Based on record review and interview, it was determined the physician failed to intervene and ensure the end of life wishes for Resident (# 117) were honored. This was evident for 1 of 54 residents selected for review during the survey process. The findings include: An advance directive is a useful legal document for an adult of any age to plan for future health care needs. The advance directive is the legal document prepared after discussing, deciding and putting into writing your choices for treatment and care and appointing a health care decision maker for care in the event you are not able to make medical decisions for yourself. …
F710 citations in Maryland
Nursing and Physician Services Deficiencies
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Maryland cites F710 more often than its own record predicts
4.40 times the share F710 takes of citations nationally.
Of every deficiency written in Maryland in 2025, this is the portion that was F710.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F710 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 interviews, it was determined that the facility failed to clarify a medication discrepancy on the hospital discharge summary, monitor appropriate dosing of a medication by ordering the correct laboratory testing, and take action on abnormal laboratory results required for accurate medication dosing. This was found to be evident for 1 (#43) out of 6 residents reviewed for Vancomycin administration. This deficient practice resulted in harm to the resident. The findings include: Bacteremia is the presence of bacteria in the blood. Vancomycin is an antibiotic used to treat serious bacterial infections. Proper administration requires blood levels be monitored for accurate dosing. …
Based on review of medical records and interviews with facility staff, it was determined the facility failed to ensure that a resident's primary care provider(s) assessed and monitored his/her pressure ulcer. This was evident for 1 (Resident #1) out of 1 residents reviewed for pressure ulcers during the facility 's annual recertification survey.The findings include:A pressure ulcer also known as pressure sore, bed sore, or decubitus ulcer is any lesion caused by unrelieved pressure that results in damage to the underlying skin. …
The short window
Recent years
| Year | Share of Maryland citations | vs expected |
|---|---|---|
| 2023 | 0.76% | 8.26× |
| 2024 | 0.27% | 3.27× |
| 2025 | 0.30% | 4.40× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
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