Based on clinical record review and staff interview it was determined that the facility failed to ensure its clinical records are complete and accurate. This was true for 1 resident reviewed during a complaint investigation. The findings include A review of Resident # 1's clinical record revealed that the resident's primary physician wrote an order for [REDACTED]. Per chart review, No [MEDICATION NAME] (long acting insulin) was supplied the night of 8/26/2017. Further review of the Medication Administration Record [REDACTED]. The Director of Nursing was interviewed on 11/20/2017 at 1:08 PM. The findings were discussed and no evidence to contradict the findings were presented prior to exit.
F514 citations in Maryland
Administration Deficiencies
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F514 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
F514 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 staff interviews, it was determined that the facility staff failed to maintain clinical records in an accurate, complete, and professional manner. This finding was evident for 4 of 31 residents selected in the stage 2 reviews (#154, #156, #33 and #159). The findings include: 1. On 11-08-17 at 1 PM, surveyor review of resident #154's clinical record revealed that, on 10-29-17, an open skin area on the right buttock was identified. Resident #154's physician was informed timely and a treatment was prescribed. In addition a wound consult was ordered. Review of the November 2017 Treatment Administration Record (TAR) revealed a check mark on 11-02-17 indicating that the order (wound consult) was carried out. …
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