Based on review of the medical record and interview with staff, it was determined the facility failed to ensure it had sufficient staff members who possess the basic competencies and skills sets to meet the behavioral health needs of residents by failing to implement person-centered care approaches and non-pharmacological interventions designed to meet the individual behavioral health goals and needs of each resident. This was evident during review of 1 (#18) of 28 residents reviewed for Abuse. The findings include: During an interview on 1/09/24 at 11:04 AM, Resident #18 indicated when asked, that he/she was hit by a receptionist with a phone and had to go to the hospital to get stitches in his/her head. Resident #18's medical record was reviewed on 1/12/24 at 12:28 PM. …
F741 citations in Maryland
Quality of Life and Care Deficiencies
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Maryland cites F741 more often than its own record predicts
1.06 times the share F741 takes of citations nationally.
Of every deficiency written in Maryland in 2024, this is the portion that was F741.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F741 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 | 0.25% | 5.16× |
| 2024 | 0.05% | 1.06× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
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