Based on review of pertinent documentation and interviews it was determined that the facility failed to ensure a registered nurse (RN) was on duty in the facility for 5 consecutive 8 hour shifts in a row. This deficient practice has the potential to affect all residents. The findings include:Maryland state regulations require RN coverage 24 hours a day 7 days a week.On 8/19/26 at 2:17 PM the Schedule Coordinator (Staff #17) was interviewed in regard to staffing goals. When asked if a goal was to have a RN on duty every shift, Scheduler #17 responded: I try, I feel for the most part we are reaching that goal. Surveyor and Scheduler #17 then reviewed the weekend assignment sheets for the month prior to the start of the survey (7/18-8/16/26). …
F727 citations in Maryland
Registered nurse coverage · Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Maryland cites F727 less often than its own record predicts
0.54 times the national share — cited less often here than elsewhere.
Of every deficiency written in Maryland in 2025, this is the portion that was F727.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F727 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.
The short window
Recent years
| Year | Share of Maryland citations | vs expected |
|---|---|---|
| 2023 | 0.34% | 0.50× |
| 2024 | 0.16% | 0.30× |
| 2025 | 0.23% | 0.54× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
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