Based on record review, observations, and interviews, it was determined that the facility failed to provide appropriate care with activities of daily living (ADLs) as evidence by facility staff not providing showers to a dependent resident. This was found to be evident in 1 (Resident #30) of 3 residents reviewed for ADLs during the recertification survey.The findings include:Activities of Daily Living (ADLs) describe fundamental self-care skills like eating, bathing, and mobility. A Kardex is a medical information system summarizing critical patient data. Nursing homes use it as a centralized reference for a resident's daily care needs, medical orders, and preferences. …
F677 citations in Maryland
ADL care for dependent residents · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Maryland cites F677 less often than its own record predicts
0.97 times the national share — cited less often here than elsewhere.
Of every deficiency written in Maryland in 2025, this is the portion that was F677.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F677 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 surveyor observation, clinical record review and interview with the facility staff, it was determined that the facility staff failed to shave resident #30 routinely. This finding was evident for 1 (#30)of 1 residents selected for the activities of daily living review. The findings include: On 04-08-19 at 1 PM, resident #30 was observed sitting in a wheelchair in the dining room for lunch. The resident appeared clean, but their facial hair was unkempt. On 04-09-19 at 10 AM, observation of medication pass revealed resident #30 lying in bed. The resident appeared clean, but their facial hair was unkempt. On 04-09-19 at 10:10 AM, interview of staff #2 and #3 revealed that resident #30 was non-verbal and required total assistance with personal care due to physical limitations. …
The short window
Recent years
| Year | Share of Maryland citations | vs expected |
|---|---|---|
| 2023 | 1.69% | 0.61× |
| 2024 | 1.97% | 0.81× |
| 2025 | 2.21% | 0.97× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
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