Based on observation, interviews and review of facility and other documentation, the facility failed to ensure that essential equipment was operational and safe (1) when the facility boiler that supplied hot water to the kitchen failed on or by 7/6/20 and was not repaired or replaced, and (2) when the dishwasher heating element failed prior to 7/6/20 and it too was not repaired or replaced. For more than two months, the facility continued food preparation and service activities in the kitchen without hot water sufficient for hand washing, and for cleaning, rinsing and sanitizing pots and pans. The failure to ensure safe, hot, potable water was available in the kitchen, created potential for serious harm to all residents, staff and visitors in the building. …
F908 citations in Maryland
Equipment in safe condition · Environmental Deficiencies
Keep all essential equipment working safely.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Maryland cites F908 more often than its own record predicts
1.67 times the share F908 takes of citations nationally.
Of every deficiency written in Maryland in 2025, this is the portion that was F908.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F908 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 facility documents and interviews, it was determined that the facility failed to maintain the facility's emergency electrical power system (generator) to manufacturer's recommendations . This has the ability to affect all residents. The findings include:During an investigation of complaint #3075629, the surveyor became aware that the facility lost utility power on the evening of 7/4/26 at approximately 9 PM and the emergency generator failed to initiate backup power.During an interview on 8/10/26 at 3:36 PM, the NHA (Nursing Home Administrator) confirmed that there was a power outage on the evening of 7/4/26, in which the generator did not immediately come on.During an interview on 8/11/26 at 12:50 PM, MD (Maintenance Director) #4 also confirmed there was a utility power outage on… …
Based on surveyor observation during an environmental tour of rooms 101-116, it was determined that the facility failed to maintain all patient care equipment in safe operating condition. This was evident for 2 (108, 114) of 15 rooms. The findings include: On 12/9/2019 at 9:52 AM an environmental tour of rooms 101-116 was completed. room [ROOM NUMBER]'s air conditioning unit was observed in disrepair with the top right panel bent out of shape presenting a pinching hazard. The controls for the resident bed in room [ROOM NUMBER] were observed to be nonfunctional during the tour. The Administrator and Director of Nursing were made aware of these findings on 12/9/2019 during the exit conference.
The short window
Recent years
| Year | Share of Maryland citations | vs expected |
|---|---|---|
| 2023 | 0.59% | 1.27× |
| 2024 | 0.64% | 1.45× |
| 2025 | 0.76% | 1.67× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
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