Based on interviews and record reviews, it was determined that the facility failed to ensure that a Registered Nurse (RN) was in the building to provide direct supervision to a Licensed Practical Nurse (LPN) while the LPN was administering medication through a peripherally inserted central catheter (PICC) line. This was evident for one (Complaint #3052373) of four complaints reviewed during the annual recertification survey.The findings include:On 6/23/26 at 1:29 PM, the Office of Healthcare Quality (OHCQ) received Complaint #3052373 from a family member of Resident #128. The complaint alleged that Licensed Practical Nurse (LPN) #3 administered antibiotics through the resident's PICC line. …
F836 citations in Maryland
Administration Deficiencies
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Maryland cites F836 less often than its own record predicts
0.98 times the national share — cited less often here than elsewhere.
Of every deficiency written in Maryland in 2025, this is the portion that was F836.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F836 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% | 2.27× |
| 2024 | 0.11% | 1.16× |
| 2025 | 0.07% | 0.98× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
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