F580 in Maryland. Pick another state for the same tag.
Against expectation — 2025
Maryland cites F580 more often than its own record predicts
Versus expected share1.06×
1.06 times the share F580 takes of citations nationally.
Share of Maryland citations1.58%
Of every deficiency written in Maryland in 2025, this is the portion that was F580.
Maryland1.58%
National1.48%
Share of all citations that were F580.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F580 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.
J · Immediate jeopardy, isolatedApril 14, 2026
Based on interview, record review, and facility policy review, the facility failed to promptly notify the provider of a critical and abnormal laboratory test values for 1 (Resident #7) of 3 sampled residents reviewed for a change in condition. On [DATE], Resident #7 experienced a change in condition and a nurse practitioner (NP) ordered STAT (a Latin word, statim, which meant immediately or without delay) laboratory tests to rule out pneumonia and assess for other possible underlying causes of the resident's change in condition. The blood specimen was collected for the laboratory tests, which revealed the resident had a high critical sodium level of 161 millimoles per liter (mmol/L). …
D · No harm, potential for more than minimal, isolatedAugust 28, 2026
Based on observations, interviews, and record reviews, it was determined the facility failed to consult with the resident's physician; and notify, consistent with his or her authority, the resident representative following significant change in the resident's conditions and/or a need to alter treatment significantly. This was evident for 3 (#17, #89, #75) of 11 residents reviewed for nutrition and medication during the facility's annual Medicare/Medicaid survey.Findings include:
1.
Resident #17 was admitted with, but was not limited to, the following diagnoses: traumatic brain injury (TBI), morbid obesity, and mild protein-calorie malnutrition.
A medical record review of Resident #17 was conducted on 08/24/2026 at approximately 10:50 AM. …
B · No harm, potential for minimal, patternJanuary 31, 2020
Based on the review of the clinical record, interviews with legal guardians and facility staff, it was determined that the facility failed to notify a legal guardian of changes in a residents' condition. This finding was evident for 1 of 38 residents reviewed during the survey (Resident #139).
The findings include:
This finding was identified during the investigation of complaint MD 759.
1. On 01-28-2020 at 10:00 AM, surveyor interview with Resident #139's legal guardian stated that on 12-13-2019 the facility notified her that the resident had an injury of unknown origin. Further interview revealed the resident's legal guardian was not notified that the facility investigated the incident and determined the injury was a result of Resident #139 falling. …
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