Map showing the location of FAYETTE HEALTH AND REHABILITATION CENTER in BALTIMORE, Maryland
1217 WEST FAYETTE STREET, BALTIMORE, MD, 21223

Overall Score

CMS Five-Star Quality Rating
2/5Below averageCMS Five-Star overall rating
  1. Much below average
  2. Below average
  3. Average
  4. Above average
  5. Much above average

Where it ranks

  • MarylandAbove only 16% of peers219 rated homes · average 3.1★
  • Baltimore City CountyAbove only 16% of peers26 rated homes · average 2.8★
  • United StatesAbove only 20% of peers14,574 rated homes · average 3.0★

How the rating is built

  • Health inspectionsStarting point2★−0.8 vs MD avg
  • StaffingCan add or remove a star3★−0.1 vs MD avg
  • Quality measuresCan add or remove a star4★+0.2 vs MD avg

CMS starts from the health inspection stars, then adds or subtracts a star for staffing and for quality measures. Stars are assigned relative to other facilities in the same state.

Ratings & measures

Tap a row to see what it means
Health inspection ratingCMS stars from the last three on-site inspection cycles2★Above only 19% of peersMD avg2.8★U.S. avg2.8★
What is health inspection rating?

Stars assigned from the last three standard surveys and every complaint investigation in that window, weighted toward the most recent and the most serious findings. CMS assigns these stars relative to other facilities in the same state.

Why it matters

It carries the most weight in the overall rating and is the only domain based on what trained inspectors saw on site rather than what the facility reported.

Staffing ratingCMS stars from payroll-reported hours and turnover3★Above only 35% of peersMD avg3.1★U.S. avg2.9★
What is staffing rating?

Nurse and aide hours per resident day from payroll records CMS collects every quarter, adjusted for how much care residents need, plus staff turnover and weekend coverage.

Why it matters

More hours and lower turnover are the strongest predictors of fewer falls, pressure sores, and avoidable hospital stays.

Quality measures ratingCMS stars from clinical outcomes and resident assessments4★Above only 36% of peersMD avg3.8★U.S. avg3.6★
What is quality measures rating?

Clinical outcomes from resident assessments and Medicare claims: falls with injury, pressure ulcers, hospitalizations, antipsychotic use, and more, for both short-stay and long-stay residents.

Why it matters

It shows whether care is working, but part of it comes from the facility’s own assessments, so read it alongside the inspection results.

Total nurse hoursPer resident per day, all nursing staff3.49hrsAbove only 32% of peersMD avg3.90Benchmark4.10
What is total nurse hours?

All licensed nurse and aide hours worked, divided by the number of residents, on an average day. Reported from payroll, not self-reported.

Why it matters

Federal research links 4.1 hours a day to fewer avoidable harms. Below about 3 hours, residents wait longer for help with basics like toileting and repositioning.

RN hoursPer resident per day, registered nurses only0.58hrsAbove only 25% of peersMD avg0.83Benchmark0.75
What is rn hours?

Registered nurse hours only. RNs assess residents, manage medications, and catch changes in condition; LPNs and aides deliver most hands-on care.

Why it matters

RN coverage is the staffing measure most tied to fewer hospital transfers and infections, and it is where thinly staffed facilities cut first.

Nursing staff turnoverShare of nursing staff who left within a year · lower is better32%Above 75% of peersMD avg41%RN turnover47%
What is nursing staff turnover?

The share of nursing staff who left within the past year, from the same payroll data.

Why it matters

High turnover means residents are cared for by people who do not know them, and it is one of the strongest predictors of inspection problems.

Fines in the last three yearsCivil money penalties imposed by CMS · lower is better$162,159Above only 3% of peersMD avg$24,026Fines · denials1 · 1
What is fines in the last three years?

Civil money penalties CMS imposed after serious or uncorrected deficiencies, and denials of Medicare payment for new admissions.

Why it matters

Penalties follow the worst inspection findings. A recent fine is the clearest sign that inspectors found real harm.

Inspection history

Last three inspection cycles
65citations
5inspection dates
3actual harm (G–I)
1immediate jeopardy (J–L)
Aug 14, 2025most recent

Citations by monthMar 2019 – Aug 2025

  • No actual harm (D–F)
  • Actual harm (G–I)
  • Immediate jeopardy (J–L)
  • $Fine or payment denial

Click a month or a year to filter the findings below. Arrow keys move between months; Esc clears.

Aug 14, 20252 citationsCycle 1worst D · no actual harm
  1. Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and CareD · isolatedCorrected Sep 26, 2025
  2. F695Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and CareD · isolatedCorrected Sep 26, 2025
Apr 3, 202426 citationsCycle 1worst E · no actual harmpayment denial
  1. Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and CareE · patternCorrected Jun 12, 2024
  2. F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedResident Assessment and Care PlanningD · isolatedCorrected Jun 12, 2024
  3. Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Resident RightsE · patternCorrected Jun 12, 2024
  4. F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident RightsD · isolatedCorrected Jun 12, 2024
  5. F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Resident RightsE · patternCorrected Jun 12, 2024
  6. F578Honor 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 RightsE · patternCorrected Jun 12, 2024
  7. F584Honor 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 RightsD · isolatedCorrected Jun 12, 2024
  8. F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and ExploitationD · isolatedCorrected Jun 12, 2024
  9. F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Resident RightsD · isolatedCorrected Jun 12, 2024
  10. F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care PlanningD · isolatedCorrected Jun 12, 2024
  11. F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Resident Assessment and Care PlanningE · patternCorrected Jun 12, 2024
  12. F677Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and CareD · isolatedCorrected Jun 12, 2024
  13. F679Provide activities to meet all resident's needs.Quality of Life and CareD · isolatedCorrected Jun 12, 2024
  14. F759Ensure medication error rates are not 5 percent or greater.Pharmacy ServiceD · isolatedCorrected Jun 12, 2024
  15. F761Ensure 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 ServiceD · isolatedCorrected Jun 12, 2024
  16. F791Provide or obtain dental services for each resident.Quality of Life and CareD · isolatedCorrected Jun 12, 2024
  17. F839Employ staff that are licensed, certified, or registered in accordance with state laws.AdministrationD · isolatedCorrected Jun 12, 2024
  18. F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care PlanningE · patternCorrected Jun 12, 2024
  19. F880Provide and implement an infection prevention and control program.Infection ControlE · patternCorrected Jun 12, 2024
  20. F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.EnvironmentalD · isolatedCorrected Jun 12, 2024
  21. F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EnvironmentalD · isolatedCorrected Jun 12, 2024
  22. F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Nursing and Physician ServicesD · isolatedCorrected Jun 12, 2024
  23. F551Give the resident's representative the ability to exercise the resident's rights.Resident RightsD · isolatedCorrected Jun 12, 2024
  24. F641Ensure each resident receives an accurate assessment.Resident Assessment and Care PlanningE · patternCorrected Jun 12, 2024
  25. F583Keep residents' personal and medical records private and confidential.Resident RightsD · isolatedCorrected Jun 12, 2024
  26. F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and ExploitationD · isolatedCorrected Jun 12, 2024
Oct 2, 20238 citationsCycle 3worst J · immediate jeopardy$162,159
  1. F697Provide safe, appropriate pain management for a resident who requires such services.Quality of Life and CareG · isolatedCorrected Oct 17, 2022
  2. F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and CareJ · isolatedCorrected Nov 16, 2023
  3. F850Hire a qualified full-time social worker in a facility with more than 120 beds.AdministrationD · isolatedCorrected Nov 16, 2023
  4. F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Pharmacy ServiceD · isolatedCorrected Nov 16, 2023
  5. F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy ServiceD · isolatedCorrected Nov 16, 2023
  6. Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and CareD · isolatedCorrected Nov 16, 2023
  7. F606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.Freedom from Abuse, Neglect, and ExploitationD · isolatedCorrected Nov 16, 2023
  8. F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and ExploitationD · isolatedCorrected Nov 16, 2023
Mar 11, 201920 citationsCycle 2worst E · no actual harm
  1. F692Provide enough food/fluids to maintain a resident's health.Quality of Life and CareD · isolatedCorrected May 8, 2019
  2. Ensure each resident’s drug regimen must be free from unnecessary drugs.Pharmacy ServiceE · patternCorrected May 8, 2019
  3. F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident RightsD · isolatedCorrected May 8, 2019
  4. F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Resident RightsD · isolatedCorrected May 8, 2019
  5. F584Honor 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 RightsD · isolatedCorrected May 8, 2019
  6. F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Resident RightsE · patternCorrected May 8, 2019
  7. F641Ensure each resident receives an accurate assessment.Resident Assessment and Care PlanningD · isolatedCorrected May 8, 2019
  8. F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care PlanningD · isolatedCorrected May 8, 2019
  9. F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Resident Assessment and Care PlanningE · patternCorrected May 8, 2019
  10. F732Post nurse staffing information every day.Nursing and Physician ServicesC · widespreadCorrected May 8, 2019
  11. F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.Quality of Life and CareD · isolatedCorrected May 8, 2019
  12. F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Pharmacy ServiceD · isolatedCorrected May 8, 2019
  13. F770Provide timely, quality laboratory services/tests to meet the needs of residents.AdministrationE · patternCorrected May 8, 2019
  14. Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and CareD · isolatedCorrected May 8, 2019
  15. F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Nutrition and DietaryE · patternCorrected May 8, 2019
  16. F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and DietaryE · patternCorrected May 8, 2019
  17. F814Dispose of garbage and refuse properly.Nutrition and DietaryD · isolatedCorrected May 8, 2019
  18. F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EnvironmentalE · patternCorrected May 8, 2019
  19. F697Provide safe, appropriate pain management for a resident who requires such services.Quality of Life and CareD · isolatedCorrected May 8, 2019
  20. F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Nursing and Physician ServicesD · isolatedCorrected May 8, 2019
Oct 6, 20179 citationsCycle 3worst H · actual harm
  1. Conduct initial and periodic assessments of each resident's functional capacity.Resident Assessment and Care PlanningD · isolatedCorrected Nov 19, 2017
  2. F241Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.Resident RightsD · isolatedCorrected Nov 19, 2017
  3. F333Ensure that residents are safe from serious medication errors.Pharmacy ServiceH · patternCorrected Sep 10, 2017
  4. F309Provide necessary care and services to maintain or improve the highest well being of each resident .Quality of Life and CareD · isolatedCorrected Nov 19, 2017
  5. F280Allow residents the right to participate in the planning or revision of care and treatment.Resident Assessment and Care PlanningD · isolatedCorrected Nov 19, 2017
  6. F279Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care PlanningD · isolatedCorrected Nov 19, 2017
  7. Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.Freedom from Abuse, Neglect, and ExploitationD · isolatedCorrected Nov 19, 2017
  8. Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.Resident RightsG · isolatedCorrected Sep 1, 2017
  9. F514Keep accurate, complete and organized clinical records on each resident that meet professional standards.AdministrationD · isolatedCorrected Nov 19, 2017

Staffing

From quarterly payroll reports

Hours per resident per day

  • All nursing staffRNs, LPNs and aides combined3.49hrsAbove only 32% of peers−0.41 vs MD avg
  • Registered nursesRN hours only0.58hrsAbove only 25% of peers−0.25 vs MD avg
  • Licensed practical nursesLPN hours0.95hrs
  • Nurse aidesCNA hours1.97hrs
  • Weekend nursingAll staff on Saturdays and Sundays2.93hrs
  • Maryland average
  • Research benchmark (4.10 total, 0.75 RN)

Turnover & capacity

  • Nursing staff turnoverShare who left within a year · lower is better32%Above 75% of peersMD avg 41%
  • RN turnoverRegistered nurses only47%Not ranked by CMS
  • Administrators who leftIn the past year0Stable leadership
  • Occupancy156 certified beds · ~127 residents a day82%Above only 34% of peersMD avg 83%

Fines & penalties

Roughly the past three years

Enforcement summary

  • $162,159In fines
  • 1Fine
  • 1Payment denial
  • $24,026MD avg in fines
Above only 3% of peersFewer fines than 3% of rated homes in Maryland

Actions on record

  1. Apr 3, 2024Denial of payment for new admissionsfrom May 17, 2024
  2. Oct 2, 2023Civil money penalty$162,159

Ownership

As filed with CMS

Structure

Ownership type
For profit - Corporation
Chain
Communicare Health122 facilities in the chain2.8★ chain average
Certification
Medicare and Medicaid
Location type
Urban
Ownership change
None in the last 12 months

People and entities on file

Direct owners (5%+)
  • Second Option Op Co LLC
Indirect owners (5%+)
  • C R Stoltz II LLC
  • C.R. Stoltz Irrevocable Trust
  • Hc Real Estate Holdings, LLC
  • I. Rosedale Irrevocable Trust
  • Omg Re Holdings LLC
  • Option Holdings II LLC
  • R.S. Wilheim Irrevocable Trust
  • Ronald S Wilheim 2012 Spousal Trust
  • +4 more
Operational or managerial control
  • Falling Mgt Co LLC
  • Narender Bharaj
  • Tiffany Burnette
  • Donna Groves
  • Dominic Romeo
Corporate officers
  • Dominic Romeo
  • Charles Stoltz
  • Ronald Wilheim

Person Organization

Sources & notes

Public data, updated quarterly

Data sources

  • CMS Care Compare · Provider InformationStar ratings, staffing hours, turnover, penalties and flags · processed February 2026.
  • CMS Health CitationsEvery deficiency from the last three inspection cycles, with scope, severity and inspection cycle.
  • CMS Penalties and Ownership filesCivil money penalties, payment denials, and the owners and managers on file.

Notes

  • CMS Certification Number 215183 · 1217 WEST FAYETTE STREET, BALTIMORE, MD, 21223.
  • Percentiles compare this facility with every rated nursing home in Maryland and Baltimore City County. Turnover and fines are inverted so a high percentile is always good.
  • This is an informational summary of public data, not medical, legal, or placement advice. Facilities cannot pay to change it; a facility that believes a record is wrong can dispute it with CMS.

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