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Complaint Investigation

Calvert County Nursing Ctr.

March 26, 2026 · Prince Frederick, MD · 85 Hospital Road
Citations 2
CMS Rating 2/5
Beds 149
Provider ID 215188
Healthcare Facility
Calvert County Nursing Ctr.
Prince Frederick, MD  ·  View full profile →
Inspection Summary

CALVERT COUNTY NURSING CTR. in PRINCE FREDERICK, MD — inspection on March 26, 2026.

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

FF0561
Resident Rights Deficiencies

through support of resident choice.

facility failed to ensure the provision and use of a motorized wheelchair to promote and maintain the

resident reviewed during the recertification and complaint survey process.

The findings include:A motorized wheelchair (power wheelchair) is a battery-operated mobility device used to assist residents with limited strength, endurance, or mobility. It is typically operated by the resident using a hand control and is intended to promote independence, safe mobility, and the resident's ability to move about the facility.On 03/26/2026 at 7:45 AM record review during the complaint investigation was conducted, Resident #65 reported that the motorized wheelchair has been nonfunctional since

  • The resident stated that a vendor completed measurements for repair or replacement; however,
  • no follow-up has been received regarding the status of the equipment.

The resident further reported that the lack of a functioning motorized wheelchair has limited mobility within the facility and has impacted independence.On 03/26/2026 at 8:30 AM interview conducted with the Physical Therapy Director (PTD).

She explained that the process involves taking the resident's measurements, obtaining a vendor estimate, and submitting it to the Business Office Manager (BOM) for processing, and stated she was unsure of the timeframe.

The PTD confirmed that the initial motorized wheelchair assessment was completed on 08/18/2025 by Freedom Mobility (vendor), and the estimate was forwarded to the Administrator due to the absence of a Business Office Manager.On 03/26/2026 at 9:09 AM, an interview was conducted with the Business Office Manager (BOM), who stated she has been in her position since December 2025.The BOM stated she became aware of the resident's wheelchair issue on 01/16/2026.

She further reported that she contacted Freedom Mobility on 01/16/2026 and was informed that authorization/approval had been received from Telligen on 10/10/2025.On 03/26/2026 at 9:34 AM during an interview with the Administrator she confirmed that the facility did not have a Business Office Manager (BOM) from July 2025 through December 2025.

She stated that during this period, she assumed responsibility for Business Office functions, which resulted in a breakdown in follow-up and tracking of the authorization process.The Administrator acknowledged that the facility failed to follow up on the approved request, resulting in a delay in providing the resident with the necessary equipment to support mobility, as well as a failure to update the resident regarding the status.

The Administrator further stated, I am going to talk to Resident #65 right now.

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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

215188 03/26/2026

Calvert County Nursing Ctr. 85 Hospital Road Prince Frederick, MD 20678

During a review of Facility Reported Incident (FRI) #2736958 investigation conducted on 03/24/26 at 7:00 AM it was discovered that the Nursing Home Administrator (NHA) determined that Agency GNA #16 abused Resident #6.

The NHA suspended the GNA at the onset of the investigation. At the conclusion of the investigation the NHA notified the staffing agency of the abuse and placed the GNA on the do not return list.

During an interview conducted on 03/24/26 at approximately 9:30 AM the NHA reported that during the investigation 2 other residents reported that Agency GNA #16 was rude and provided rough care. As a result, the NHA reported that she verified the abuse and terminated the Agency GNA and placed her on the do not return list.

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 PRINCE FREDERICK, 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 CALVERT COUNTY NURSING CTR. or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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