Based on resident interviews, record reviews and staff interviews, it was determined that the facility failed to provide pain management according to professional standards. This was evident for 3 (Residents #59, #3, and #8) of 6 residents reviewed for unnecessary medications and pain during the annual/complaint survey. This resulted in actual harm to Resident #59.The findings include: A pain scale is a 0-10 numerical tool for assessing pain severity, with zero representing no pain and 10 the worst pain imaginable. …
F697 citations in Maryland
Pain management · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Maryland cites F697 more often than its own record predicts
1.77 times the share F697 takes of citations nationally.
Of every deficiency written in Maryland in 2025, this is the portion that was F697.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F697 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 staff interviews, it was determined that the facility failed to provide appropriate pain management that included documentation of non-pharmacological interventions. This was evident for 3 (Resident #7, #9, and #10) out of 3 residents reviewed for pain during the complaint survey. The findings include:Non-pharmacological interventions are methods that manage or reduce pain without the use of pain medication. On 07/21/2026 at approximately 8:00 AM, a review of Intake #3036883, there was a noted concern related to pain management.On 07/21/2026 at approximately 8:15 AM, a review of Intake # 3054032 noted concerns related to an occurrence causing a fracture.1) On 07/23/2026 at 2:11 PM, a review of Resident #7's medication administration record (MAR) for July 2026… …
The short window
Recent years
| Year | Share of Maryland citations | vs expected |
|---|---|---|
| 2023 | 1.19% | 1.62× |
| 2024 | 1.43% | 1.95× |
| 2025 | 1.38% | 1.77× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
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