Deficiency Index

Sacred Heart Home Inc

Hyattsville, Maryland · CCN 21E009

12 surveys since 2011, and no finding has been recorded at harm level.

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

Citations on record
49
Surveys
12
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file9/12

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

The facility

Certified beds
44
Ownership
Non profit - Church related
Chain
Independent
County
Prince Georges
Medicare-certified since
1974

CMS ratings

Overall
5
Health inspection
5
Staffing
5
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=17, floor 20).

Last survey on record

Jul 29, 2025

468 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 day4.864.75
Registered-nurse hours per resident day0.57—
Annual nurse turnover8.7%27.3%

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

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1052.6%E315.8%F210.5%
No harm, potential for minimalA—B—C421.1%
CMS’s current file: 19 of the 49 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F8422×

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • F5501×

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

  • F6091×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F6231×

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

In the surveyor’s words

From the most serious findings on record at Sacred Heart Home Inc, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Jul 29, 2025

    Based on observation and interview with facility staff, it was determined that the facility failed to ensure that food items were labeled and dated. This was found to be evident during the facility's annual Medicare/Medicaid survey and has the potential to affect all residents eating food prepared in the facility's kitchen.The findings include:On 07/24/2025 at 7:41 AM, during the initial tour of the main kitchen of the facility with the Dietary Manager Staff #2 accompanying the surveyor, inside the stand-alone refrigerator were unlabeled and undated sausages and fried eggs in separate bowls. Staff #2 confirmed that they were eggs used for puree and that the sausages were left over but the staff who had made the food forgot to date and label it. […]

  • No harm, potential for more than minimal, widespreadF943Dec 14, 2022

    Based on the interview and documentation review, it was determined the facility failed to ensure a training program was set up and in place for their staff to be educated on abuse, neglect, exploitation, and misappropriation of resident property along with dementia management and resident abuse prevention. This was evident for current staff and had the potential to affect all residents. The findings include: On 12/08/22 at 10:30 AM, an interview was conducted with Staff #11,Quality Assurance and Staff Educator. Staff #11 was asked about the training program for the nursing staff, and she stated that she was recently assigned to do the educator role for newly hired employees. […]

  • No harm, potential for more than minimal, widespreadF947Dec 14, 2022

    Based on documentation review and interview, it was determined that the facility failed to ensure nurse aide competency training (including dementia management and resident abuse prevention training) occurred no less than 12 hours per year. This was evident for 3 of 3 employee training records reviewed and had the potential to affect all residents. The findings include: A review was conducted of GNAs' (Geriatric Nurse Aide) training records from 2019 to current on 12/09/22 at 8:00 AM. […]

  • No harm, potential for more than minimal, patternF700Dec 14, 2022

    Based upon observations, record review, and facility staff interviews, it was determined that the facility failed to 1) have a system in place to ensure the appropriate use and implementation of side rails and bed rails, 2) have accurate assessments that correlate with the physician orders and 3) have consents that correlate with the actual need of the use for side rails. This was evident for 3 of 3 residents reviewed for accident hazards (#8, #14, #34). The findings include: 1. […]

  • No harm, potential for more than minimal, patternF812Dec 14, 2022

    Based on observation and interview with facility staff, it was determined that the facility failed to: 1) keep complete kitchen records and, 2) store food in accordance with professional standards for food service and safety. This was evident of 3 out of 4 observations of food storage during the annual survey. The findings include: 1) On 11/30/22 at 10:33 AM, the surveyor conducted an initial tour of the kitchen in the presence of the Food Service Director (staff #32). The surveyor observed Kitchen Staff #12 passing dishes through the dishwasher. […]

Read 20 findings in full →The most serious and the most recent: 20 of 49 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 29, 2025Standard1 finding
  • Dec 14, 2022Standard and complaint16 findings
  • Jan 25, 2019Standard6 findings
  • Oct 10, 2018Complaint2 findings
  • Mar 6, 2018Complaint3 findings
  • Aug 31, 2017Standard7 findings
  • Oct 7, 2016Complaint1 finding
  • Jun 2, 2016Standard4 findings
Show the 4 earlier surveys
  • Apr 24, 2015Standard5 findings
  • Jul 16, 2014Complaint1 finding
  • Mar 29, 2013—2 findings
  • Feb 24, 2011—1 finding

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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