Based on surveyor review of residents' clinical records, interview of facility staff, residents' attending physicians, interview of staff at [MEDICATION NAME] County Communicable Disease and Epidemiology (CD&E)/local health TB department and review of facility administrative records, it was determined that the facility failed to ensure timely follow up of the treatment and management of multiple residents who were identified at risk for exposure to a serious infectious disease. In addition, the facility failed to record in residents' clinical records the rationale for treatment/non treatment for [REDACTED]. On 10-06-16 at 6:10 PM, an immediate jeopardy to residents' health and safety was determined by the State Office of Health Care Quality. …
F441 citations in Maryland
Environmental Deficiencies
Have a program that investigates, controls and keeps infection from spreading.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F441 citations were recorded in Maryland for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What Maryland surveyors wrote
F441 findings written in Maryland, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on interviews and medical record reviews, the facility staff failed to ensure that an effective infection control program was in place, when staff failed to follow an effective process to isolate and adequately address a communicable outbreak of scabies for nearly three months. This was evident for 5/5 residents reviewed during a complaint survey but placed all staff and residents at risk. The findings include: On 7/28/15 complaint investigations were done at the facility for complaints of Scabies. There are a number of residents and staff who contacted scabies, some that had complaints as early as April and May. …
Based on observations and interview, it was determined that the facility staff failed to ensure: 1) that the resident lift hanger bar pad was clean, 2) that a geriatric chair that exhibited breaks in the integrity of the fabric (not allowing for adequate disinfection) was not in use by residents, 3) that personal wipes were labeled with the resident's room number, 4) that hand hygiene standards of practice was utilized by a staff member. This deficient practice was found on 1 of 3 floors (1st floor) and has the potential to affect 1st floor residents. The facility is to ensure that personal hygiene equipment is properly labeled and stored to avoid possible cross-contamination. …
What else Maryland surveyors cite →
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