F-770 Based on observation, staff interview, and review of resident medical records, the facility failed to ensure an effective process was implemented to ensure critical lab results were received timely, resulting in a more than 10 day delay in obtaining COVID testing results for Resident #4 who was COVID positive. The system failure increased the risk for the spread of the potentially fatal infectious agent from unidentified positive residents to all other residents in the highly vulnerable nursing home population, as well as to staff and visitors. As a result of these findings, a state of immediate jeopardy was declared on 4/29/2020 at 4:36 PM. The facility submitted an acceptable plan of removal at 11:04 PM on 4/29/2020 and it was accepted by the state agency at 11:20 PM. …
F770 citations in Maryland
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Maryland cites F770 less often than its own record predicts
0.63 times the national share — cited less often here than elsewhere.
Of every deficiency written in Maryland in 2025, this is the portion that was F770.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F770 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.
Number of residents sampled:Number of residents cited:Based on observation, record review, and interview it was determined that the facility failed to obtain laboratory results in a timely manner. This was found evident in 1 (Resident #154) out of 2 residents reviewed for hydration. A peripheral intravenous (IV) catheter is a short, flexible tube inserted into a small vein for short-term (approximately 3-4 days) use to administer fluids, medications, or blood products. The findings include: On 1/20/26 at 9:31 AM, the surveyor observed Licensed Practical Nurse (LPN) #34 removed Resident #154's IV site. The surveyor asked LPN #34 why Resident #154 had an IV placed and was told that the resident just completed the course of IV fluids that was ordered for hydration. …
The short window
Recent years
| Year | Share of Maryland citations | vs expected |
|---|---|---|
| 2023 | 0.17% | 0.77× |
| 2024 | 0.05% | 0.25× |
| 2025 | 0.13% | 0.63× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
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