Nursing and Rehab Center at Stadium Place: Call Bell Failures - MD
That acknowledgment came during a federal complaint inspection on October 17, 2025, at the facility located at 1010 East 33rd Street. When a surveyor asked the director of nursing what response time she expected from staff when residents pressed their call bells, she answered clearly. Fifteen minutes. That was the expectation.
Then she added that there are times when residents may wait longer than expected.
The surveyor pressed further, raising staffing concerns that stretched back to July 2025. The director of nursing acknowledged the issue.
A call bell is not a convenience. For nursing home residents, many of whom cannot stand, transfer, or reach a bathroom without help, it is the one tool available when something goes wrong. A resident who has pressed that button and is waiting has no other option. They wait.
At Stadium Place, the director of nursing knew the standard. She set it. And she acknowledged, to a federal surveyor, that her staff was not consistently meeting it, and that the problem had been present for months.
The inspection was conducted as a complaint, meaning someone, whether a resident, a family member, or a staff member, had raised concerns serious enough to prompt a federal review. The findings were classified under F0725, a tag that addresses sufficient nursing staff, and assigned a harm level of minimal harm or potential for actual harm, with many residents affected.
That harm level designation can be misleading. "Minimal harm" in the language of federal inspections does not mean nothing happened to anyone. It means inspectors did not document a specific, confirmed injury tied directly to the staffing lapse. What it does not capture is the resident who rang for help getting to the bathroom and didn't make it in time. The resident who needed repositioning and waited. The resident who pressed the button because they were in pain and lay there, watching the light above their door, counting the minutes.
The director of nursing's own threshold was fifteen minutes. She acknowledged residents sometimes waited beyond that. She acknowledged the staffing problems went back to at least July. That is a gap of at least three months between when the facility's own leadership recognized a problem and when a federal surveyor arrived to document it.
The findings were disclosed to the facility's administrator on the morning of October 17, 2025, at 11:30 a.m.
The Nursing and Rehab Center at Stadium Place is a 150-bed facility in the Waverly neighborhood of Baltimore. It sits less than a mile from Johns Hopkins Hospital.
The inspection report does not describe what the facility did between July and October to address the call bell response times. It does not say whether staffing levels changed, whether additional aides were hired, or whether the director of nursing brought the concern to the administrator before a federal surveyor walked through the door. The plan of correction, if one exists, is held by the facility and the state survey agency.
What the report does say is that the director of nursing, when asked directly, confirmed that her staff was not answering call bells within the window she considered acceptable, and that she had known about the underlying staffing problem for months.
For the residents of Stadium Place, the call bell light above the door keeps blinking until someone comes.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for The Nursing and Rehab Center At Stadium Place from 2025-10-17 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.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 9, 2026 · Our methodology
THE NURSING AND REHAB CENTER AT STADIUM PLACE in BALTIMORE, MD was cited for violations during a health inspection on October 17, 2025.
That acknowledgment came during a federal complaint inspection on October 17, 2025, at the facility located at 1010 East 33rd Street.
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.