F604 in Maryland. Pick another state for the same tag.
Against expectation — 2025
Maryland cites F604 less often than its own record predicts
Versus expected share0.69×
0.69 times the national share — cited less often here than elsewhere.
Share of Maryland citations0.26%
Of every deficiency written in Maryland in 2025, this is the portion that was F604.
Maryland0.26%
National0.38%
Share of all citations that were F604.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F604 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, isolatedAugust 5, 2024
Based on medical record review and interview with facility staff, it was determined that the facility failed to protect residents after substantiating that GNA staff that restrained a resident (#926) continued to have access to other
vulnerable residents. This was evident during the review of 1of 13 incidents involving abuse. The findings include:
On July 31, 2024 At 5:10 PM, an immediate jeopardy was called by the Office of Health Care Quality related to the facility's failure to remove from duty the GNA staff who restrained a resident and continued to have access to other vulnerable residents. A plan to remove the immediacy was accepted on July 31, 2024 at 6:32 PM and abated the following day at 9:30 AM. …
Based on staff interview, review of video footage, and review of facility documentation and medical record documentation, the facility failed to ensure staff did not impose unjustified restraints on one Resident (Resident #3). Geriatric Nursing Assistant (GNA) staff were allowed to repeatedly place Resident #3 into restraint with no documented clinical justification, no practitioner notification, no order, and no clinical assessment performed associated with the initiation and continuation of restraint. …
D · No harm, potential for more than minimal, isolatedJune 8, 2026
Based on observations, record reviews, and interviews with staff, it was determined that the facility failed to maintain an environment free from restraints with the use of side rails in conjunction with a wedge and pillows for a resident. This was found to be evident for 1 (Resident # 171) reviewed for physical restraints during the annual recertification survey.The findings include:A physical restraint is any manual method, physical or mechanical device/equipment or material that limits a resident's freedom of movement and cannot be removed by the resident in the same manner as it was applied by staff.Bed rails, also known as side rails, are adjustable bars that attach to the bed. They vary in size, including full, half, and quarter lengths depending on their intended purpose. …
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