Starfile / Maryland

NORTHAMPTON MANOR NURSING AND REHABILITATION CENTE

200 EAST 16TH STREET, FREDERICK, MD 21701 · CCN 215217

Inspection history vs Maryland & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$16,562

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

FUNDAMENTAL HEALTHCARE

Facilities in chain

69

Chain avg overall

2.40 / 5

Inspection citations (78)1 immediate jeopardy

1. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2026-01-30 · Health

   Potential for more than minimal harm

2. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-08-29 · Health · corrected 2024-10-05

   Potential for more than minimal harm

3. DF0584Honor 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.2024-08-29 · Health · corrected 2024-10-05

   Potential for more than minimal harm

4. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-08-29 · Health · corrected 2024-10-05

   Potential for more than minimal harm

5. FF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-08-29 · Health · corrected 2024-10-05

   Potential for more than minimal harm

6. FF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-08-29 · Health · corrected 2024-10-05

   Potential for more than minimal harm

7. FF0610Respond appropriately to all alleged violations.2024-08-29 · Health · corrected 2024-10-05

   Potential for more than minimal harm

8. EF0641Ensure each resident receives an accurate assessment.2024-08-29 · Health · corrected 2024-10-05

   Potential for more than minimal harm

9. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-08-29 · Health · corrected 2024-10-05

   Potential for more than minimal harm

10. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-08-29 · Health · corrected 2024-11-11

    Potential for more than minimal harm

11. DF0679Provide activities to meet all resident's needs.2024-08-29 · Health · corrected 2024-10-05

    Potential for more than minimal harm

12. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-29 · Health · corrected 2024-10-05

    Potential for more than minimal harm

13. DF0685Assist a resident in gaining access to vision and hearing services.2024-08-29 · Health · corrected 2024-10-05

    Potential for more than minimal harm

14. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-08-29 · Health · corrected 2024-10-05

    Potential for more than minimal harm

15. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-29 · Health · corrected 2024-04-30

    Immediate jeopardy

16. DF0692Provide enough food/fluids to maintain a resident's health.2024-08-29 · Health · corrected 2024-10-05

    Potential for more than minimal harm

17. DF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2024-08-29 · Health · corrected 2024-10-05

    Potential for more than minimal harm

18. FF0730Observe each nurse aide's job performance and give regular training.2024-08-29 · Health · corrected 2024-10-05

    Potential for more than minimal harm

19. FF0732Post nurse staffing information every day.2024-08-29 · Health · corrected 2024-10-05

    Potential for more than minimal harm

20. 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.2024-08-29 · Health · corrected 2024-11-11

    Potential for more than minimal harm

21. EF0759Ensure medication error rates are not 5 percent or greater.2024-08-29 · Health · corrected 2024-10-05

    Potential for more than minimal harm

22. 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.2024-08-29 · Health · corrected 2024-10-05

    Potential for more than minimal harm

23. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-08-29 · Health · corrected 2024-10-05

    Potential for more than minimal harm

24. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-08-29 · Health · corrected 2024-10-05

    Potential for more than minimal harm

25. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-08-29 · Health · corrected 2024-10-05

    Potential for more than minimal harm

26. FF0880Provide and implement an infection prevention and control program.2024-08-29 · Health · corrected 2024-10-05

    Potential for more than minimal harm

27. FF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2024-08-29 · Health · corrected 2024-10-05

    Potential for more than minimal harm

28. DF0908Keep all essential equipment working safely.2024-08-29 · Health · corrected 2024-10-05

    Potential for more than minimal harm

29. DF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2024-08-29 · Health · corrected 2024-10-05

    Potential for more than minimal harm

30. FF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2024-08-29 · Health · corrected 2024-10-05

    Potential for more than minimal harm

31. FF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2024-08-29 · Health · corrected 2024-10-05

    Potential for more than minimal harm

32. FF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2024-08-29 · Health · corrected 2024-10-05

    Potential for more than minimal harm

33. FF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2024-08-29 · Health · corrected 2024-10-05

    Potential for more than minimal harm

34. DF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2024-08-29 · Health · corrected 2024-10-05

    Potential for more than minimal harm

35. FF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2024-08-29 · Health · corrected 2024-10-05

    Potential for more than minimal harm

36. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2019-10-04 · Health · corrected 2019-10-28

    Potential for more than minimal harm

37. DF0584Honor 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.2019-10-04 · Health · corrected 2019-10-28

    Potential for more than minimal harm

38. DF0641Ensure each resident receives an accurate assessment.2019-10-04 · Health · corrected 2019-10-28

    Potential for more than minimal harm

39. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2019-10-04 · Health · corrected 2019-10-28

    Potential for more than minimal harm

40. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-10-04 · Health · corrected 2019-10-28

    Potential for more than minimal harm

41. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-10-04 · Health · corrected 2019-10-28

    Potential for more than minimal harm

42. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2019-10-04 · Health · corrected 2019-10-28

    Potential for more than minimal harm

43. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-10-04 · Health · corrected 2019-10-28

    Potential for more than minimal harm

44. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-10-04 · Health · corrected 2019-10-28

    Potential for more than minimal harm

45. EF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2019-10-04 · Health · corrected 2019-10-28

    Potential for more than minimal harm

46. CF0732Post nurse staffing information every day.2019-10-04 · Health · corrected 2019-10-28

    Potential for minimal harm

47. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2019-10-04 · Health · corrected 2019-10-28

    Potential for more than minimal harm

48. EF0759Ensure medication error rates are not 5 percent or greater.2019-10-04 · Health · corrected 2019-10-28

    Potential for more than minimal harm

49. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-10-04 · Health · corrected 2019-10-28

    Potential for more than minimal harm

50. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2019-10-04 · Health · corrected 2019-10-28

    Potential for more than minimal harm

51. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2019-10-04 · Health · corrected 2019-10-28

    Potential for more than minimal harm

52. DF0880Provide and implement an infection prevention and control program.2019-10-04 · Health · corrected 2019-10-28

    Potential for more than minimal harm

53. CF0908Keep all essential equipment working safely.2019-10-04 · Health · corrected 2019-10-28

    Potential for minimal harm

54. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2018-06-07 · Health · corrected 2018-07-19

    Potential for more than minimal harm

55. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2018-06-07 · Health · corrected 2018-07-19

    Potential for more than minimal harm

56. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2018-06-07 · Health · corrected 2018-07-19

    Potential for more than minimal harm

57. DF0584Honor 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.2018-06-07 · Health · corrected 2018-07-19

    Potential for more than minimal harm

58. FF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2018-06-07 · Health · corrected 2018-07-19

    Potential for more than minimal harm

59. DF0624Prepare residents for a safe transfer or discharge from the nursing home.2018-06-07 · Health · corrected 2018-07-19

    Potential for more than minimal harm

60. EF0641Ensure each resident receives an accurate assessment.2018-06-07 · Health · corrected 2018-07-19

    Potential for more than minimal harm

61. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2018-06-07 · Health · corrected 2018-07-19

    Potential for more than minimal harm

62. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2018-06-07 · Health · corrected 2018-07-19

    Potential for more than minimal harm

63. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2018-06-07 · Health · corrected 2018-07-19

    Potential for more than minimal harm

64. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2018-06-07 · Health · corrected 2018-07-19

    Potential for more than minimal harm

65. EF0679Provide activities to meet all resident's needs.2018-06-07 · Health · corrected 2018-07-19

    Potential for more than minimal harm

66. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2018-06-07 · Health · corrected 2018-07-19

    Potential for more than minimal harm

67. DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2018-06-07 · Health · corrected 2018-07-19

    Potential for more than minimal harm

68. DF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2018-06-07 · Health · corrected 2018-07-19

    Potential for more than minimal harm

69. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2018-06-07 · Health · corrected 2018-07-19

    Potential for more than minimal harm

70. EF0758Implement 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.2018-06-07 · Health · corrected 2018-07-19

    Potential for more than minimal harm

71. 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.2018-06-07 · Health · corrected 2018-07-19

    Potential for more than minimal harm

72. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2018-06-07 · Health · corrected 2018-07-19

    Potential for more than minimal harm

73. FF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2018-06-07 · Health · corrected 2018-07-19

    Potential for more than minimal harm

74. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2018-06-07 · Health · corrected 2018-07-19

    Potential for more than minimal harm

75. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2018-06-07 · Health · corrected 2018-07-19

    Potential for more than minimal harm

76. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2018-06-07 · Health · corrected 2018-07-19

    Potential for more than minimal harm

77. DF0880Provide and implement an infection prevention and control program.2018-06-07 · Health · corrected 2018-07-19

    Potential for more than minimal harm

78. DF0908Keep all essential equipment working safely.2018-06-07 · Health · corrected 2018-07-19

    Potential for more than minimal harm

Ownership

Other facilities in FREDERICK

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.