The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: E
Nursing home report
Citizens Care
Registered name: CITIZENS CARE CENTER
HAVRE DE GRACE, MD · Medicare-certified · 184 beds
In good standing
Non-profit
Data as of July 1, 2026
5 of 5 overall
Citizens Care in Havre de Grace, MD has an overall 5-star rating, with strong staffing at 5 stars and no fines in the last 24 months, though its quality measures are lower at 2 stars. Reported nurse staffing is 4.02 hours per resident day, slightly below the federal benchmark of 4.1, and recent inspection citations included assessment, bed rail use, and treatment/care issues.
Facility ratings
Health inspections
Staffing
4.0212 hrs/resident/day
Quality measures
Last inspection: January 29, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0212.
Staffing detail
- Registered nurses
- 0.81
- Licensed practical nurses
- 1.02
- Nurse aides
- 2.19
- Weekend nursing
- 3.72
Hours per resident per day.
Total staff turnover: 28%
Registered nurse turnover: 30%
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
23%23.7%Worsening
Residents with a fall causing major injury
2%6.3%Worsening
Residents with pressure ulcers (bedsores)
6.2%3.7%Improving
Residents with a urinary tract infection
6.1%4.5%Improving
Residents who lost too much weight
7.9%5.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
22.2%23.3%Worsening
Residents whose ability to walk got worse
25.3%23.9%Improving
Long-stay residents on antianxiety or sleep medication
12.2%17.2%Worsening
Short-stay residents newly given an antipsychotic
1.3%0%Improving
Residents with a long-term catheter
2.6%1.1%Improving
Residents with new or worsening incontinence
20.8%21.6%Worsening
Residents with depressive symptoms
5.6%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
—99.1%—
Long-stay residents given the pneumonia vaccine
99%100%Improving
Short-stay residents given the seasonal flu vaccine
—98.2%—
Short-stay residents given the pneumonia vaccine
96.5%96.4%No change
What the inspectors found
The home failed to assess bed rail safety, review the risks and benefits, get informed consent, or properly install and maintain the rail. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 700 — 42 CFR §483.25(n) — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited May 2024 — limited pattern, potential for harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: E
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — limited pattern, potential for harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited May 2019 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Other
- Occupancy
- 124.5 residents on an average day (68% of 184 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 59 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.