Based on a medical record review, interview with facility staff, and the resident RP (Responsible Party) it was revealed the facility staff failed to notify the physician in a timely manner of a resident (#135) change in condition. This occurred in 1 of 1 resident reviewed during the survey. The findings include: Review of the investigation of Facility Reported Incident MD00198432, on 9/16/24 at 10:00 AM revealed the following: On 10/7/23 at approximately 3AM Resident #135 complained of heartburn. The resident was assessed by the nurse #59 at least twice during the night shift (11pm-7am) to include review of pain. …
F646 citations in Maryland
Resident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Maryland cites F646 more often than its own record predicts
1.14 times the share F646 takes of citations nationally.
Of every deficiency written in Maryland in 2024, this is the portion that was F646.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F646 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.
What else Maryland surveyors cite →
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