Copper Ridge Nursing and Assisted Living Center

In the surveyor’s words

From the most serious findings on record at Copper Ridge Nursing and Assisted Living Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jun 22, 2026

  Based on observations, interviews, review of facility investigations and medical record review, it was determined that the facility failed to adequately supervise Resident #34 from behaviors that subjected him/her to the risk of serious injuries. This was found to be evident for 1 (Resident #34) of 3 residents reviewed for behaviors. The Maryland Office of Health Care Quality (OHCQ) determined that the concern met the Federal definition of Immediate Jeopardy, and the facility was notified in writing of this determination at 2 PM on 6/17/26. The findings include:On 6/17/26 at 8:30 AM, the surveyor reviewed the Facility Reported Incident (FRI) #2686663 pertaining to an injury of unknown origin noted on Resident #34. The incident was reported to OHCQ on 12/05/25. […]

• Immediate jeopardy, isolatedF689Dec 11, 2025

  Based on review of facility and medical records and interview with staff it was determined the facility staff failed to provide adequate supervision to prevent a cognitively impaired resident from eloping from the facility. This was evident for 1 (#7) of 2 residents reviewed for accidents.The findings include:Review of Resident #7's medical record on 12/4/25 at 1:38 PM revealed Resident #7 was admitted to the facility on [DATE] with diagnoses which included but were not limited to mild neurocognitive disorder due to known physiological condition with behavioral disturbance, cognitive communication deficit and other sequelae of cerebral infarction. Resident #7 ambulated independently and without the use of assistive devices. […]

• Actual harm, isolatedF686Nov 23, 2022

  Based on complaint allegations, medical record review, and interviews of staff, it was determined that the facility failed to, 1) ensure wounds were accurately assessed with weekly wound evaluation and 2) failed to provide appropriate treatment and services to promote healing of pressure ulcers and prevent new ulcers from developing. Failure to provide appropriate treatment and services to promote healing of a stage 1 pressure ulcer resulted in the development of a stage 4 pressure ulcer causing harm to a resident. This was evident for 1 (#10) of 4 residents reviewed for pressure ulcers. The Findings Include: A pressure ulcer, also known as pressure sore or decubitus ulcer, is any lesion caused by unrelieved pressure that results in damage to the underlying tissue. […]

• No harm, potential for more than minimal, widespreadF880Jan 21, 2021

  Based on observation and staff interview, it was determined the facility failed to ensure an effective infection prevention and control program by 1) failing to ensure that staff utilized personal protective equipment (PPE) in a manner that met minimum standards and minimized risk for infectious spread, and 2) failing to follow infection control guidelines during the laundry process. The noncompliant practices within the facility infection prevention and control program left all residents, staff, and visitors at increased risk for harm during a declared health pandemic. The findings include: On 3/5/20, the Governor of the State of Maryland declared that a state of emergency and catastrophic health emergency exists within the entire state of Maryland related to the spread of COVID-19. […]

• No harm, potential for more than minimal, patternF803Jun 22, 2026

  Based on observation and interview, it was determined that the facility failed to ensure staff followed residents' meal tickets. This was evident for 2 out of 2 meal time observations during the annual survey.The findings include: On 6/17/2026 at 11:47 AM, surveyors observed the kitchen tray line during lunch preparation and noted that the meal tickets listed beets. However, staff did not place beets on the meal trays. Staff #6 stated that the facility did not have beets available, so staff changed the menu and the dietitian approved the change.On 6/17/2026 at 12:28 PM, the surveyors observed that Residents #49, #47, and #33 had meal tickets that indicated tri-colored pasta. However, staff served regular white elbow pasta on their lunch trays. […]