F628 in Maryland. Pick another state for the same tag.
Against expectation — 2025
Maryland cites F628 more often than its own record predicts
Versus expected share1.59×
1.59 times the share F628 takes of citations nationally.
Share of Maryland citations1.48%
Of every deficiency written in Maryland in 2025, this is the portion that was F628.
Maryland1.48%
National0.93%
Share of all citations that were F628.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F628 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.
E · No harm, potential for more than minimal, patternAugust 28, 2026
Based on interviews and record reviews, it was determined that the facility failed to; notify the resident's responsible party in writing, of the reason for a resident's transfer, to provide the resident and/or resident's responsible party with the bed-hold policy, and to notify the local ombudsman's office of a resident's transfer/discharge. This was evident for 4 (#103, #106, #11, #2) out of 4 residents reviewed for hospitalizations during the facility's annual recertification survey.Findings include:
1.
A medical record review was conducted for resident # 103 on 8/25/26 at approximately 10:35 AM and upon review it revealed the resident was sent to the hospital on 6/1/26 for unresponsiveness. …
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