Deficiency Index

Dennett Rehab Center

Oakland, Maryland · CCN 215216

19 surveys since 2011. The first finding at harm level was recorded in 2015.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
133
Surveys
19
Harm or worse
8
Immediate jeopardy
3
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy3

Findings at the most serious level CMS records. 2 of these were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file11/19

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
99
Ownership
For profit - Limited Liability company
Chain
Independent
County
Garrett · rural
Medicare-certified since
1973

CMS ratings

Overall
1
Health inspection
1
Staffing
2
Quality measures
1

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 31 for-profit facilities of 66–99 beds in Maryland.

Last survey on record

Jul 21, 2026

111 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.273.57
Registered-nurse hours per resident day0.59—
Annual nurse turnover53.6%44.4%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$43,569 across 4 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ35.1%K—L—
Actual harmG35.1%H—I—
No harm, potential for more than minimalD3355.9%E915.3%F1016.9%
No harm, potential for minimalA—B—C11.7%
CMS’s current file: 59 of the 133 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6845×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F6894×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F8804×

    Provide and implement an infection prevention and control program.

  • F8013×

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

  • F5502×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

In the surveyor’s words

From the most serious findings on record at Dennett Rehab Center, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF689Jul 21, 2026

    Based on observations, interviews, record reviews, and review of facility investigative records and witness statements, the facility failed to provide adequate supervision and implement appropriate interventions to prevent elopement for 1 of 3 sampled residents (Resident #5) who was identified as being at risk for elopement. As a result, Resident #5 eloped from the facility and was located walking on a main road before being safely returned to the facility.The findings include:Record review conducted on 7/20/26 at 11:45 a.m. […]

  • Immediate jeopardy, isolatedF689Nov 20, 2024

    Based on review of a facility reported incident, medical record review, observation and interview, it was determined facility staff failed to prevent residents assessed to be at risk for elopement from eloping from the facility (Resident #202 and #204). This was evident for 2 of 7 residents reviewed for elopement. This resulted in an immediate jeopardy for the residents at risk for elopement on 2/15/23 and again on 2/6/24. After the elopement for both incidents, the facility put a plan in place to ensure that no other residents eloped from the facility. Review of the facility's plan of correction, implemented immediately after the facility gained knowledge of the elopements on 2/15/23 and 2/6/24, resulted in the citation being cited as past noncompliance. […]

  • Immediate jeopardy, isolatedF684Feb 2, 2024

    Based on observation, interviews, and record review, it was determined that the facility failed to provide treatment and care in accordance with the physician's order to administer a pureed diet with honey-thickened liquids to Resident #1 and failed to follow standards of care following a life-threatening choking event. The facility's failure resulted in Immediate Jeopardy when Resident #1 on [DATE], suffered a choking episode and subsequently died . This was identified for 1 of 6 residents reviewed during a complaint survey. On [DATE] an Immediate Jeopardy (IJ) was identified. The facility Administrator received the IJ template on [DATE] at 4:10 PM and was notified that there was Immediate Jeopardy (IJ) identified due to the above failures. […]

  • Actual harm, isolatedF684Oct 10, 2025

    Based on interview, record review, facility policy review, and the American Diabetes Association Guidelines, the facility failed to follow a physician's order for blood glucose monitoring and failed to assess a blood glucose level on an unresponsive resident with a known diagnosis of diabetes mellitus for 1 (Resident #8) of 4 sampled residents reviewed for diabetic management. This failure resulted in harm, as the resident was sent to the hospital unresponsive for a critical blood glucose level of 29.Findings included: A facility policy titled, Diabetes - Clinical Protocol, revised 12/2020, revealed, Assessment and Recognition: 1. […]

  • Actual harm, isolatedF689Feb 2, 2024

    Based on policy review, job description review, medical record review, observations, and interviews, the facility failed to provide the needed assistance and supervision with meals. The facility's failure resulted in harm when Resident #1 was left alone and choked after consuming a slice of pizza. This was identified for 1 of 6 residents reviewed during a complaint survey. The findings include: The State Survey Agency (SA) received complaint allegation (MD00201673) indicating that Resident #1 had choked on food and died in [DATE]. […]

Read 25 findings in full →The most serious and the most recent: 25 of 133 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 21, 2026Complaint1 finding · 1 harm
  • Jun 12, 2026Complaint1 finding
  • Mar 16, 2026Standard12 findings
  • Oct 10, 2025Complaint1 finding · 1 harm
  • Mar 5, 2025Complaint3 findings
  • Nov 20, 2024Standard and complaint20 findings · 1 harm
  • Feb 2, 2024Complaint5 findings · 2 harm
  • Dec 29, 2020Infection control3 findings
Show the 11 earlier surveys
  • Jul 16, 2019Standard and complaint16 findings · 1 harm
  • Apr 26, 2018Standard19 findings · 1 harm
  • Feb 23, 2017Standard and complaint11 findings
  • Nov 19, 2015Standard9 findings · 1 harm
  • Jul 22, 2015Complaint1 finding
  • Aug 28, 2014Standard and complaint7 findings
  • Jul 18, 2013—8 findings
  • Jun 21, 2012—8 findings
  • Apr 23, 2012—1 finding
  • Dec 13, 2011—1 finding
  • Jun 10, 2011—6 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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