F-tags by state · Maryland

Most common nursing home citations in Maryland

11,028 health citations were recorded at 220 of 219 rated nursing homes in Maryland over the last three inspection cycles, about 50.4 per facility. Here is what surveyors cite most, how that compares with the rest of the country, and where the harm-level findings cluster.

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  • Source: CMS Care Compare
Citations11,02850.4 per rated facility
Facilities cited220of 219 rated
Actual harm (G–I)1191% of citations
Immediate jeopardy (J–L)991% of citations

Top 25 F-tags in Maryland

"State share" is the percentage of rated Maryland nursing homes cited at least once for the tag; "U.S. share" is the same figure nationally. A big gap shows a state-specific survey focus.

#TagRequirementCategoryCitationsState shareU.S. share
1F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Assessment & care planning46094%35%
2F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Assessment & care planning40093%58%
3F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Assessment & care planning39991%42%
4F880Provide and implement an infection prevention and control program.Infection control35085%81%
5F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition & dietary32589%76%
6F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Resident rights28974%39%
7F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of life & care28674%69%
8F641Ensure each resident receives an accurate assessment.Assessment & care planning28076%37%
9F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Abuse, neglect & exploitation27478%40%
10F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Pharmacy services27377%59%
11F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Resident rights25780%23%
12F610Respond appropriately to all alleged violations.Abuse, neglect & exploitation25175%28%
13F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident rights22669%43%
14F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Pharmacy services18762%23%
15F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident rights18658%30%
16F677Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of life & care17556%44%
17F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Abuse, neglect & exploitation17257%35%
18F658Ensure services provided by the nursing facility meet professional standards of quality.Assessment & care planning15448%29%
19F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Resident rights15352%25%
20F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Pharmacy services15252%34%
21F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedAssessment & care planning15155%19%
22F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of life & care14547%39%
23F697Provide safe, appropriate pain management for a resident who requires such services.Quality of life & care14149%18%
24F692Provide enough food/fluids to maintain a resident's health.Quality of life & care13647%29%
25F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy services13446%38%

Citations by category

Quality of life & care2,192
Resident rights2,144
Assessment & care planning2,108
Pharmacy services1,141
Abuse, neglect & exploitation875
Nursing & physician services624
Nutrition & dietary605
Infection control496
Administration438
Environment & safety405

Citations by survey year

2017236
20181,796
20191,814
2020256
2021523
2022635
20231,307
20241,882
20252,579

Partial years reflect the rolling three-cycle window.

Check a specific Maryland nursing home

The report card lists every citation for one facility with the severity decoded, and ranks it against the other 219 rated facilities in the state.

How this works

Source and method

CMS Provider Data Catalog, Nursing Home Health Citations, current three inspection cycles for every Medicare- and Medicaid-certified nursing home in Maryland. Tags are matched to citations by CMS's standardized description. Tags with at least 50 national citations link to a detail page.

Counts describe survey findings, not a ranking of facilities. Facilities can dispute citations through CMS's IDR and IIDR processes.

Frequently asked questions

What is the most common nursing home citation in Maryland?
F842 (Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.) is the most-cited F-tag in Maryland, with 460 citations at 205 facilities, or 94% of the state's rated nursing homes, compared with 35% nationally.
How many nursing home citations are there in Maryland?
11,028 health citations across 220 of 219 rated nursing homes in the last three inspection cycles, about 50.4 per facility. 119 involved actual harm and 99 were immediate jeopardy.
Why do citation patterns differ by state?
Each state survey agency inspects on behalf of CMS with its own staffing, training, and priorities, and state licensing rules layer on top of the federal requirements. Compare a facility with others in the same state rather than with the national average.

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