F839 in Maryland. Pick another state for the same tag.
Against expectation — 2025
Maryland cites F839 more often than its own record predicts
Versus expected share2.34×
2.34 times the share F839 takes of citations nationally.
Share of Maryland citations0.13%
Of every deficiency written in Maryland in 2025, this is the portion that was F839.
Maryland0.13%
National0.06%
Share of all citations that were F839.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F839 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.
J · Immediate jeopardy, isolatedDecember 1, 2025
Based on Complaint #2625762, employee file reviews, and facility staff interviews, and facility documentation, it was determined that the facility failed to employ Licensed Practical Nurses in accordance with Maryland State laws. This was found evident for 2 (LPN #8 and LPN #14) out of 4 employees reviewed for appropriate licensures during the survey.The facility continued to employ LPN # 8 and LPN # 14 after the initial identification of non-recognized licensure on 4/3/24 through 11/21/25. …
D · No harm, potential for more than minimal, isolatedJuly 17, 2026
Based on a complaint #3055819, record review and staff interviews, it was determined that the facility failed to employ a Registered Nurse (RN) in accordance with Maryland State laws. This was evident for 1 (Staff #2) of 3 employee files reviewed during the annual survey.
The findings include
On [DATE] at 9:30 AM review of a complaint incident #3055819 alleged that the Director of Nursing's (DON) RN license was supposed to be from Florida and her MD LPN License was inactive with the MD Board of Nursing. The surveyor requested Staff #2's employee files.
Review of staff #2's employee files verified that the employee has a valid compact RN license from Florida and that she resides in Maryland. …
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