Based on observations, resident and staff interviews, and record review, the facility failed to ensure routine and 24-hour emergency dental care was provided or obtained from an outside resource to meet the needs for one of one resident (Resident (R) 55) reviewed for dental care out of 30 sampled residents resulting in significant weight loss. The facility failed to provide prompt dental services to a resident with identified dental pain by ensuring dental services were properly and timely arranged and completed to ensure continuity of care was provided to the resident. …
F791 citations in Maryland
Dental services · Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Maryland cites F791 more often than its own record predicts
2.85 times the share F791 takes of citations nationally.
Of every deficiency written in Maryland in 2025, this is the portion that was F791.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F791 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 interviews and medical record review, it was determined that the facility failed to ensure residents received routine dental services. This was evident for 1 (Resident #80) of 1 resident reviewed for dental services during the annual survey. The findings include: On 07/21/2026 at 1:05 PM, during an interview, Resident #80 stated that they had not seen a dentist since being admitted to the facility.On 07/22/2026 at 12:12 PM, a review of the medical record revealed that Resident #80 was admitted to the facility in August 2024. The record showed the resident was scheduled for a dental appointment in November 2024, but refused the visit. …
Based on surveyor review of the clinical records and interview of facility staff and residents, it was determined that the facility failed to provide annual routine dental services to a resident. This finding was evident for 1 of 32 residents reviewed during the survey (#5). selected for this survey. The findings include: On 03-14-18 at 10 AM, surveyor interview with resident #5 revealed that he/she has not seen a dentist for routine dental services in 2 years. Surveyor review of resident #5's clinical record revealed that he/she last received dental services in (YEAR). There was no evidence in resident #5's clinical record to indicate that he/she was seen in (YEAR). …
The short window
Recent years
| Year | Share of Maryland citations | vs expected |
|---|---|---|
| 2023 | 0.51% | 1.74× |
| 2024 | 0.74% | 2.66× |
| 2025 | 0.79% | 2.85× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
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