Dennett Rehab Center: Care Plan Violations Found - MD
The inspection, completed March 5, 2025, identified deficiencies related to that resident, listed in records as Resident 39, and rated the level of harm as minimal. Inspectors noted that some residents were affected by the cited problems, not just the one whose records triggered the finding.
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See the Derila PillowThe citation stemmed from a review of Resident 39's care documentation, which inspectors examined in connection with the resident's cerebral palsy diagnosis. What inspectors found when they compared that documentation to what the facility was actually doing prompted the deficiency citation. The discrepancy was significant enough to appear in the formal statement of deficiencies filed with the Centers for Medicare and Medicaid Services.
Cerebral palsy affects muscle control and movement, and residents living with the condition often require individualized care plans that account for mobility limitations, positioning needs, and the risk of complications that can follow from inconsistent support. When a facility's documented plan and its actual practice diverge, the gap is not abstract. It is the difference between a resident receiving the specific assistance their condition requires and a resident left to manage without it.
Dennett Rehab Center is a licensed skilled nursing facility operating in Garrett County, in the far western corner of Maryland. The March inspection was a standard health survey conducted under federal oversight protocols.
The inspection report does not identify what specific aspect of Resident 39's care plan was out of compliance, nor does it describe what the resident experienced as a result. The record states only that the deficiency was reviewed with the facility during the exit conference on March 5 and that harm was assessed as minimal or potential for actual harm, the lowest tier in the federal harm classification system.
That classification does not mean nothing happened. It means inspectors did not document evidence of serious injury. Minimal harm findings can reflect missed repositioning, skipped range-of-motion assistance, or care steps that were documented as completed when they were not. The inspection record does not specify which of those, or something else entirely, applied here.
What the record does establish is that the problem was not isolated to a single oversight on a single day. The notation that some residents were affected suggests the deficiency extended beyond Resident 39, though the report does not identify who else or in what way.
Facilities cited under this category are required to submit a plan of correction to the state survey agency. CMS directs anyone seeking information about Dennett's plan to contact either the facility or the Maryland state survey agency directly. The inspection report itself does not include the facility's response.
The March 2025 survey produced a five-page statement of deficiencies. The narrative available from this inspection covers the citation involving Resident 39 and the surrounding procedural documentation. The full scope of findings across all five pages is not reflected in the available record.
For Resident 39, a person living with a lifelong neurological condition in a facility that had committed on paper to a specific plan of care, the inspection captured a moment when what was promised and what was delivered did not match. The inspectors noted it, rated it, and left. Whether the plan of correction that followed closed that gap is not something the inspection record answers.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Dennett Rehab Center from 2025-03-05 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Corrections: We strive for accuracy in everything we publish. If you believe any fact in this article is incorrect, please contact us with details, and we will review and correct it promptly.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: November 13, 2026 · Our methodology
DENNETT REHAB CENTER in OAKLAND, MD was cited for violations during a health inspection on March 5, 2025.
Inspectors noted that some residents were affected by the cited problems, not just the one whose records triggered the finding.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.