Based on record review and interview, it was determined that the facility failed to refer Resident #2 for a PASARR level II screen when Resident #2 was diagnosed with bipolar disorder and started on new psych medication. The findings include:Facility's PASARR- Pre-admission Screening and Resident Review policy stated,.PASARR is a federal requirement to help ensure that individuals are not inappropriately placed in nursing homes for long term care.Federal law mandates that Medicaid-certified nursing facilities (NF) may not admit an applicant with serious mental illness (MI), developmental delay (DD), or a related condition, unless the individual is properly screened, thoroughly evaluated, found to be appropriate for NF placement, and will receive all specialized services necessary to meet… …
F644 citations in Maryland
PASARR coordination · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Maryland cites F644 less often than its own record predicts
0.10 times the national share — cited less often here than elsewhere.
Of every deficiency written in Maryland in 2025, this is the portion that was F644.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F644 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.
The short window
Recent years
| Year | Share of Maryland citations | vs expected |
|---|---|---|
| 2023 | 0.17% | 0.24× |
| 2024 | 0.11% | 0.17× |
| 2025 | 0.07% | 0.10× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
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