Based on staff interview and review of medical records, the facility failed to follow physician's orders for a Resident # 33 to receive an evaluation by rehabilitation services. This occurred in 1 of 66 residents selected for review in the Stage 2 sample. The findings include: On 10/19/2017 at 10:45 A.M. a review of Resident # 33's medical records was conducted. It was revealed that on 10/4/17 the physician placed an order for [REDACTED]. An interview with the Director of Rehabilitative Services on 10/19/2017 at 2:00 P.M. found that the physician's order was missed and that the evaluation was done on 10/19/2017. The Unit Manager was made aware of the 15 day delay in the resident receiving the OT evaluation. …
F500 citations in Maryland
Administration Deficiencies
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F500 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
F500 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 surveyor review of the clinical records and interviews of the Director of Nursing, it was determined that the facility staff failed to arrange an ophthalmology consultation for resident #47 as ordered. This finding was evident in 1 of 53 resident selected in the stage 2 review. The findings include: On 3-19-12, surveyor review of the clinical records revealed that resident #47 was seen by an ophthalmologist on 9-1-11 for poor vision due to [MEDICATION NAME] degeneration. At that time, the resident's [DIAGNOSES REDACTED]. The recommendation was made to follow up in a year. On 1-2-12, a psychiatrist documented that the resident's vision had declined. …
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