Based on observations, record reviews, and interviews, it was determined that the facility failed to establish and implement a comprehensive grievance policy and procedure, failed to make required grievance information available to residents and their representatives, and failed to provide a complainant with a written grievance decision. This was evident for one (Resident #128) of four residents investigated for complaints (Complaint #305273), and this deficient practice has the potential to impact all residents. The findings include: 1) On 6/23/26 at 1:29 PM, the Maryland Office of Health Care Quality (OHCQ) received a complaint (#305273) from a family member of Resident #128 regarding medication administration. …
F585 citations in Maryland
Grievances · Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Maryland cites F585 more often than its own record predicts
1.33 times the share F585 takes of citations nationally.
Of every deficiency written in Maryland in 2025, this is the portion that was F585.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F585 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 review of facility documents and interviews of facility staff, and resident council, it was determined that the facility failed to act promptly upon the resident council's grievances and concerns. All residents have the potential to be affected by the concerns raised by the resident council. The findings include. The resident council meeting minutes for meetings held on 11/22/21, 12/9/21, and 4/18/22 were reviewed on 4/22/22. The resident concerns that were identified on 11/22/21 minutes continued to be an issue with the resident council meeting on 4/18/22. Resident council concerns from the 11/22/21 meeting minutes included concerns related to the housekeeping/laundry department lost clothing and lack of cleanliness. …
The short window
Recent years
| Year | Share of Maryland citations | vs expected |
|---|---|---|
| 2023 | 0.59% | 0.97× |
| 2024 | 0.43% | 0.67× |
| 2025 | 0.86% | 1.33× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
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