CARROLL LUTHERAN VILLAGE
200 ST. LUKE'S CIRCLE, WESTMINSTER, MD 21157 · CCN 215133
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★★ 5
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 103
- Avg residents/day
- 65.2
- Phone
- 4108480225
Inspection history vs Maryland & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Maryland avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-06-06 | 6 | 18.9 | 9.5 | -12.9 better |
| 2 | 2021-09-02 | 16 | 17.1 | 9.8 | -1.1 better |
| 3 | 2018-09-25 | 12 | 14.5 | 9.3 | -2.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident assessment and care planning | 2 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.03 | 38.6% |
| RN staffing (reported) | 1.09 | 30.0% |
| Total nurse staffing (adjusted) | 4.34 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (34)
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-06-06 · Health · corrected 2025-07-03
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-06-06 · Health · corrected 2025-07-03
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-06-06 · Health · corrected 2025-07-03
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-06-06 · Health · corrected 2025-07-03
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-06-06 · Health · corrected 2025-07-03
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-06-06 · Health · corrected 2025-07-03
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2021-09-02 · Health · corrected 2021-10-20
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2021-09-02 · Health · corrected 2021-10-20
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-09-02 · Health · corrected 2021-10-20
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-09-02 · Health · corrected 2021-10-20
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2021-09-02 · Health · corrected 2021-10-20
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-09-02 · Health · corrected 2021-10-20
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-09-02 · Health · corrected 2021-10-20
Potential for more than minimal harm
- FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2021-09-02 · Health · corrected 2021-10-20
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2021-09-02 · Health · corrected 2021-10-20
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2021-09-02 · Health · corrected 2021-10-20
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2021-09-02 · Health · corrected 2021-10-20
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-09-02 · Health · corrected 2021-10-20
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-09-02 · Health · corrected 2021-10-20
Potential for more than minimal harm
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2021-09-02 · Health · corrected 2021-10-20
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2021-09-02 · Health · corrected 2021-10-20
Potential for more than minimal harm
- DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2021-09-02 · Health · corrected 2021-10-20
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2018-09-25 · Health · corrected 2018-11-06
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2018-09-25 · Health · corrected 2018-11-06
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2018-09-25 · Health · corrected 2018-11-06
Potential for more than minimal harm
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2018-09-25 · Health · corrected 2018-11-06
Potential for more than minimal harm
- CF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2018-09-25 · Health · corrected 2018-11-06
Potential for minimal harm
- EF0624Prepare residents for a safe transfer or discharge from the nursing home.2018-09-25 · Health · corrected 2018-11-06
Potential for more than minimal harm
- CF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2018-09-25 · Health · corrected 2018-11-06
Potential for minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2018-09-25 · Health · corrected 2018-11-06
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2018-09-25 · Health · corrected 2018-11-06
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2018-09-25 · Health · corrected 2018-11-06
Potential for more than minimal harm
- EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2018-09-25 · Health · corrected 2018-11-06
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2018-09-25 · Health · corrected 2018-11-06
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CARROLL LUTHERAN VILLAGE INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 1981-09-10 |
| FRIENDS SERVICES FOR THE AGING | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2000-01-01 |
| SODEXHO INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-01 |
| COUSINS, KAREN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-01 |
| GARVIN, RENEE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-27 |
| MARTINEZ, JOSE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-01 |
| ROMERIL, KERRIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-14 |
| ROSENHEIM, MICHELLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-24 |
| UTTENREITHER, HEATHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-18 |
| BRANCH, JEFFREY | Individual | CORPORATE OFFICER | — | 2019-07-08 |
| POWELL, STEVEN | Individual | CORPORATE OFFICER | — | 2014-06-02 |
| ROSENHEIM, MICHELLE | Individual | CORPORATE OFFICER | — | 2025-06-24 |
Other facilities in WESTMINSTER
| Name | Overall | Beds |
|---|---|---|
| WESTMINSTER HEALTHCARE CENTER | ★★☆☆☆ | 170 |
| ATLEE HILL HEALTH AND REHAB CENTER | ★★☆☆☆ | 60 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.