Based on record reviews and interviews it was determined that the facility failed to ensure the hospice designated staff member was knowledgeable of the hospice requirements. This was found to be evident for 1 (Resident #16) out of 1 Resident reviewed for hospice services during the recertification and complaint survey.The findings include:Hospice is specialized comfort care for people with a terminal illness who have a life expectancy of six months or less. It shifts the focus from curing an illness to maximizing the patient's quality of life, dignity, and pain management. A certification of terminal illness (CTI) is a formal medical document. It states that a patient has a life expectancy of six months or less if their illness runs its normal course. …
F849 citations in Maryland
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Maryland cites F849 less often than its own record predicts
0.48 times the national share — cited less often here than elsewhere.
Of every deficiency written in Maryland in 2025, this is the portion that was F849.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F849 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 the review of facility records, facility policy, and interviews with facility staff, it was determined that the facility failed to: 1. have a written agreement with a hospice provider prior to any hospice services being furnished in the facility, and 2. have a designated staff member responsible for coordination of care with hospice staff. This was evident of 1 of 2 hospice service agreements reviewed. The findings include: The Centers for Medicare and Medicaid defines Hospice as a comprehensive, holistic program of care and support for terminally ill patients and their families. …
The short window
Recent years
| Year | Share of Maryland citations | vs expected |
|---|---|---|
| 2023 | 0.17% | 0.54× |
| 2024 | 0.05% | 0.17× |
| 2025 | 0.13% | 0.48× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
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