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Complaint Investigation

Marley Neck Rehabilitation And Wellness Center

October 15, 2025 · Glen Burnie, MD · 7575 East Howard Road
Citations 2
CMS Rating 4/5
Beds 95
Provider ID 215138
Healthcare Facility
Marley Neck Rehabilitation And Wellness Center
Glen Burnie, MD  ·  View full profile →
Inspection Summary

Marley Neck Rehabilitation and Wellness Center in GLEN BURNIE, MD — inspection on October 15, 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.

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Inspection Findings

FF0677
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

Based on incident report, record review, and interviews with staff and residents, it was determined that the facility failed to change the brief of Resident #5 and #6.

This was evident for 2 out of 6 residents reviewed during the complaint survey.Findings Include:1) On 8/16/25, a family member of Resident #5 sent in complaint stating the resident was left on several occasions with stool and urine in his/her diaper. On the GNA (Geriatric Nursing Assistant) documentation sheet for the month of March and April 2025, the documentation shows that resident was not changed on 3/28/25 day and night shift and on 3/31/25 night shift.

The Director of Nursing (DON) was made aware on 10/15/25 and she stated she would look into this.2) On 10/15/25 at 9:45 AM an interview was held with Resident #6 who is alert and oriented with a BIMS score of 14/15, indicating he/she is cognitively intact and can make his/her needs known. Resident #6 stated he/she normally does not have a problem with getting changed, however last eve he/she stated they put the call bell on at 7:30PM and a GNA (Geriatric Nursing Assistant) came in to answer the call bell.

He/she stated they needed to be changed and the GNA stated she would be right back.

However, she never came back and call light was on until 11:30 PM.

The DON was made aware and went in to speak with Resident #6.

The DON stated she would look into the matter and educate staff if needed.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/15/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Marley Neck Health and Rehabilitation Center

7575 East Howard Road Glen Burnie, MD 21060

SUMMARY STATEMENT OF DEFICIENCIES

Provide safe and appropriate respiratory care for a resident when needed.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and medical chart review, it was determined that the facility failed to place CPAP on resident every night.

This was evident for 1 (Resident #6) out of 1 resident reviewed for CPAP usage during the complaint survey.The findings include:On 10/15/25 at 10:45 AM, the surveyor went to room [ROOM NUMBER]-2 to interview Resident # 6 about the care he/she is receiving.

The resident has been at this facility since 10/6/25 and has a history of COPD and respiratory failure. Resident #6 is alert and oriented and can make all needs known.

The resident was ordered a CPAP machine for sleep Apnea. A CPAP machine (continuous positive airway pressure) machine is one of the most common treatments for sleep apnea. It keeps your airways open while you sleep so you can receive the oxygen you need. CPAP machines can significantly improve sleep quality and reduce your risk for a number of health issues, including heart disease and stroke.Resident #6 stated that he/she wears the CPAP machine when he/she can. I asked the resident what that means and the resident stated I can not put the machine on by myself and need assistance but when I call for assistance sometimes the nurse will come and other times no one answers my call bell.

The DON (Director of Nursing) was made aware on 10/15/25 at 10 AM.

The DON stated she will look into this.

Facility ID:

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 GLEN BURNIE, 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 Marley Neck Rehabilitation and Wellness Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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