Based on record review, observation, and interview with residents and staff, and other pertinent documents it was determined that the facility subjected residents to involuntary seclusion by restricting their ability to move freely. This was evident for 4 (Resident #17, #30, #102, #108) out of 15 residents residing in the locked area of the Med Bridge unit. Additionally, due to the restriction, Resident #108 experienced distress resulting in self-inflicted physical harm in an attempt to exit the locked unit. As a result of the non-compliance an IJ (Immediate Jeopardy) was determined on 4/25/2025 at 3:30 PM. An IJ summary tool was provided to the facility on 4/25/25. The facility submitted a draft of their plan to remove the immediacy on 4/25/25 at 6:40pm, and it was not accepted. …
F603 citations in Maryland
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Maryland cites F603 less often than its own record predicts
0.73 times the national share — cited less often here than elsewhere.
Of every deficiency written in Maryland in 2025, this is the portion that was F603.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F603 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 medical record review, observation of facility video surveillance and interview, the facility staff failed to prevent a resident from being placed in involuntary seclusion (Resident #34). This was evident for 1 out of 36 residents reviewed during a complaint survey. This incident resulted in actual psychological harm to the resident. Due to the facility's corrective measures following the incident, this is being cited as past non-compliance with a compliance date of 3/12/21. The findings include: On 3/15/21 a review of facility reported incident MD 534 revealed the facility submitted a report on 3/4/21 to OHCQ (Office of Health Care Quality) that on 3/4/21 Resident #34 reported he/she was physically abused by LPN #1. …
Based on record review, observations and interview, it was determined that the facility failed to have prevent involuntary seclusion. This was evident for three (Resident #2, Resident #7 and Resident #8 ) out of three residents reviewed during the survey.The findings include:Involuntary seclusion is defined as separation of a resident from other residents or from his/her room, or confinement to his/her room (with or without roommates) against the resident's will, or the will of the resident representative.MDS (Minimum Data Set) is a federally mandated assessment tool that helps nursing home staff members gather information on each resident's strengths and needs. …
The short window
Recent years
| Year | Share of Maryland citations | vs expected |
|---|---|---|
| 2023 | 0.17% | 8.60× |
| 2025 | 0.03% | 0.73× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
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