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Complaint Investigation

Anchorage Rehabilitation And Wellness Center

February 20, 2026 · Salisbury, MD · 105 Times Square
Citations 3
CMS Rating 2/5
Beds 126
Provider ID 215339
Healthcare Facility
Anchorage Rehabilitation And Wellness Center
Salisbury, MD  ·  View full profile →
Inspection Summary

Anchorage Rehabilitation and Wellness Center in SALISBURY, MD — inspection on February 20, 2026.

Found 3 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

FF0711
Nursing and Physician Services Deficiencies

miscommunication regarding the order; FP-17 did not write it.

Facility policy requires physician orders

215339 02/20/2026

Anchorage Rehabilitation and Wellness Center 105 Times Square Salisbury, MD 21801

in accordance with accepted professional standards.

record review and Resident and staff interviews, the facility failed to complete documentation for the

(R# 5)

Findings included:R#5 was readmitted to the facility on [DATE].The quarterly Minimum Data Set (MDS) dated [DATE] had R#5 coded as cognitively intact.A review of the January Treatment Administration Record (TAR) revealed an order to turn and reposition every 2 hours for wound management.

The order was not signed as completed on 01/02/2026 at 4:00 AM, 01/02/2026 at 6:00 AM, 01/06/2026 at 6:00 PM, 01/10/2026 at 6:00 PM, and 01/28/2026 at 6:00 PM.

The care plan dated 02/01/2026 included interventions to encourage residents to turn and reposition, or to assist as needed, and to ensure the resident was turned and repositioned.An interview with R#5 was conducted on 02/18/2026 at 11:07 AM. S/he stated they did have concerns with turning and repositioning every 2 hours in the past, but the turning and repositioning had improved. A telephone interview with Licensed Practical Nurse (LPN)11 was conducted on 02/19/2026 at 11:01 AM.

The Nurse stated she ensured she turned and repositioned R#5 every 2 hours and more often if needed.

The nurse also stated she must have gotten busy with another Resident and forgot to sign it off in the TAR.A telephone interview with Registered Nurse (RN)10 was conducted on 02/19/2026 at 11:02 AM.

The Nurse stated he turned and repositioned R#5 every 2 hours during the shift but forgot to document it.

An interview with Director of Nursing (DON)2 was conducted on 02/19/2026 at 11:11 AM.

The DON stated that staff repositioned and turned R#5 every 2 hours but did not sign the TAR.

They were expected to document when they complete their treatments or interventions.An interview with Administrator1 was conducted on 02/20/2026 at 10:21 AM.

The Administrator stated the expectation was to document at the time of care so it would not be missed.

215339 02/20/2026

Anchorage Rehabilitation and Wellness Center 105 Times Square Salisbury, MD 21801

During an interview on 2/19/2026 at 10:15 AM, Certified Medical Technician (CMA) 14, revealed the handrails have not been repaired for several months and concluded the broken handrails were a safety hazard.

During an interview on 02/18/2024 at 10:30 AM, the Resident Council President, R14 stated the facility was aware, handrails have not been repaired for several months, and he/she explained some Residents depend on securing their hands on handrails for safety.

During an interview on 2/19/2025 at 9:46 AM, the Maintenance Director (MD) 12, stated he/she noticed the handrails were inoperable when he/she was hired on 01/23/2026. MD12 explained that handrails on the second floor and third floor were not secured to the wall. MD12 concluded the facility was aware, and he/she was not sure why repairs had not been completed.

During an interview on 2/19/2026 at 12:57 PM The Nursing Home Administrator NHA-13, acknowledged, he was aware the handrails needed to be repaired and stated the supplier was taking too long to deliver the materials.

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


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