a product by 3G Healthcare Real EstateExclusively SNF sell-side advisors
Survey citations · Maryland

Maryland nursing home survey citations, by F-tag

State surveyors inspected 210 of Maryland's 221 nursing homes in the 12 months from August 2025 through July 2026 and cited 3,299 health deficiencies, according to CMS's nursing home health citation file, processed September 1, 2026. The most cited was F880, which CMS words as “provide and implement an infection prevention and control program”, at 133 of those buildings (63%). 25 of the citations were immediate jeopardy, the most serious level CMS has.

Selling a building in Maryland? Read our guide to selling a nursing home in Maryland ›

210
of 221 buildings inspected
3,299
health citations
25
immediate jeopardy citations
F880
most cited tag

Maryland, the 12 months from August 2025 through July 2026, from CMS's nursing home health citation file.

What surveyors cited

Every F-tag Maryland surveyors cited, most cited first

August 2025 through July 2026. Source: CMS's nursing home health citation file, processed September 1, 2026.

RankTagCitationsBuildings citedU.S. rankRank a year earlierImmediate jeopardyActual harm
1F880Provide and implement an infection prevention and control program149133 (63%)#1#500
2F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards147116 (55%)#9#200
3F684Provide appropriate treatment and care according to orders, resident’s preferences and goals138108 (51%)#4#633
4F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards106104 (50%)#3#300
5F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals10394 (45%)#16#700
6F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely10393 (44%)#12#1000
7F641Ensure each resident receives an accurate assessment9687 (41%)#18#1300
8F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured9386 (41%)#5#800
9F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities9379 (38%)#8#110
10F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents9173 (35%)#2#91317
11F658Ensure services provided by the nursing facility meet professional standards of quality8779 (38%)#17#2400
12F761Ensure 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 drugs8278 (37%)#6#1200
13F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights7973 (35%)#14#1500
14F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies7670 (33%)#19#4900
15F695Provide safe and appropriate respiratory care for a resident when needed7169 (33%)#13#2100
16F677Provide care and assistance to perform activities of daily living for any resident who is unable7063 (30%)#11#1400
17F610Respond appropriately to all alleged violations7060 (29%)#21#410
18F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist5350 (24%)#10#1900
19F578Honor 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 directive5151 (24%)#29#2200
20F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody5042 (20%)#7#1134
21F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident4945 (21%)#20#2010
22F686Provide appropriate pressure ulcer care and prevent new ulcers from developing4945 (21%)#15#1602
23F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public4943 (20%)#30#2901
24F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures4545 (21%)#34#2700
25F757Ensure each resident’s drug regimen must be free from unnecessary drugs4544 (21%)#32#1701
Every other tag cited (127)
RankTagCitationsBuildings citedU.S. rankRank a year earlierImmediate jeopardyActual harm
26F919Make sure that a working call system is available in each resident's bathroom and bathing area4239 (19%)#52#5100
27F697Provide safe, appropriate pain management for a resident who requires such services3635 (17%)#33#1803
28F558Reasonably accommodate the needs and preferences of each resident3534 (16%)#25#2300
29F585Honor 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 grievances3232 (15%)#44#4300
30F730Observe each nurse aide's job performance and give regular training3131 (15%)#65#3000
31F759Ensure medication error rates are not 5 percent or greater3129 (14%)#27#3700
32F679Provide activities to meet all resident's needs3030 (14%)#53#3200
33F803Ensure 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 resident2929 (14%)#42#5800
34F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2928 (13%)#46#2800
35F732Post nurse staffing information every day2928 (13%)#40#3500
36F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention2727 (13%)#78#4400
37F908Keep all essential equipment working safely2725 (12%)#55#4700
38F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature2625 (12%)#28#3800
39F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests2624 (11%)#56#4100
40F791Provide or obtain dental services for each resident2525 (12%)#71#4000
41F887Educate 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 status2525 (12%)#54#5200
42F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function2323 (11%)#24#7500
43F692Provide enough food/fluids to maintain a resident's health2323 (11%)#26#2601
44F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit2321 (10%)#102#5401
45F583Keep residents' personal and medical records private and confidential2221 (10%)#38#5300
46F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections2121 (10%)#23#4201
47F760Ensure that residents are free from significant medication errors2121 (10%)#22#3401
48F883Develop and implement policies and procedures for flu and pneumonia vaccinations1818 (9%)#47#4500
49F685Assist a resident in gaining access to vision and hearing services1817 (8%)#80#5900
50F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason1717 (8%)#68#6600
51F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being1717 (8%)#50#3900
52F693Ensure 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 tube1716 (8%)#35#7600
53F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge1515 (7%)#48not cited10
54F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly1515 (7%)#85#5000
55F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program1515 (7%)#115#12000
56F552Ensure that residents are fully informed and understand their health status, care and treatments1414 (7%)#31#9000
57F645PASARR screening for Mental disorders or Intellectual Disabilities1414 (7%)#45#6000
58F700Try 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 rail1414 (7%)#67#7100
59F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice1413 (6%)#62#4800
60F551Give the resident's representative the ability to exercise the resident's rights1313 (6%)#117#8500
61F602Protect each resident from the wrongful use of the resident's belongings or money1212 (6%)#57#5500
62F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered1111 (5%)#59#6100
63F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment1111 (5%)#74#6300
64F688Provide 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 reason1111 (5%)#37#3600
65F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options1111 (5%)#63#7900
66F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services1111 (5%)#69#12100
67F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action1111 (5%)#75#8000
68F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months1110 (5%)#76#8600
69F814Dispose of garbage and refuse properly119 (4%)#51#6800
70F637Assess the resident when there is a significant change in condition1010 (5%)#86#6400
71F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift1010 (5%)#39#6700
72F946Provide training in compliance and ethics1010 (5%)#138#12200
73F565Honor the resident's right to organize and participate in resident/family groups in the facility99 (4%)#72#8100
74F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician99 (4%)#79#8200
75F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home88 (4%)#113#10600
76F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies88 (4%)#84#9100
77F698Provide safe, appropriate dialysis care/services for a resident who requires such services88 (4%)#36#9200
78F839Employ staff that are licensed, certified, or registered in accordance with state laws88 (4%)#135#12310
79F840Employ 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 service88 (4%)#146#4600
80F924Put firmly secured handrails on each side of hallways87 (3%)#141#13900
81F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions77 (3%)#77#9300
82F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made77 (3%)#110#12400
83F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment77 (3%)#61#8300
84F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation77 (3%)#120#7700
85F838Conduct 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 emergencies76 (3%)#81#7000
86F567Honor the resident's right to manage his or her financial affairs66 (3%)#108#10700
87F607Develop and implement policies and procedures to prevent abuse, neglect, and theft66 (3%)#41#6200
88F638Assure that each resident’s assessment is updated at least once every 3 months66 (3%)#100#10800
89F712Ensure that the resident and his/her doctor meet face-to-face at all required visits66 (3%)#116#9700
90F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis66 (3%)#60#8700
91F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services66 (3%)#83#6500
92F790Provide routine and 24-hour emergency dental care for each resident66 (3%)#106#6900
93F881Implement a program that monitors antibiotic use66 (3%)#58#10900
94F923Have enough outside ventilation via a window or mechanical ventilation, or both66 (3%)#144#12500
95F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program66 (3%)#139#11000
96F553Allow resident to participate in the development and implementation of his or her person-centered plan of care55 (2%)#98#9400
97F554Allow residents to self-administer drugs if determined clinically appropriate55 (2%)#49#12600
98F770Provide timely, quality laboratory services/tests to meet the needs of residents55 (2%)#87#12700
99F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs55 (2%)#111#8800
100F825Provide or get specialized rehabilitative services as required for a resident55 (2%)#101#11100
101F865Have a plan that describes the process for conducting QAPI and QAA activities55 (2%)#82#11200
102F917Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space55 (2%)#165#14000
103F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed44 (2%)#43#14100
104F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services44 (2%)#122#9800
105F694Provide for the safe, appropriate administration of IV fluids for a resident when needed44 (2%)#66#12800
106F728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training44 (2%)#123#9900
107F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder44 (2%)#112#11300
108F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration44 (2%)#125#12900
109F835Administer the facility in a manner that enables it to use its resources effectively and efficiently44 (2%)#70#7200
110F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse44 (2%)#103#14200
111F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home44 (2%)#97#13000
112F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame44 (2%)#119#7300
113F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members44 (2%)#134#8900
114F563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing33 (1%)#158not cited00
115F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records33 (1%)#114#11400
116F620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide33 (1%)#149not cited00
117F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives33 (1%)#88#9510
118F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care33 (1%)#130#7400
119F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them33 (1%)#143#11500
120F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs33 (1%)#64#14300
121F809Ensure 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 times33 (1%)#94#10000
122F850Hire a qualified full-time social worker in a facility with more than 120 beds33 (1%)#127#10100
123F914Provide bedrooms that don't allow residents to see each other when privacy is needed33 (1%)#137not cited00
124F940Develop, implement, and/or maintain an effective training program for all new and existing staff members33 (1%)#118#13100
125F949Provide behavior health training consistent with the requirements and as determined by a facility assessment33 (1%)#126#11600
126F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death22 (1%)#105#13200
127F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted22 (1%)#133#14400
128F680Ensure the activities program is directed by a qualified professional22 (1%)#131not cited00
129F745Provide medically-related social services to help each resident achieve the highest possible quality of life22 (1%)#92not cited00
130F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law22 (1%)#99not cited00
131F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility22 (1%)#128not cited00
132F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms22 (1%)#95#14500
133F555Honor the resident's right to choose his or her attending physician11 (0%)#159not cited00
134F572Give residents a notice of rights, rules, services and charges11 (0%)#142#13300
135F576Ensure residents have reasonable access to and privacy in their use of communication methods11 (0%)#109#14600
136F586Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials11 (0%)#185not cited00
137F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room)11 (0%)#140#14700
138F606Not hire anyone with a finding of abuse, neglect, exploitation, or theft11 (0%)#136#13401
139F675Honor each resident's preferences, choices, values and beliefs11 (0%)#147#14800
140F687Provide appropriate foot care11 (0%)#90#10200
141F699Provide care or services that was trauma informed and/or culturally competent11 (0%)#73#7800
142F713Provide or arrange emergency care by a doctor 24 hours a day11 (0%)#172#14900
143F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia11 (0%)#91#10300
144F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results11 (0%)#104#13500
145F774Help the resident with transportation to and from laboratory services outside of the facility11 (0%)#162not cited00
146F775Keep complete, dated laboratory records in the resident's record11 (0%)#161#15000
147F777Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results11 (0%)#156#15100
148F810Provide special eating equipment and utensils for residents who need them and appropriate assistance11 (0%)#107#10400
149F826Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor11 (0%)#163not cited00
150F843Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care11 (0%)#164#11700
151F922Have enough backup water supply for essential areas of the nursing home11 (0%)#174not cited00
152F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents11 (0%)#148#15200

A tag is ranked by how many times it was cited. “Buildings cited” counts the inspected buildings that drew the tag at least once, and its percentage is of every building inspected; we print a percentage only where 20 or more buildings were inspected. “Rank a year earlier” is the same ranking over August 2024 through July 2025. CMS publishes citations months after the survey, so the newest months are still filling in: compare ranks across the two years, not counts. Immediate jeopardy is CMS severity J, K or L; actual harm is G, H or I. No building is named on this page: open a building for its own inspections.

About this data
What is the most cited F-tag in Maryland?
F880: “Provide and implement an infection prevention and control program.” Maryland surveyors cited it 149 times at 133 of the 210 nursing homes they inspected in the 12 months from August 2025 through July 2026 (63%).
How many Maryland nursing homes were cited for infection control?
133 of the 210 inspected in the 12 months from August 2025 through July 2026 (63%) were cited for F880, infection prevention and control.
How many immediate jeopardy citations did Maryland nursing homes get?
25 in the 12 months from August 2025 through July 2026, out of 3,299 health citations, according to CMS's nursing home health citation file.
Source: CMS's nursing home health citation file.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.