CareLedger USAAt a glance
- Record status
- Record found
- CMS Certification Number
- 215232
- Facility type
- Nursing home
- Certified beds
- 100
- Ownership
- For profit - Limited Liability company
- County or equivalent
- Garrett
- CMS area classification
- Rural
- Phone
- (301) 334-2319
- CMS data processed
- 2026-08-01
Published CMS ratings
- Overall
- 1 of 5
- Health inspection
- 1 of 5
- Staffing
- 1 of 5
- Quality measures
- 1 of 5
Ratings are published by CMS. CareLedger does not create or alter federal star ratings.
Published CMS staffing measures
Staffing figures to ask about
CMS reports nurse hours per resident per day, weekend hours and staff turnover. These figures can help you prepare questions about coverage and continuity. How to read these staffing numbers.
- Total nurse hours per resident per day
- 3.16 hours
- RN hours per resident per day
- 0.36 hours
- Weekend nurse hours per resident per day
- 2.85 hours
- Weekend RN hours per resident per day
- 0.21 hours
- Nursing staff turnover
- 45.3%
- RN turnover
- 33.3%
- Administrators who left
- 0
Ask the home: how are weekday and weekend shifts staffed now, and how do you cover absences? More questions for a visit.
These published measures cover different reporting periods and are not a real-time staffing count or a judgment about care today. CMS processing date: 2026-08-01. Open this facility's CMS source row. How Medicare explains staffing measures.
Record timeline
- Retrieved by CareLedger
The public source record was retrieved for this directory.
- CMS data processed
CMS lists this as the processing date for the published dataset row.
- Standard survey listed
Most recent standard survey: 2025-12-12. Health deficiencies: 30.
For your visit
Questions to take with you
Public records can help you prepare, but they cannot tell you what daily life feels like now. Ask to see current documents and talk through anything that matters to your family.
- CMS lists 30 health deficiencies in its latest rating cycle. Which findings were corrected, and where can we verify that?Why this question: CMS rating cycle 1 total number of health deficiencies · CMS data processed 2026-08-01
- CMS lists 2 fines. What were they for, and where can we read the related records?Why this question: CMS number of fines · CMS data processed 2026-08-01
These are conversation prompts, not new findings or recommendations. The source record may lag behind current conditions. Check the CMS source data
Inspection record
Most recent standard survey: 2025-12-12. Health deficiencies: 30.
From the CMS Health Deficiencies file
Citations on the most recent survey date in this CMS file
The latest date with a citation for this facility in this file is . This may not be the facility’s latest inspection. The entries below are source records, not an assessment of care today.
CMS tag 0550 Resident Rights Deficiencies
CMS requirement: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-04 · CMS scope/severity code: D
CMS tag 0552 Resident Rights Deficiencies
CMS requirement: Ensure that residents are fully informed and understand their health status, care and treatments.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-04 · CMS scope/severity code: D
CMS tag 0578 Resident Rights Deficiencies
CMS requirement: Honor 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.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-04 · CMS scope/severity code: D
CMS tag 0580 Resident Rights Deficiencies
CMS requirement: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-04 · CMS scope/severity code: D
CMS tag 0585 Resident Rights Deficiencies
CMS requirement: Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-04 · CMS scope/severity code: D
Show 20 more citations from this date
CMS tag 0628 Resident Rights Deficiencies
CMS requirement: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-04 · CMS scope/severity code: D
CMS tag 0641 Resident Assessment and Care Planning Deficiencies
CMS requirement: Ensure each resident receives an accurate assessment.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-04 · CMS scope/severity code: D
CMS tag 0655 Resident Assessment and Care Planning Deficiencies
CMS requirement: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-04 · CMS scope/severity code: D
CMS tag 0656 Resident Assessment and Care Planning Deficiencies
CMS requirement: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-04 · CMS scope/severity code: E
CMS tag 0677 Quality of Life and Care Deficiencies
CMS requirement: Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-04 · CMS scope/severity code: D
CMS tag 0679 Quality of Life and Care Deficiencies
CMS requirement: Provide activities to meet all resident's needs.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-04 · CMS scope/severity code: D
CMS tag 0684 Quality of Life and Care Deficiencies
CMS requirement: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-04 · CMS scope/severity code: D
CMS tag 0688 Quality of Life and Care Deficiencies
CMS requirement: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-04 · CMS scope/severity code: D
CMS tag 0691 Quality of Life and Care Deficiencies
CMS requirement: Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-04 · CMS scope/severity code: D
CMS tag 0693 Quality of Life and Care Deficiencies
CMS requirement: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-04 · CMS scope/severity code: D
CMS tag 0695 Quality of Life and Care Deficiencies
CMS requirement: Provide safe and appropriate respiratory care for a resident when needed.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-04 · CMS scope/severity code: D
CMS tag 0697 Quality of Life and Care Deficiencies
CMS requirement: Provide safe, appropriate pain management for a resident who requires such services.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-04 · CMS scope/severity code: D
CMS tag 0712 Nursing and Physician Services Deficiencies
CMS requirement: Ensure that the resident and his/her doctor meet face-to-face at all required visits.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-04 · CMS scope/severity code: D
CMS tag 0726 Nursing and Physician Services Deficiencies
CMS requirement: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-04 · CMS scope/severity code: F
CMS tag 0727 Nursing and Physician Services Deficiencies
CMS requirement: Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-04 · CMS scope/severity code: F
CMS tag 0761 Pharmacy Service Deficiencies
CMS requirement: Ensure 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.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-04 · CMS scope/severity code: D
CMS tag 0842 Resident Assessment and Care Planning Deficiencies
CMS requirement: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-04 · CMS scope/severity code: D
CMS tag 0867 Administration Deficiencies
CMS requirement: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-04 · CMS scope/severity code: F
CMS tag 0921 Environmental Deficiencies
CMS requirement: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-04-01 · CMS scope/severity code: F
CMS tag 0947 Nursing and Physician Services Deficiencies
CMS requirement: Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-02-04 · CMS scope/severity code: E
The correction field and date are reproduced from CMS; they do not independently verify a correction or establish whether a concern exists now. Open the CMS Health Deficiencies data for this CCN. CMS processing date: 2026-08-01. Retrieved for CareLedger: 2026-09-22.
From the CMS citation file
CMS citation tags seen on multiple survey dates
These tags appear on at least two distinct CMS survey dates. The dates and source are shown; this is not a statement about current conditions or whether a finding remains unresolved.
Topics in citations from multiple survey dates
These topics group CMS tags with reviewed descriptions. The dated list below shows every repeated tag, including tags without a topic label. Open the CMS source.
- Assessment and care planning 4 CMS tags · 3 survey dates Tags 0641, 0655, 0656, 0684 · Most recent citation date
- Supervision and physical safety 2 CMS tags · 3 survey dates Tags 0689, 0921 · Most recent citation date
- Daily living support 1 CMS tag · 2 survey dates Tags 0677 · Most recent citation date
These dates describe past CMS citations. Ask the facility about current practice.
-
CMS tag 0550 Resident Rights Deficiencies
CMS describes the regulatory requirement as: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Survey dates: , ,
-
CMS tag 0580 Resident Rights Deficiencies
CMS describes the regulatory requirement as: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Survey dates: ,
-
CMS tag 0641 Resident Assessment and Care Planning Deficiencies
CMS describes the regulatory requirement as: Ensure each resident receives an accurate assessment.
Survey dates: , ,
-
CMS tag 0655 Resident Assessment and Care Planning Deficiencies
CMS describes the regulatory requirement as: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Survey dates: ,
Show 17 more tags seen on multiple dates
CMS tag 0656 Resident Assessment and Care Planning Deficiencies
CMS describes the regulatory requirement as: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Survey dates: ,
CMS tag 0677 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide care and assistance to perform activities of daily living for any resident who is unable.
Survey dates: ,
CMS tag 0684 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Survey dates: ,
CMS tag 0697 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide safe, appropriate pain management for a resident who requires such services.
Survey dates: ,
CMS tag 0712 Nursing and Physician Services Deficiencies
CMS describes the regulatory requirement as: Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Survey dates: ,
CMS tag 0726 Nursing and Physician Services Deficiencies
CMS describes the regulatory requirement as: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Survey dates: ,
CMS tag 0727 Nursing and Physician Services Deficiencies
CMS describes the regulatory requirement as: Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Survey dates: ,
CMS tag 0761 Pharmacy Service Deficiencies
CMS describes the regulatory requirement as: Ensure 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.
Survey dates: ,
CMS tag 0842 Resident Assessment and Care Planning Deficiencies
CMS describes the regulatory requirement as: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Survey dates: , ,
CMS tag 0867 Administration Deficiencies
CMS describes the regulatory requirement as: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Survey dates: ,
CMS tag 0921 Environmental Deficiencies
CMS describes the regulatory requirement as: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Survey dates: ,
CMS tag 0689 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Survey dates: ,
CMS tag 0692 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide enough food/fluids to maintain a resident's health.
Survey dates: ,
CMS tag 0561 Resident Rights Deficiencies
CMS describes the regulatory requirement as: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Survey dates: ,
CMS tag 0623 Resident Rights Deficiencies
CMS describes the regulatory requirement as: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Survey dates: ,
CMS tag 0625 Resident Rights Deficiencies
CMS describes the regulatory requirement as: 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.
Survey dates: ,
CMS tag 0711 Nursing and Physician Services Deficiencies
CMS describes the regulatory requirement as: Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Survey dates: ,
Questions you could ask on a visit
- For CMS tag 0580 listed on 2025-12-12, 2023-06-07, could you show us the relevant inspection reports and explain how the facility handles family notification today?
- For CMS tag 0641 listed on 2025-12-12, 2023-06-07, 2019-03-15, could you show us the relevant inspection reports and explain how the facility handles resident assessment and care planning today?
These prompts use reviewed topic labels from the CMS descriptions. They are not additional inspection findings.
Source: CMS Health Deficiencies for this CCN. CMS processing date: 2026-08-01. Retrieved for CareLedger: 2026-09-22. These historical dates are not a claim about current practice.
Enforcement record
Fines: 2 ($16,559.00 total). Payment denials: 0.
Source and coverage
- Coverage status
- verified live data
- Source agency
- Centers for Medicare & Medicaid Services
- Retrieved
- 2026-09-26
- Confidence
- primary_source
Public records can lag, omit context, or use terms differently across states. Verify material facts with the source agency and facility.