Safe, clean, homelike environment · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F584 in Maryland. Pick another state for the same tag.
Against expectation — 2025
Maryland cites F584 more often than its own record predicts
Versus expected share1.33×
1.33 times the share F584 takes of citations nationally.
Share of Maryland citations2.80%
Of every deficiency written in Maryland in 2025, this is the portion that was F584.
Maryland2.80%
National2.10%
Share of all citations that were F584.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F584 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.
L · Immediate jeopardy, widespreadDecember 6, 2024
Based on observation, record review and staff interview, it was determined that the facility failed to maintain a safe temperature of 71-81 degrees Fahrenheit (F). This was evident for 3 of 3 floors in the facility.
The findings include:
The Center for Disease Control's (CDC) Preventing Hypothermia publication on 2/7/24, read that victims of hypothermia are often: older adults with inadequate heat. www.cdc.gov.
On 12/2/24 at 1:00 PM an observation in the lobby of the facility revealed it felt cold, and residents and staff were wearing coats, hats, and gloves.
During an observation of the 1st floor nursing unit on 12/2/24 at 3:45 PM it felt cold on the unit. There were large heating units located sporadically in the hallways. …
D · No harm, potential for more than minimal, isolatedAugust 26, 2026
Based on observation and interview it was determined the facility staff failed to provide housekeeping and maintenance services necessary to maintain a sanitary, comfortable and homelike environment. This was evident for 1 (#147) of 3 resident rooms observed for environment.The findings include: Review of complaint #3136345 on 8/20/26 at 12:15 PM revealed concerns related to ceiling tiles with signs of a leak in resident(s) room(s). 3 resident rooms were observed on 8/25/26 at approximately 10:15 AM. In room [ROOM NUMBER] the surveyor observed 4 ceiling tiles directly above the first bed (A) with large brown stains. The stains were widest along the edge of the tile adjacent to the wall and extended in a semicircle toward the center of each tile. …
B · No harm, potential for minimal, patternFebruary 21, 2020
Based on a complaint allegation, observations and staff interview it was determined that the facility staff failed to provide services to maintain a toilet room in good repair, neat, and attractive. This was evident in one toilet room out of a random observation of 6 toilet rooms.
The findings include:
Review of complaint #MD 544 alleged that the shared toilet room of #115 was dirty with blood splattered on the walls. Observation of the toilet room on 2/20/20 at 1:30 PM revealed an out of order sign on one of the doors leading into the toilet room. The door frames on both entrances into the toilet room were observed with rust stains. The brown rusted stains were bleeding through the paint. The floor in front of the toilet was noted to be wet. …
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