The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited June 2019 — isolated incident, actual harm.
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F-Tag 578 — 42 CFR §483.10 — S/S: G
Nursing home report
CITIZENS CARE AND REHABILITATION CENTER OF FREDERI
FREDERICK, MD · Medicare-certified · 170 beds
In good standing
Government-run
Data as of July 1, 2026
5 of 5 overall
5 of 5 stars overall. This facility has 4-star health inspection and staffing ratings, 5-star quality measures, no fines in the last 24 months, and reported nurse staffing of 3.99 hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.99 hrs/resident/day
Quality measures
Last inspection: March 20, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.99.
Staffing detail
- Registered nurses
- 0.77
- Licensed practical nurses
- 1.02
- Nurse aides
- 2.20
- Weekend nursing
- 3.55
Hours per resident per day.
Total staff turnover: 28%
Registered nurse turnover: 24%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
5.6%10.1%Worsening
Residents with a fall causing major injury
3.2%1.6%Improving
Residents with pressure ulcers (bedsores)
3.3%4.9%Worsening
Residents with a urinary tract infection
0.8%1.7%Worsening
Residents who lost too much weight
8.8%1.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
21.4%20.4%Improving
Residents whose ability to walk got worse
17.9%21.2%Worsening
Long-stay residents on antianxiety or sleep medication
15.7%13.6%Improving
Short-stay residents newly given an antipsychotic
0%0.6%Worsening
Residents with a long-term catheter
2.2%0.6%Improving
Residents with new or worsening incontinence
19.7%20.9%Worsening
Residents with depressive symptoms
0%1.8%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
99.2%100%Improving
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
96.6%92.4%Worsening
What the inspectors found
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2024 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Government - County
- Occupancy
- 159 residents on an average day (94% of 170 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 49 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.