Ellicott City Healthcare Center

In the surveyor’s words

From the most serious findings on record at Ellicott City Healthcare Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jul 27, 2026

  Based on facility investigative record review, medical record review, and staff interviews, it was determined that the facility failed to ensure a cognitively impaired resident remained free from sexual abuse. This was evident for 1 (Resident #22) of 7 residents reviewed for abuse during the complaint survey. This deficient practice resulted in Immediate Jeopardy. However, the facility developed, implemented, and completed corrective actions prior to the start of this survey. The facility's plan and action were verified during this survey, therefore this deficiency was found to be past noncompliance with a compliance date of 4/10/2026.The findings include:The Minimum Data Set (MDS) is a comprehensive assessment completed by facility staff that evaluates a resident's cognition, behaviors,… […]

• Actual harm, isolatedF600Oct 14, 2022

  Based on medical record review, observations, and interviews with facility staff and residents, it was determined that the facility failed to: 1.) protect Resident #32 and Resident #29 from Resident #144 who had a documented history of combative, verbal, and physically aggressive behavior towards staff and other residents. This failure led to physical abuse, emotional distress, and psychosocial harm to Resident (#32) and physical abuse to Resident (#29) and 2.) keep residents free from abuse by staff (Resident #9), (Resident # 259) and (Resident #308). This was evident for 3 of 15 residents reviewed for abuse. The findings include: 1. […]

• No harm, potential for more than minimal, widespreadF584Feb 19, 2026

  Based on observation, pertinent document review, and interview it was determined that the facility failed to maintain a safe, comfortable and homelike environment. This was evident for 7 (Resident #1, #8, #40, #66, #90, #127, #140) of 15 residents reviewed during the environmental task, in addition to multiple random observations of elevated hot water in resident rooms on both floors of the facility which put all residents at risk of being affected by this deficient practice.The findings include: 1) On 2/10/26 at 9:35 AM, the surveyor interviewed Resident #127 and observed that the resident's bathroom had a loose plastic threshold on the floor of the shower and a shower chair with a jagged piece of plastic protruding in the area that a person would sit. […]

• No harm, potential for more than minimal, widespreadF761Feb 19, 2026

  Based on observations, interviews, and record review, it was determined that the facility failed to ensure medication carts were kept secured and failed to ensure controlled medications were stored in an affixed lock box. This was found to be evident during one random observation; and for five of five medication storage refrigerators reviewed during the medication storage task.The findings include: 1) On 2/13/26 from 1:21 to 1:30 PM this surveyor observed various staff and residents pass by an unattended and unlocked medication administration cart on the Dogwood Unit. At 1:30 PM Licensed Practical Nurse (LPN #6) confirmed the unlocked medication cart. […]

• No harm, potential for more than minimal, widespreadF867Feb 19, 2026

  Based on staff interviews, review of pertinent documentation, and survey findings, it was determined the facility failed to ensure that an effective Quality Assurance Performance and Improvement (QAPI) program was in place to identify Quality concerns and develop effective plans of correction.This has the potential to affect all residents.The findings include:Review of the statement of deficiencies for the past two recertification surveys and the findings for the current survey revealed that deficient practice was identified during each of these surveys in the following areas:F 550 Resident RightsF 582 Beneficiary Protection NoticeF 600 AbuseF 656 Comprehensive Care PlansF 657 Care Plan Revision and TimingF 679 ActivitiesF 684 Quality of CareF 761 Medication StorageF 880 Infection… […]