Based on record review and staff interviews, it was determined that facility staff failed to ensure a certified nursing assistant-1 (CNA-1) maintained an active certification. This deficient practice was evident in 1 out of 5 CNA-1 employee files reviewed during the annual survey.The findings include:A review of CNA-1 #26's employee file on 06/22/26 revealed a pending CNA-1 certification.On 06/22/2026 at 12:41PM, the surveyor informed the Director of Nursing (DON) and Human Resource (HR) #20 of the pending status and requested documentation indicating CNA-1 #26 had an active certification. HR #20 stated she could only verify a pending certification as of 03/05/2026 based on Maryland Board of Nursing records. …
F728 citations in Maryland
Nursing and Physician Services Deficiencies
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Maryland cites F728 more often than its own record predicts
2.01 times the share F728 takes of citations nationally.
Of every deficiency written in Maryland in 2025, this is the portion that was F728.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F728 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 | 0.17% | 2.26× |
| 2024 | 0.05% | 0.71× |
| 2025 | 0.13% | 2.01× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
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