Lorien Nursing & Rehab CTR - Elkridge

In the surveyor’s words

From the most serious findings on record at Lorien Nursing & Rehab CTR - Elkridge, in the surveyor’s own words.

• Actual harm, isolatedF689Sep 23, 2024

  Based on review of medical records, facility investigative file, and interviews it was determined that the facility failed to adequately assess and assist a dependent resident during Activity of Daily Living (ADL) care, which led to a resident's fall from bed causing actual harm to Resident #70. This was evident for 1 of 4 (#70) residents reviewed for accidents. The findings include: On 9/17/24 at 11:32 AM, the surveyor reviewed Resident #70 ' s medical record. The review revealed that Resident #70 was admitted to the facility in early 2023 from another facility. […]

• No harm, potential for more than minimal, patternF550Feb 12, 2026

  Based on observations and interviews, it was determined that the facility failed to maintain residents' dignity while dining as evidenced by 1) not serving meals at the same time to residents sitting together and 2) facility staff standing while assisting residents with feeding. This was found to be evident in 1) 6 of 10 residents observed while dining and 2) 2 (Residents #21 and #64) of 2 residents observed with feeding assistance.The findings include:1) On 2/6/2026 at 12:29 PM, during lunch service in the common dining room, 8 residents were observed sitting together at a table and 2 residents were observed sitting together at another table. 3 of the residents at the table of 8 residents were observed having meals in front of them. […]

• No harm, potential for more than minimal, patternF726Feb 12, 2026

  Based on administrative record review and staff interviews, it was determined that facility staff failed to ensure that newly hired geriatric nursing assistants (GNA) have the knowledge necessary to provide resident care. This deficient practice was evident for 5 of 5 GNA training files reviewed during the annual survey.The findings include:On 02/10/2026 at 10:45AM, the surveyor requested to review five GNA employee files. Upon review, the surveyor identified that the recently hired employee GNA #16 file were missing the required training in resident abuse, neglect, exploitation, Quality Assurance and Performance Improvement (QAPI), infection control, compliance and ethics, and dementia.During an interview on 02/10/2026, the Director of Nursing (DON) stated that newly hired GNA's complete… […]

• No harm, potential for more than minimal, patternF944Feb 12, 2026

  Based on administrative record review and staff interview, it was determined that the facility failed to ensure staff received Quality Assurance and Performance Improvement Training (QAPI) for new and existing staff. This deficient practice was evident for 6 of 10 employee files reviewed during the annual survey.The findings include:On 02/10/2026 at 10:45 AM, a review of Geriatric Nursing Assistant (GNA) #17, GNA #15, and GNA #25 employee file revealed that QAPI training was complete. […]

• No harm, potential for more than minimal, patternF947Feb 12, 2026

  Based on administrative record review and staff interview, it was determined that the facility failed to ensure Geriatric Nursing Assistants (GNAs) received the required annual in-service training. This deficient practice was evident for 4 of 4 GNA employee files reviewed during the annual survey.The findings include:On 02/10/2026 at 10:45 AM, a review of GNA#17, GNA #15, GNA #14, and GNA #25 employee files failed to reveal evidence of annual in-service training. On 02/10/2026 during an interview, the Director of Nursing (DON) stated that the Assistant Director of Nursing (ADON) is responsible for conducting the annual GNA in-service training, however, the ADON was not available for an interview at the time of the annual survey. […]