Based on record review and interviews, it was determined the facility failed to consult with the responsible party of a resident incapable of making medical decisions regarding advance directive status, consent for treatments, and immunization status. This was evident for 1 resident (Resident #3) of 3 residents reviewed for advance directives during the complaint survey. The findings include:On 08/10/2026 at approximately 10:00 AM, a review of intake #3075629 revealed a concern related to the complainant being the medical power of attorney, and there was no notification regarding a fall that led to a transfer to the emergency room. The Minimum Data Set (MDS) is a required assessment for all residents in Medicare- or Medicaid-certified nursing homes. …
F551 citations in Maryland
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Maryland cites F551 more often than its own record predicts
2.55 times the share F551 takes of citations nationally.
Of every deficiency written in Maryland in 2025, this is the portion that was F551.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F551 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 observation and interview of facility staff, it was determined that the facility failed to ensure that the decisions of the resident's representative were given the same consideration as if the resident had made the decisions themselves. This finding was evident for 1 of 20 residents selected for this survey (#48). The findings include: On 11-19-19 at 3:05 PM, surveyor interview of resident 48's power of attorney (POA) revealed that the resident went to church services contrary to the resident's power of attorney's instructions. …
The short window
Recent years
| Year | Share of Maryland citations | vs expected |
|---|---|---|
| 2023 | 0.34% | 6.26× |
| 2024 | 0.32% | 4.17× |
| 2025 | 0.20% | 2.55× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
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