Based on a review of medical records, facility records, and staff interviews, it was determined that the facility failed to effectively monitor and track antibiotic usage. Specifically, an antibiotic was prescribed to a resident without clinical evidence of infection, and the facility's Antibiotic Stewardship Program failed to document all prescribed antibiotics. This affected three (Resident #30, #39, and #57) out of 18 residents reviewed for antibiotic use and stewardship during the annual survey.The findings include:As part of the Infection Control survey task, the surveyor requested and reviewed the facility's antibiotic stewardship binder on 7/20/26 at 8:35 AM. …
F881 citations in Maryland
Antibiotic stewardship · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Maryland cites F881 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 F881.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F881 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 staff interviews and record review, it was determined that the facility staff failed to ensure that the infection line listing was updated and that residents that required further review for antibiotic use were reviewed. This was evident for 6 (#66, #273, #223, #63, #276, #45) of 7 residents reviewed for antibiotic use. The findings include: A Line listing is a detailed list used by a team of clinicians to identify, track, and monitor suspected infections to ensure appropriate treatments. On 06/07/2023 at 9:36 AM, an interview was conducted with the Infection Preventionist (IP). When asked about the antibiotic stewardship program she indicated that she keeps a line listing on a spreadsheet that was developed by the corporate office. …
The short window
Recent years
| Year | Share of Maryland citations | vs expected |
|---|---|---|
| 2023 | 0.42% | 0.92× |
| 2024 | 0.05% | 0.12× |
| 2025 | 0.23% | 0.48× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
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