Based on review of the medical record and interview with facility staff, it was determined that the facility failed to complete a discharge summary of a resident . This was evident for 1 (Resident #84) of 3 residents reviewed for closed records during a recertification/complaint survey. The findings include: Resident #84's closed medical record was reviewed on 4/16/25 at 9:01 AM. The review revealed the resident was noted to have left against medical advice on 1/16/25. Further review revealed on 4/15/25 at 2:38 PM Nurse Practitioner (NP #25) wrote, Patient desires discharge AMA (Against Medical Advice). Notified the primary care provider, Dr. [Medical Doctor #16], via voicemail regarding the patient's situation and concerns. …
F661 citations in Maryland
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Maryland cites F661 more often than its own record predicts
1.55 times the share F661 takes of citations nationally.
Of every deficiency written in Maryland in 2025, this is the portion that was F661.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F661 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.
Based on medical record and facility documentation review and interview with facility staff, it was determined that the facility failed to ensure that a recapitulation of the resident's stay was completed following a resident's discharge from the facility. This was evident for 3 of 4 (Resident #1, #2, #3) closed records reviewed during a complaint survey. The findings include: 1) Resident #1's medical record was reviewed on [DATE] at 10:09 AM. Review of Resident # 1's nursing notes revealed documentation that on [DATE] at 6:30 AM, Resident #1 was found without pulse or respirations. …
The short window
Recent years
| Year | Share of Maryland citations | vs expected |
|---|---|---|
| 2023 | 0.17% | 0.66× |
| 2024 | 0.48% | 2.09× |
| 2025 | 0.10% | 1.55× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
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