The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited June 2019 — isolated incident, actual harm.
View the original federal record
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
4 of 5 overall
Overall rating: 4 of 5 stars. This facility scores well overall, with 4-star staffing and 5-star quality measures, no fines in the last 24 months, but nurse staffing is below the federal benchmark (3.80 vs 4.1 hours per resident per day) and the health inspection rating is 3 stars.
Facility ratings
Health inspections
Staffing
3.8047 hrs/resident/day
Quality measures
Last inspection: October 16, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8047.
Staffing detail
- Registered nurses
- 0.71
- Licensed practical nurses
- 1.14
- Nurse aides
- 1.96
- Weekend nursing
- 3.38
Hours per resident per day.
Total staff turnover: 24%
Registered nurse turnover: 21%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
6.4%Worsening
Residents with a fall causing major injury
2.4%Improving
Residents with pressure ulcers (bedsores)
3.4%Steady
Residents with a urinary tract infection
0.8%Steady
Residents who lost too much weight
5.1%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
22.9%Improving
Residents whose ability to walk got worse
21.4%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
15.4%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.9%Improving
Residents with new or worsening incontinence
23%Improving
Residents with depressive symptoms
2.5%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.4%Improving
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
96.8%Improving
What the inspectors found
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.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
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
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 safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited June 2019 — limited pattern, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — 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 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
- 158.9 residents on an average day (93% 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.