Based on record review and interview, it was determined that the facility failed to provide adequate nutrition, hydration, and life-sustaining medications. Consequently, Resident #10 continued to reside in the facility without receiving any nutrition, hydration, or medications from 7/31/2026 to 8/3/2026. This was evident for 1 (Resident #10) of 3 residents reviewed during the revisit survey. This failure resulted in immediate jeopardy.The findings include:According to [NAME] Medicine, a gastrostomy tube (G-tube) placement inserts a tube through the abdominal wall into the stomach to provide an alternative route for feeding, fluids, and medication. …
F684 citations in Maryland
Quality of care · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Maryland cites F684 less often than its own record predicts
0.83 times the national share — cited less often here than elsewhere.
Of every deficiency written in Maryland in 2025, this is the portion that was F684.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F684 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 record review and interview, it was determined that the facility failed to ensure that Resident #1 received care in accordance with professional standards regarding utilizing 2 persons to transfer with a mechanical lift. This deficient practice resulted in a Harm. This was evident for 1 (#1) out of 3 residents reviewed for hoyer transfers.The findings include:The Facility's policy as it relates to the use of a Hoyer Lift reviewed/revised 10/3/25, 7/15/26 by CNO #9, reads in part: Safe Resident Handling/Transfer Policy- to ensure that residents are handled and transferred safely to prevent or minimize risks for injury and provide and promote a safe, secure and comfortable experience for the resident while keeping the employees safe in accordance with current standards and… …
Based on a review of complaint 3167646, interviews, and medical record review, it was determined that facility staff failed to provide eye drops for a resident when ordered by the physician for glaucoma and failed to notify the physician when the eye drops were not available. This was evident for 1 (Resident #5) of 8 residents reviewed during a complaint survey.The findings include: Glaucoma is a group of eye diseases that damage the optic nerve, often due to high fluid pressure inside the eye called the intraocular pressure. Glaucoma is not curable and lost vision cannot be restored.On 8/25/26 at 10:50 AM an interview was conducted with Resident #5's resident representative (RP) who stated that Resident #5 did not receive prescribed glaucoma eye drops for several days in May 2026. …
The short window
Recent years
| Year | Share of Maryland citations | vs expected |
|---|---|---|
| 2023 | 3.56% | 0.98× |
| 2024 | 3.35% | 0.84× |
| 2025 | 3.59% | 0.83× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
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