Based on complaint, reviews of a closed clinical record and all other pertinent administrative documents, and interviews with staff, it was determined that the facility staff failed to maintain a medical record in the most accurate. This was evident for 1 (Resident #4) of 5 residents reviewed during a complaint survey. The findings include: A medical record is the official documentation for a healthcare organization. As such, it must be maintained in a manner that follows applicable regulations, accreditation standards, professional practice standards, and legal standards. All entries to the record should be legible and accurate.resident records. …
F842 citations in Maryland
Medical records · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Maryland cites F842 more often than its own record predicts
1.96 times the share F842 takes of citations nationally.
Of every deficiency written in Maryland in 2025, this is the portion that was F842.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F842 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 a complaint and closed record review, it was determined that the facility staff failed to 1) properly void an older MOLST form when a new MOLST form was created, and 2) write the resident's name on the MOLST form when completing a new MOLST form. This was evident for 1 (Residents #9) of 9 residents reviewed during a Focused Infection Control and Complaint survey. The findings include: A Maryland MOLST (Medical Orders for Life-Sustaining Treatment) form is used for documenting a resident's specific wishes related to life-sustaining treatments. The MOLST form includes medical orders for Emergency Medical Services (EMS) and other medical personnel regarding cardiopulmonary resuscitation and other life-sustaining treatment options for a specific patient. …
The short window
Recent years
| Year | Share of Maryland citations | vs expected |
|---|---|---|
| 2023 | 3.31% | 2.04× |
| 2024 | 3.99% | 2.12× |
| 2025 | 4.38% | 1.96× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
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