Anchorage Healthcare Center
Inspection Findings
F-Tag F0580
F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
using data to continuously improve processes and outcomes to enhance the quality of life of the residents.
This meeting was attended by 8 QAPI Committee members. The identified problem statements included the following: Facility failed to respond to abnormal lab timely Facility failed to notify the Physician and the Resident Representative of change in condition Facility is not following daily clinical meeting progress Facility failed to assess an NPO resident after receiving something by mouth.On 11/6/25 at 9:14 AM, the Director of Nursing (DON) was informed of these findings and confirmed that the Physician and Resident Representative were not notified, and that an incident or change in condition report was not completed.On 11/6/25 at 9:30 AM, the Administrator in Training (AIT), the Executive Director and the Regional Clinical Support Nurse were notified of these concerns and acknowledged the findings.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/07/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Anchorage Healthcare Center
105 Times Square Salisbury, MD 21801
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0658
F 0658
Ensure services provided by the nursing facility meet professional standards of quality.
Level of Harm - Minimal harm or potential for actual harm
Based on a review of a complaint, record review, and interview, it was determined that the facility failed to address an abnormal laboratory result and monitor a resident for signs of aspiration following an incident that potentially required a Physician intervention. This was evident for 1 (Resident #1) of 33 residents reviewed during the complaint survey.The facility implemented effective and thorough corrective measures following this incident prior to the start of this survey. The facility's plan and action were verified during this survey; therefore, this deficiency was found to be Past Noncompliance with a compliance date of 2/12/25.
The findings include:On 11/5/25 at 7:23 AM, a review of Complaint #324972 indicated concerns regarding neglect and unexpected death of the resident. A review of Resident #1's medical record revealed that on 1/3/15, Resident #1 had an abnormally high [NAME] Blood Cell count (WBC). A WBC count measures the number of these cells in the blood, which are important for fighting infection and disease. The test helps diagnose or monitor conditions like infections or inflammation. However, the facility failed to document a change of condition.Further review of Resident #1's medical records revealed that the resident was on NPO diet nil per os or nothing by mouth related to difficulty of swallowing. On 1/10/25, Registered Nurse (RN#28) documented that Resident #1 had a grape ice pop on his/her hand, with a large piece in his/her mouth.
However, no evidence indicated that a change in condition was also documented nor a monitoring for signs of aspiration was initiated.A Quality Assessment and Performance Improvement (QAPI) meeting was held
on 2/12/25. QAPI is a comprehensive, data-driven program required for long-term care (LTC) facilities that involves setting and maintaining standards and using data to continuously improve processes and outcomes to enhance the quality of life of the residents. This meeting was attended by 8 QAPI Committee members. The problem statement identified that the Facility failed to respond to abnormal lab timely and Facility failed to assess an NPO resident after receiving something by mouth.On 11/6/25 at 9:14 AM, the Director of Nursing (DON) was informed of these findings and confirmed that an incident or change in condition report was not completed.On 11/6/25 at 9:30 AM, the Administrator in Training (AIT), the Executive Director and the Regional Clinical Support Nurse were notified of these concerns and acknowledged the findings.
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
ANCHORAGE HEALTHCARE CENTER in SALISBURY, MD inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 SALISBURY, 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 ANCHORAGE HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.