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Complaint Investigation

Fayette Health And Rehabilitation Center

August 14, 2025 · Baltimore, MD · 1217 West Fayette Street
Citations 2
CMS Rating 1/5
Beds 156
Provider ID 215183
Healthcare Facility
Fayette Health And Rehabilitation Center
Baltimore, MD  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Fayette Health and Rehabilitation Center in BALTIMORE, MD — inspection on August 14, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0684
Quality of Life and Care Deficiencies

The surveyor asked the group if nursing staff were responsible for ensuring that any discharge summaries were complete.

Regional Clinical Director #44 confirmed that it is a shared responsibility for nursing staff and providers to ensure that a resident's discharge summaries are complete.

Regional Clinical Director #44 also stated that every resident that required oxygen must have an order for oxygen administration. On 8/14/25 at 9:00am, interview of the ED, DON and Regional Clinical Director #44 confirmed that resident #17's medical records failed to contain an order for oxygen administration and a complete discharge statement from the local hospital.

The ED also confirmed that the nursing staff and the provider failed to confirm that the discharge summary from the hospital was complete.

The ED also confirmed that the telehealth provider failed to issue an oxygen administrator order for the resident after chart evaluation.

The ED then stated that after surveyor intervention, the facility completed an audit of residents that were admitted in the last 30 days with oxygen to ensure that all of these residents had oxygen administration orders.

Nurses were re-educated on the importance of ensuring that residents that are admitted with oxygen have a oxygen administration order as needed.

215183 08/14/2025

Fayette Health and Rehabilitation Center 1217 West Fayette Street Baltimore, MD 21223

complete.

Regional Clinical Director #44 also stated that every resident that required oxygen must

for oxygen administration and a complete discharge statement from the local hospital.

The ED also

the hospital was complete.

The ED also confirmed that the telehealth provider failed to issue an oxygen administrator order for the resident after chart evaluation.

The ED then stated that after surveyor intervention, the facility completed an audit of residents that were admitted in the last 30 days with oxygen to ensure that all of these residents had oxygen administration orders.

Nurses were re-educated on the importance of ensuring that residents that are admitted with oxygen have a oxygen administration order as needed.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BALTIMORE, MD, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Fayette Health and Rehabilitation Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.