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Complaint Investigation

Moran Nursing And Rehabilitation Center

Inspection Date: October 23, 2025
Total Violations 2
Facility ID 215240
Location WESTERNPORT, MD
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Inspection Findings

F-Tag F0657

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

plan was not updated with their history of drug abuse or testing positive for fentanyl.During an interview on 10/22/2025 at 12:27 PM, the Assistant Director of Nursing (ADON) stated she did not know why Resident #14's history of drug abuse and the fentanyl incident were not on the resident's care plan. During an

interview on 10/22/2025 at 3:08 PM, the Director of Nursing (DON) stated Resident #14's history of drug abuse and the incident of testing positive for fentanyl should have been added to the resident's care plan.

During an interview on 10/22/2025 at 3:46 PM, the Administrator stated after the incident they monitored family visits for a while; however, Resident #14's care plan was not revised because it was a one-time incident, and there had been no incidents since.

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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

10/23/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Moran Nursing and Rehabilitation Center

25701 Shady Lane Southwest Westernport, MD 21562

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)

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F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

10:55 AM, CNA #20 stated she should put on a gown when providing incontinence care to residents on EBP. CNA #20 stated Resident #8 was on EBH, but she was not sure when to wear a gown when providing care to the resident. CNA #20 stated she should have changed her gloves after wiping the resident, but she was nervous.During an interview on 10/22/2025 at 9:13 AM, the Quality Assurance/Infection Prevention (QA/IP) Nurse stated that if a resident had a catheter, the resident was placed on EBP. The QA/IP Nurse stated that staff should wear gloves and a gown when personal care was provided. The QA/IP nurse stated that staff should change gloves if they became soiled and could change gloves at any time. The QA/IP Nurse stated she and the Assistant Director of Nursing (ADON), unit managers, and the Director of Nursing (DON) monitored staff for proper hand hygiene and infection control.During an interview on 10/22/2025 at 10:24 AM, the ADON stated staff were expected to change gloves if they became soiled and before placing

a clean brief on the resident. The ADON stated all residents with catheters were on EBP, and staff were expected to wear a gown and gloves when incontinence care was provided to residents on EBP. The ADON stated all staff were expected to monitor whether staff were wearing gowns and was not sure who monitored incontinence care.During an interview on 10/22/2025 at 10:33 AM, the DON stated residents with catheters were on EBP, and staff were expected to wear a gown and gloves when incontinence care was provided to a resident on EBP. The DON also stated gloves should be changed when they were visibly dirty, and she would change them before putting a clean brief on a resident. The DON stated she expected staff to wear the appropriate PPE and follow proper hand hygiene. The DON stated that the QA/IP Nurse monitored staff to ensure EBP and hand hygiene were performed and should monitor to ensure staff followed infection control protocol when providing incontinence care.During an interview on 10/23/2025 at 10:12 AM, the Administrator (ADM) stated she expected staff to wear a gown and gloves if a resident was

on EBP and to change gloves between dirty and clean areas. The ADM stated the QA/IP Nurse, and the DON should monitor staff to ensure they followed proper infection control procedures.

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📋 Inspection Summary

MORAN NURSING AND REHABILITATION CENTER in WESTERNPORT, MD inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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 WESTERNPORT, 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 MORAN NURSING AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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