Homewood Living Frederick

In the surveyor’s words

From the most serious findings on record at Homewood Living Frederick, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Mar 18, 2022

  Based on review of facility and resident records, and interview with facility staff, it was determined the facility staff failed to implement interventions to prevent a cognitively impaired vulnerable resident from leaving the facility unsupervised. This failure placed the resident at risk for serious injury, serious harm, serious impairment or death. Corrective measures were implemented by the facility and completed as of 6/27/21 resulting in a finding of past non-compliance. This was evident for 1 (#1) of 12 residents on elopement precautions. The findings include: Facility reported incident #MD 915 was reviewed on 3/14/22 at 8:00 AM. […]

• No harm, potential for more than minimal, widespreadF880Jul 22, 2025

  Based on observation and interview, it was determined that the facility failed to ensure staff practiced infection prevention and control measures in the laundry area. This was evident for 1 of 1 laundry area and has the potential to affect all residents.1) An observation in the laundry area on 7/17/25 at 8:54 AM revealed Laundry Aid #15 was in the washer room (dirty area) and failed to wash or sanitize her hands when she came to the clean side. She took a pile of clean towels from the folding table, placed them on a cart and then continued to fold laundry.An interview was conducted with Laundry Aid #15 at the time of the observation on 7/17/25 at 8:54 AM. When asked she confirmed she had not washed or sanitized her hands when leaving the dirty area to come to the clean area. […]

• No harm, potential for more than minimal, patternF610Aug 13, 2026

  Based on record review and interview it was determined that the facility failed to thoroughly investigate self-reported incidents. This was evident for 3 (#2649305, #2689607, and #2804687) of 4 self-reported incidents reviewed during the annual survey. The findings include: 1). On 10/21/25, the facility filed a Facility Reported Incident (FRI #2649305) with the Office of Health Care Quality (OHCQ), reporting that a former resident (Resident #91) had reported to a home health care worker that while residing at the facility they had been punched by two of their care givers. […]

• No harm, potential for more than minimal, isolatedF755Aug 13, 2026

  Based on record review and interview it was determined that the facility failed to ensure narcotic medications were kept under control when a blister pack of 18 Tramadol (narcotic medication) pills was unable to be located. This was evident for 1 self-reported incident (#2689607) of 4 self-reported incidents reviewed during the annual survey.The findings include:Narcotic (controlled) medication, due to its potential for abuse and addiction, is required to be thoroughly tracked and accounted for by the facility.Review of the facility's policy titled Controlled Substance Policy, revealed the statement that for shift-to-shift count and reconciliation, two licensed nurses will conduct the count. […]

• No harm, potential for more than minimal, isolatedF921Jul 22, 2025

  Based on observation and interview, it was determined that the facility failed to maintain a safe and clean area to process the dirty laundry. This was evident for 1 of 1 laundry areas observed.The findings include:On 7/17/25 at 8:11 AM an observation of the laundry area revealed in the dirty laundry processing area there was a missing ceiling tile in the right corner adjacent to the doorway to the washer room. There were 7 ceiling tiles around this area that had brownish colored stains on them. In addition, there was dried, brownish substance stains that ran down the wall near this corner and 2 trashcans on a shelf below the area that had dried, brownish substance running down the sides of them. […]