor stated she knew the agency nurse did not administer the prescribed eye drops on the evening of 9/19/25 and that the resident contacted a family member after not receiving them. The Nursing Supervisor then administered the eye drops later that night and acknowledged that the agency nurse's statement about not going into the COVID room unless necessary was concerning. She also stated that threatening to withhold medication because of the resident's COVID status constituted neglect, but the incident was not reported to the DON or other facility management at that time. The DON later stated that allegations of abuse or neglect must be reported immediately to the DON or administrator and submitted to OHCQ within 2 hours, and the facility incident review showed the allegation was not reported until 9/23/25 at 6:30 PM.
Inaccurate MDS Medicare End Dates
Penalty
Summary
The facility failed to ensure that Minimum Data Set (MDS) assessments were accurately recorded for 2 residents reviewed for Skilled Nursing Facility Beneficiary Protection Notification. For one resident, the Beneficiary Notification checklist showed Medicare A services started on 7/31/25 and ended on 9/18/25, but the discharge MDS recorded the Medicare A end date as 9/19/25. For another resident, the MDS assessment documented Medicare A services as starting on 2/14/25 and ending on 4/1/25, while the Notice of Medicare Non-Coverage showed the Medicare A services ended on 3/31/25. During interview, the MDS Coordinator confirmed the first resident’s Medicare end date was recorded inaccurately on the discharge MDS and stated the second resident’s MDS end date was recorded in error.
Missed Care Plan Meeting After Significant Change Assessment
Penalty
Summary
The facility failed to develop a comprehensive care plan within 7 days after completion of a comprehensive assessment for Resident #26. The resident was admitted in mid-2025, and the most recent MDS was a significant change assessment with an assessment reference date of 7/22/25. On 9/24/25, review of the medical record showed no documentation that a care plan meeting occurred after that assessment was completed. Record review showed only one documented care plan meeting for the resident, which occurred on 6/17/25 for the admission. The resident’s chart contained a sign-in sheet for that meeting, but there were no documents showing another care plan meeting after 6/17/25. The Social Services Director stated that she attends care plan meetings and documents what is discussed, and the MDS coordinator confirmed she was responsible for scheduling them. The MDS coordinator also stated that a care plan meeting was required after the significant change assessment and acknowledged that one was not scheduled after the resident transitioned to hospice care.
Incomplete and inaccurate medication administration records
Penalty
Summary
The facility failed to maintain complete and accurate resident records for medication administration and abuse-related documentation. For one resident with hypertension, an order for hydralazine required the medication to be held if systolic blood pressure was below 100. The eMAR showed that an LPN documented the medication as held on two dates, but the record did not include the blood pressure readings that supported the decision to hold the medication. During interview, the nurse unit manager confirmed that when a medication is held for a parameter such as blood pressure, the BP reading should be documented and reported to the physician, and she confirmed that the record did not contain that information. For another resident, an agency nurse documented that eye drops and other medications were administered at one time, but staff later reported that the resident called a family member because the eye medication had not been given. The family member contacted the facility, and the nursing supervisor confirmed with the agency nurse that the eye drops had not been administered at the time they were documented. The medication was then given later that evening, but the audit report still showed the earlier documentation time. The DON stated that medications are expected to be documented at the time they are given and that if a nurse signs for a medication they did not administer, the record must be corrected and the event documented in the progress notes.
Improper Signature on Arbitration Agreement
Penalty
Summary
The facility failed to properly obtain a resident’s signature on an arbitration agreement for one resident reviewed. The arbitration agreement, dated 4/25/2025, was signed by the resident’s spouse and stated that disputes would be resolved through binding arbitration rather than court proceedings. The resident’s records showed an advance directive and medical power of attorney naming the spouse as health care agent only if the resident could not make their own health care decisions, and the resident had a BIMS score of 15 with a physician certification stating the resident could understand and sign admission documents, understand treatment, make rational evaluations, and communicate decisions. Surveyor interviews and record review showed no documentation that the resident had lost capacity or had authorized the spouse to sign legal documents on their behalf. The Admissions Coordinator stated arbitration agreements were typically signed by family members through DocuSign before admission and acknowledged she did not request documentation confirming legal authority because they were family. The DON confirmed the resident had capacity, and the resident later stated they did not remember being asked about an arbitration agreement and did not know what it meant. A financial POA obtained later did not establish authority at the time of admission, and the care plan contained no evidence that the resident had requested the spouse to sign legal documents.
Failure to Use Isolation Signage and Enhanced Barrier Precautions
Penalty
Summary
The facility failed to follow proper infection control procedures for two residents reviewed for infection control during the recertification survey. For one resident with a physician order for Contact/Droplet precautions due to COVID infection, surveyors observed that the resident’s room had a PPE cart outside the door but no sign indicating isolation precautions or the need for PPE to enter the room. The DON acknowledged that the room should have had a sign, and the Infection Preventionist then made one to place on the door. The Chief Clinical Officer later acknowledged the deficiency when the concern was reviewed with him. For another newly admitted resident with a diagnosis of appendicitis with perforation, the resident reported being on an antibiotic for a wound on the abdomen, and surveyors observed that the resident was not on Enhanced Barrier Precaution and there was no sign in or outside the room indicating such. The Infection Preventionist stated she reviews resident records to determine who needs EBP, but the resident was not included on the facility’s EBP list. Record review showed a diagnosis of infection following a superficial incisional surgical site and an antibiotic order for abdominal incision infection. The facility’s EBP policy stated that EBP is indicated for residents with wounds, including unhealed surgical wounds, and the Infection Preventionist confirmed the resident should have been on EBP.
Failure to Thoroughly Investigate Abuse Allegations
Penalty
Summary
The facility failed to thoroughly investigate allegations of abuse involving Resident #17 and Resident #55. Resident #17 had a history of stroke with hemiplegia and a BIMS score of 15, indicating no or very little cognitive impairment. The resident reported that two GNAs were rough during incontinence care and that the head of nursing made a joking comment about the resident's weight. The facility obtained statements from Resident #17 and the two GNAs, but the investigation did not include interviews with other staff members or residents, aside from the roommate who said they were not aware of the incident. The facility suspended the two GNAs, but there was no clarification in the investigation regarding the head of nursing, later identified by the DON as the Unit Manager, and that person was not suspended during the investigation. The facility also failed to thoroughly investigate Resident #55's allegation of rough care by GNA #6. The investigation documentation included an interview with Resident #55 and a handwritten statement from GNA #6, but no documentation showed that other residents or staff were interviewed. The DON stated that abuse investigations usually include statements from the resident, other residents, staff working at the time, and potentially family, and confirmed that more than just the resident and the accused should have been interviewed. At survey exit, no additional documentation had been provided to show that the investigation included those additional interviews.
Failure to Maintain Safe Environment and Adequate Supervision
Penalty
Summary
A deficiency was identified due to the failure to ensure that a specific area within the facility was free from accident hazards and that adequate supervision was provided to prevent accidents. The report notes that the environment did not meet safety standards, which resulted in the presence of accident hazards and insufficient oversight to protect residents from potential harm. No additional details regarding the specific hazards, the number of residents affected, or their medical conditions at the time of the deficiency are provided in the report.
Failure to Provide Facility-Specific Infection Control Training
Penalty
Summary
The facility failed to develop and implement a mandatory training course that included its own written standards, policies, and procedures for the Infection Prevention and Control (IPC) program. Record review showed that the infection control training provided to staff was a general overview and did not address the facility-specific IPC standards, policies, or procedures. The Director of Human Resources confirmed that the training was an online program provided by the corporate office and did not include requirements for contracted staff. During interviews, both the Director of Nursing and the Nursing Home Administrator were unaware that the IPC training was required to be specific to the facility.
Failure to Ensure Competent Staff and Adequate Supervision Resulting in Fatal Resident Fall
Penalty
Summary
The facility failed to ensure that nurses and nurse aides had the appropriate competencies to care for residents, as evidenced by an incident involving a resident who suffered a fatal fall. Video surveillance showed that two agency GNAs left a resident unsupervised in a reclined Geri chair at the nurses' station, despite the resident previously attempting to get out of the chair unassisted. After being left alone, the resident attempted to walk unassisted, fell, and sustained a head injury. Review of the agency GNA's personnel file revealed no evidence of competency evaluation or training specific to the facility, and interviews with facility staff confirmed there was no process for training or evaluating agency staff, nor documentation of orientation or shadowing. Following the fall, the response by nursing staff was inadequate. The RN who responded failed to properly assess the resident for injuries before moving them, did not conduct a neurological assessment, and left the resident before rendering first aid. The RN was unaware of the worsening head injury and did not check on the resident again until EMS arrived 36 minutes later. Additionally, 911 was not called until 31 minutes after the fall. The resident was observed to have a large knot on the temple and a nosebleed, and later died at the hospital due to injuries from the fall.
Failure to Provide Required Facility-Specific Staff Training
Penalty
Summary
The facility failed to develop and implement all required training programs and did not ensure that both facility and contracted staff received necessary trainings. Record reviews revealed that multiple staff members, including those hired as early as 2019 and as recently as 2025, had not received training specific to the facility's Compliance and Ethics program, Quality Assurance Performance and Improvement (QAPI), and Infection Control and Prevention (ICP). Additionally, contracted staff were missing required communication and behavioral health training, as well as training on facility-specific policies and procedures. The review of employee files showed consistent gaps in documentation of completed trainings for both facility-employed and agency staff. Interviews with the Director of Human Resources confirmed that while an online training program was provided from the corporate office for facility staff, there was no structured orientation or onboarding training for contracted staff, aside from occasional shadowing. The Nursing Home Administrator acknowledged that the QAPI and ICP trainings provided were generic and not tailored to the facility, as required. The lack of facility-specific training and incomplete training records were evident for both permanent and contracted staff, as documented in the reviewed files.
Failure to Ensure Communication Training for Contracted Direct Care Staff
Penalty
Summary
The facility failed to ensure that all staff who worked directly with residents received required communication training. Specifically, a review of one contracted staff member's file showed that she began working at the facility through a staffing agency but did not have documentation of communication training as required. The Director of Human Resources stated that there were no online training requirements for contracted staff and that the agency was responsible for providing the necessary trainings. Additionally, the Director of Human Resources did not review the agency's training program when contracted staff began working at the facility. These findings were confirmed during interviews with facility leadership.
Failure to Provide Compliance and Ethics Training to Contracted Staff
Penalty
Summary
The facility failed to implement a process to ensure that all staff, including contracted personnel, received mandatory, facility-specific compliance and ethics training. Record review showed that two contracted staff members began working at the facility but did not receive the required training. The Director of Human Resources confirmed that there were no online training requirements for contracted staff and that she did not review their training records before their first day at the facility. This deficiency was acknowledged by the Nursing Home Administrator during the survey.
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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 Taneytown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Carroll Lutheran Village | 11 mi | ★★★★★ | 0 | 0 |
| Atlee Hill Health And Rehab Center | 11.1 mi | ★★★★★ | 41 | 0 |
| Westminster Rehabilitation And Wellness Center | 11.5 mi | ★★★★★ | 9 | 0 |
| Homewood Living Plum Creek, Inc | 13.3 mi | ★★★★★ | 1 | 0 |
| Gettysburg Center | 13.6 mi | ★★★★★ | 13 | 0 |
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