Starfile

Starfile / Maryland

PINES NURSING AND REHAB

610 DUTCHMAN'S LANE, EASTON, MD 21601 · CCN 215010

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Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★☆☆☆ 2
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Corporation
Certified beds
195
Avg residents/day
116.6
Phone
4108224000

Inspection history vs Maryland & national averages

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

CycleInspection dateThis facilityMaryland avgNational avgvs state
12025-09-047518.99.5+56.1 worse
22022-09-286417.19.8+46.9 worse
32018-10-252814.59.3+13.5 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation6
Quality of life and care13
Resident assessment and care planning11
Nursing and physician services6
Resident rights15
Nutrition and dietary5
Pharmacy service7
Environmental7
Administration3
Infection control2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.4549.5%
RN staffing (reported)0.5054.5%
Total nurse staffing (adjusted)2.99

Fines & penalties

Total fines
$24,088
Number of fines
1
Number of penalties
1
Payment denials
0

Chain

Chain
KEY HEALTH MANAGEMENT
Facilities in chain
7
Chain avg overall
1.60 / 5

Inspection citations (167)2 immediate jeopardy2 actual harm

  1. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  2. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  3. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  4. DF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  5. DF0572Give residents a notice of rights, rules, services and charges.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  6. EF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  7. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  8. DF0583Keep residents' personal and medical records private and confidential.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  9. 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.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  10. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  11. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  12. EF0610Respond appropriately to all alleged violations.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  13. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  14. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  15. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  16. DF0641Ensure each resident receives an accurate assessment.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  17. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  18. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  19. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  20. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  21. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  22. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  23. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  24. DF0732Post nurse staffing information every day.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  25. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  26. 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.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  27. DF0790Provide routine and 24-hour emergency dental care for each resident.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  28. DF0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  29. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  30. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  31. DF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  32. FF0880Provide and implement an infection prevention and control program.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  33. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  34. DF0908Keep all essential equipment working safely.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  35. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  36. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  37. FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  38. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-09-04 · Health · corrected 2025-11-10

    Potential for more than minimal harm

  39. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-03-19 · Health · corrected 2025-06-20

    Potential for more than minimal harm

  40. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-03-19 · Health · corrected 2025-05-27

    Potential for more than minimal harm

  41. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-03-19 · Health · corrected 2025-05-27

    Potential for more than minimal harm

  42. FF0584Honor 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.2025-03-19 · Health · corrected 2025-06-20

    Potential for more than minimal harm

  43. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-03-19 · Health · corrected 2025-05-27

    Actual harm

  44. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2025-03-19 · Health · corrected 2025-05-27

    Potential for more than minimal harm

  45. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-19 · Health · corrected 2025-05-27

    Potential for more than minimal harm

  46. EF0610Respond appropriately to all alleged violations.2025-03-19 · Health · corrected 2025-05-27

    Potential for more than minimal harm

  47. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2025-03-19 · Health · corrected 2025-05-27

    Potential for more than minimal harm

  48. DF0641Ensure each resident receives an accurate assessment.2025-03-19 · Health · corrected 2025-06-20

    Potential for more than minimal harm

  49. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-03-19 · Health · corrected 2025-05-27

    Potential for more than minimal harm

  50. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-03-19 · Health · corrected 2025-05-27

    Potential for more than minimal harm

  51. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-03-19 · Health · corrected 2025-06-20

    Potential for more than minimal harm

  52. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-19 · Health · corrected 2025-06-20

    Potential for more than minimal harm

  53. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-19 · Health · corrected 2025-05-27

    Potential for more than minimal harm

  54. 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.2025-03-19 · Health · corrected 2025-05-27

    Potential for more than minimal harm

  55. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-19 · Health · corrected 2025-05-27

    Immediate jeopardy

  56. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-03-19 · Health · corrected 2025-05-27

    Potential for more than minimal harm

  57. EF0692Provide enough food/fluids to maintain a resident's health.2025-03-19 · Health · corrected 2025-05-27

    Potential for more than minimal harm

  58. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-03-19 · Health · corrected 2025-05-27

    Potential for more than minimal harm

  59. FF0730Observe each nurse aide's job performance and give regular training.2025-03-19 · Health · corrected 2025-05-27

    Potential for more than minimal harm

  60. CF0732Post nurse staffing information every day.2025-03-19 · Health · corrected 2025-05-27

    Potential for minimal harm

  61. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-03-19 · Health · corrected 2025-06-20

    Potential for more than minimal harm

  62. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-03-19 · Health · corrected 2025-06-20

    Potential for more than minimal harm

  63. 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.2025-03-19 · Health · corrected 2025-05-27

    Potential for more than minimal harm

  64. DF0760Ensure that residents are free from significant medication errors.2025-03-19 · Health · corrected 2025-05-27

    Potential for more than minimal harm

  65. 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.2025-03-19 · Health · corrected 2025-06-16

    Potential for more than minimal harm

  66. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-03-19 · Health · corrected 2025-06-20

    Potential for more than minimal harm

  67. DF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2025-03-19 · Health · corrected 2025-05-27

    Potential for more than minimal harm

  68. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-19 · Health · corrected 2025-06-20

    Potential for more than minimal harm

  69. DF0840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.2025-03-19 · Health · corrected 2025-05-27

    Potential for more than minimal harm

  70. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-03-19 · Health · corrected 2025-06-20

    Potential for more than minimal harm

  71. FF0850Hire a qualified full-time social worker in a facility with more than 120 beds.2025-03-19 · Health · corrected 2025-05-27

    Potential for more than minimal harm

  72. FF0908Keep all essential equipment working safely.2025-03-19 · Health · corrected 2025-06-20

    Potential for more than minimal harm

  73. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-03-19 · Health · corrected 2025-06-20

    Potential for more than minimal harm

  74. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-03-19 · Health · corrected 2025-06-20

    Potential for more than minimal harm

  75. FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-03-19 · Health · corrected 2025-06-20

    Potential for more than minimal harm

  76. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-09-28 · Health · corrected 2022-11-27

    Potential for more than minimal harm

  77. FF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2022-09-28 · Health · corrected 2022-11-27

    Potential for more than minimal harm

  78. CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2022-09-28 · Health · corrected 2023-03-03

    Potential for minimal harm

  79. EF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2022-09-28 · Health · corrected 2022-11-27

    Potential for more than minimal harm

  80. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  81. FF0584Honor 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.2022-09-28 · Health · corrected 2023-03-18

    Potential for more than minimal harm

  82. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2022-09-28 · Health · corrected 2022-11-27

    Potential for more than minimal harm

  83. EF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2022-09-28 · Health · corrected 2022-11-27

    Potential for more than minimal harm

  84. CF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-09-28 · Health · corrected 2023-03-03

    Potential for minimal harm

  85. EF0624Prepare residents for a safe transfer or discharge from the nursing home.2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  86. 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.2022-09-28 · Health · corrected 2022-11-27

    Potential for minimal harm

  87. EF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  88. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2022-09-28 · Health · corrected 2022-11-27

    Potential for more than minimal harm

  89. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  90. FF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  91. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  92. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  93. KF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2022-09-28 · Health · corrected 2023-03-18

    Immediate jeopardy

  94. FF0679Provide activities to meet all resident's needs.2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  95. FF0680Ensure the activities program is directed by a qualified professional.2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  96. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-09-28 · Health · corrected 2023-03-18

    Potential for more than minimal harm

  97. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-09-28 · Health · corrected 2022-11-27

    Potential for more than minimal harm

  98. 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.2022-09-28 · Health · corrected 2022-11-27

    Potential for more than minimal harm

  99. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  100. GF0692Provide enough food/fluids to maintain a resident's health.2022-09-28 · Health · corrected 2022-11-27

    Actual harm

  101. EF0695Provide safe and appropriate respiratory care for a resident when needed.2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  102. DF0697Provide safe, appropriate pain management for a resident who requires such services.2022-09-28 · Health · corrected 2022-11-27

    Potential for more than minimal harm

  103. 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.2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  104. DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2022-09-28 · Health · corrected 2022-11-27

    Potential for more than minimal harm

  105. EF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  106. EF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2022-09-28 · Health · corrected 2022-11-27

    Potential for more than minimal harm

  107. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2022-09-28 · Health · corrected 2022-11-27

    Potential for more than minimal harm

  108. 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.2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  109. FF0730Observe each nurse aide's job performance and give regular training.2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  110. CF0732Post nurse staffing information every day.2022-09-28 · Health · corrected 2022-11-27

    Potential for minimal harm

  111. FF0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  112. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  113. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2022-09-28 · Health · corrected 2023-03-18

    Potential for more than minimal harm

  114. EF0760Ensure that residents are free from significant medication errors.2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  115. FF0761Ensure 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.2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  116. DF0775Keep complete, dated laboratory records in the resident's record.2022-09-28 · Health · corrected 2022-11-27

    Potential for more than minimal harm

  117. DF0790Provide routine and 24-hour emergency dental care for each resident.2022-09-28 · Health · corrected 2022-11-27

    Potential for more than minimal harm

  118. EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2022-09-28 · Health · corrected 2022-11-27

    Potential for more than minimal harm

  119. FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-09-28 · Health · corrected 2022-11-27

    Potential for more than minimal harm

  120. EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2022-09-28 · Health · corrected 2022-11-27

    Potential for more than minimal harm

  121. EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  122. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-09-28 · Health · corrected 2022-11-27

    Potential for more than minimal harm

  123. DF0825Provide or get specialized rehabilitative services as required for a resident.2022-09-28 · Health · corrected 2022-11-27

    Potential for more than minimal harm

  124. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  125. FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  126. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-09-28 · Health · corrected 2023-03-18

    Potential for more than minimal harm

  127. FF0850Hire a qualified full-time social worker in a facility with more than 120 beds.2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  128. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  129. FF0880Provide and implement an infection prevention and control program.2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  130. FF0881Implement a program that monitors antibiotic use.2022-09-28 · Health · corrected 2022-11-27

    Potential for more than minimal harm

  131. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  132. FF0886Perform COVID19 testing on residents and staff.2022-09-28 · Health · corrected 2022-11-27

    Potential for more than minimal harm

  133. EF0887Educate 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.2022-09-28 · Health · corrected 2022-11-27

    Potential for more than minimal harm

  134. EF0908Keep all essential equipment working safely.2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  135. EF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.2022-09-28 · Health · corrected 2022-11-27

    Potential for more than minimal harm

  136. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  137. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2022-09-28 · Health · corrected 2022-11-27

    Potential for more than minimal harm

  138. FF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2022-09-28 · Health · corrected 2022-11-27

    Potential for more than minimal harm

  139. FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2022-09-28 · Health · corrected 2023-03-03

    Potential for more than minimal harm

  140. DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2018-10-25 · Health · corrected 2018-12-01

    Potential for more than minimal harm

  141. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2018-10-25 · Health · corrected 2018-12-01

    Potential for more than minimal harm

  142. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2018-10-25 · Health · corrected 2018-12-01

    Potential for more than minimal harm

  143. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2018-10-25 · Health · corrected 2018-12-01

    Potential for more than minimal harm

  144. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2018-10-25 · Health · corrected 2018-12-01

    Potential for more than minimal harm

  145. 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.2018-10-25 · Health · corrected 2018-12-01

    Potential for more than minimal harm

  146. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2018-10-25 · Health · corrected 2018-05-10

    Potential for more than minimal harm

  147. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2018-10-25 · Health · corrected 2018-12-01

    Potential for more than minimal harm

  148. DF0625Notify 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.2018-10-25 · Health · corrected 2018-12-01

    Potential for more than minimal harm

  149. DF0641Ensure each resident receives an accurate assessment.2018-10-25 · Health · corrected 2018-12-01

    Potential for more than minimal harm

  150. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2018-10-25 · Health · corrected 2018-12-01

    Potential for more than minimal harm

  151. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2018-10-25 · Health · corrected 2018-12-01

    Potential for more than minimal harm

  152. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2018-10-25 · Health · corrected 2018-12-01

    Potential for more than minimal harm

  153. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2018-10-25 · Health · corrected 2018-12-01

    Potential for more than minimal harm

  154. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2018-10-25 · Health · corrected 2018-12-01

    Potential for more than minimal harm

  155. DF0692Provide enough food/fluids to maintain a resident's health.2018-10-25 · Health · corrected 2018-12-01

    Potential for more than minimal harm

  156. DF0697Provide safe, appropriate pain management for a resident who requires such services.2018-10-25 · Health · corrected 2018-12-01

    Potential for more than minimal harm

  157. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2018-10-25 · Health · corrected 2018-12-01

    Potential for more than minimal harm

  158. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2018-10-25 · Health · corrected 2018-12-01

    Potential for more than minimal harm

  159. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2018-10-25 · Health · corrected 2018-12-01

    Potential for more than minimal harm

  160. 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.2018-10-25 · Health · corrected 2018-12-01

    Potential for more than minimal harm

  161. DF0791Provide or obtain dental services for each resident.2018-10-25 · Health · corrected 2018-12-01

    Potential for more than minimal harm

  162. DF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2018-10-25 · Health · corrected 2018-12-01

    Potential for more than minimal harm

  163. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2018-10-25 · Health · corrected 2018-12-01

    Potential for more than minimal harm

  164. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2018-10-25 · Health · corrected 2018-12-01

    Potential for more than minimal harm

  165. DF0880Provide and implement an infection prevention and control program.2018-10-25 · Health · corrected 2018-12-01

    Potential for more than minimal harm

  166. EF0908Keep all essential equipment working safely.2018-10-25 · Health · corrected 2018-12-01

    Potential for more than minimal harm

  167. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2018-10-25 · Health · corrected 2018-12-01

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
MD4 HOLDCO, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-04-01
HIRTH, YECHIELIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST50%2023-04-01
GILLIGAN, DIANNAIndividualOPERATIONAL/MANAGERIAL CONTROL2023-04-01
HIRTH, YECHIELIndividualOPERATIONAL/MANAGERIAL CONTROL2023-04-01
HOWARD, DANIELIndividualOPERATIONAL/MANAGERIAL CONTROL2023-04-01

Other facilities in EASTON

NameOverallBeds
WILLOWBROOKE CT SKILLED CARE CTR AT BAYLEIGH CHASE★★☆☆☆99

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