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.
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F-Tag 641 — 42 CFR §483.20(g) — S/S: E
Nursing home report
CITIZENS CARE CENTER
HAVRE DE GRACE, MD · Medicare-certified · 184 beds
In good standing
Non-profit
5 of 5 overall
CITIZENS CARE CENTER (Havre de Grace, MD) has a 5-star overall rating, with strong staffing (5 stars; 4.16 hours per resident per day vs. the 4.1 federal benchmark) and no fines in the last 24 months. Its health inspection rating is 4 stars, but its quality measures rating is lower at 2 stars, and recent citations included assessment, bed rail, and care-plan/order issues.
Facility ratings
Health inspections
Staffing
4.1584 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 4.1584.
Staffing detail
- Registered nurses
- 0.78
- Licensed practical nurses
- 1.11
- Nurse aides
- 2.27
- Weekend nursing
- 3.90
Hours per resident per day.
Total staff turnover: 29%
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
20.8%Improving
Residents with a fall causing major injury
1.5%Steady
Residents with pressure ulcers (bedsores)
5.5%Improving
Residents with a urinary tract infection
8.9%Improving
Residents who lost too much weight
5.6%Improving
Residents who were physically restrained
0.2%Improving
Residents needing more help with daily activities
26.1%Improving
Residents whose ability to walk got worse
26.2%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
13.3%Worsening
Short-stay residents newly given an antipsychotic
1.1%Improving
Residents with a long-term catheter
1.8%Steady
Residents with new or worsening incontinence
26.6%Improving
Residents with depressive symptoms
4.9%Improving
Long-stay residents given the seasonal flu vaccine
99.1%Steady
Long-stay residents given the pneumonia vaccine
98.8%Worsening
Short-stay residents given the seasonal flu vaccine
98.2%Steady
Short-stay residents given the pneumonia vaccine
96.9%Worsening
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 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
- 119.7 residents on an average day (65% 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.