Based on review of complaint IQIES #3067494, record review and interviews, it was determined that the facility failed to accurately assess the facility's nursing staff needs and nursing staff competency needs during the annual and/or update of the Facility Assessment. This deficient practice has the potential to affect all residents in the facility.The findings include:A facility assessment is conducted annually to determine what resources are necessary to care for the residents competently during daily operations and emergencies. …
F838 citations in Maryland
Facility assessment · Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Maryland cites F838 more often than its own record predicts
1.17 times the share F838 takes of citations nationally.
Of every deficiency written in Maryland in 2025, this is the portion that was F838.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F838 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 record reviews and interviews, it was determined that the facility failed to accurately assess and update the Facility Assessment as required. This deficient practice has the potential to affect all residents in the facility. Findings Include: The Facility Assessment evaluates its resident population and identifies the resources needed to provide the necessary care and services that the residents require. On 02/26/25 at 02:59 PM, a review of the facility assessment revealed that the assessment failed to accurately identify all available resources within the facility. …
The short window
Recent years
| Year | Share of Maryland citations | vs expected |
|---|---|---|
| 2023 | 0.34% | 2.01× |
| 2024 | 0.53% | 2.73× |
| 2025 | 0.30% | 1.17× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction