F659 in Maryland. Pick another state for the same tag.
Against expectation — 2025
Maryland cites F659 less often than its own record predicts
Versus expected share0.85×
0.85 times the national share — cited less often here than elsewhere.
Share of Maryland citations0.03%
Of every deficiency written in Maryland in 2025, this is the portion that was F659.
Maryland0.03%
National0.04%
Share of all citations that were F659.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F659 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.
D · No harm, potential for more than minimal, isolatedJuly 17, 2025
Based on record review and interview, it was determined that the facility failed to ensure that only qualified staff provided residents with activities of daily living (ADL) care. This was evident for 1 (Resident #1) of 3 residents reviewed for having private duty aides during the complaint survey. The findings include: On 7/16/25, the surveyor reviewed Resident #1's medical record. The review revealed that Resident #1 was admitted to the facility in March, 2025. Based on the resident's minimum data set (MDS) assessment information, the resident was dependent on staff for ADL care.On 7/16/25 at 9:45 AM, the surveyor interviewed the Director of Nursing (DON). …
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