Sample Facility Safety Report
A plain-English snapshot of inspections, safety concerns, staffing signals, and comparison data — based on public federal data — to help families make better care decisions.
This is a sample report. Data shown is illustrative.
Example Manor Nursing & Rehab Center
in public record
Safety override applied — score capped at 45
An Immediate Jeopardy finding was recorded at this facility in the last 12 months. A safety rule has been applied that limits this score. Even if some areas look acceptable, this rule reflects a serious finding that cannot be offset by other metrics. This facility cannot score above 45 until that record is resolved.
Four weighted components combine to produce the overall score. Each is measured separately so serious problems in one area cannot be hidden by good performance in another.
CMS weighted health survey score and inspection star rating are both below average. Inspectors documented a pattern of deficiencies with elevated recent severity levels.
A $21,665 civil money penalty was recorded. Fines and enforcement actions signal that inspectors found problems serious enough to require formal penalties beyond citations alone. Repeat violations are present.
RN hours per resident day are near but slightly below the national average. Total nurse staffing hours are within an acceptable range — this is the one component not showing a serious flag.
Complaint deficiencies are elevated across multiple inspection cycles. Infection control citations are present. Complaint activity often surfaces problems between routine inspection visits.
(38 × 0.30) + (28 × 0.25) + (65 × 0.25) + (35 × 0.20)
= 11.4 + 7.0 + 16.25 + 7.0 = 41.65 → 42 / 100
Plain-English summary
This facility's public record shows more inspection concerns than similar Maryland facilities. Families should pay close attention to the repeated infection control issues, the Immediate Jeopardy finding, and whether corrective actions have been independently verified by the state.
Family decision guide
- Review the full inspection report for the Immediate Jeopardy finding before scheduling a tour.
- Ask the administrator specifically what changed after the most recent serious citation.
- Confirm the correction plan was independently verified by the Maryland OHCQ.
- Visit during meal time and the evening shift to observe staffing directly.
- Compare with at least 3 nearby facilities before making a final decision.
Why this score was assigned
- Immediate Jeopardy finding in the last 12 months — score capped at 45
- 78 deficiencies — well above Maryland state average
- Civil money penalty of $21,665 issued by CMS
- Repeated deficiency categories across multiple inspections
- Infection control cited as High severity in most recent survey
- Staffing numbers are below average — not catastrophic but below peers
- Clinical quality measures near state average — not a standalone red flag
Questions to ask before touring
- 01What exactly happened in the Immediate Jeopardy finding, and which residents were affected?
- 02Has the state independently verified the correction plan — and can we see that documentation?
- 03What specifically changed after the incident in policy, staffing, and oversight?
- 04What is the RN-to-resident ratio on night shifts and weekends?
- 05Why has infection control been cited repeatedly, and what has been done differently?
Benchmark comparison
Compared with similar Maryland facilities using CMS peer group data.
| Overall Safety Signal | 42 / 100 | Similar facilities: 68 / 100 |
| Recent violations | 14 | Peer range: 4–8 |
| Serious deficiencies | 3 | Peer range: 0–1 |
| Staffing signal | Below avg | Similar facilities: Average |
| CMS fine issued | $21,665 | Most peers: $0 in period |
Recent inspection concerns
| Area | Severity | Date | Status |
|---|---|---|---|
| Infection Control | High | Feb 2026 | Repeat issue |
| Staffing Levels | Moderate | Jan 2026 | Below state avg |
| Medication Management | Moderate | Nov 2025 | Corrected |
| Resident Rights | Low | Aug 2025 | Corrected |
Important: This score reflects public inspection records only. It does not measure quality of life, dignity, or resident experience — all of which matter deeply and cannot be seen in inspection data alone. Care Safety Signal™ is an independent summary of publicly available federal data. It is not a government rating, medical advice, or endorsement of any facility. Always visit the facility in person and speak with current residents and families before making a decision. You can also contact the Maryland Long-Term Care Ombudsman for an independent perspective on any facility.
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- Overall Safety Score
- 6 sub-scores
- Inspection summary
- CMS source links
- Questions to ask
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- Monthly inspection digest
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- Watch up to 3 facilities
This report summarizes public record data. If you have witnessed or suspect abuse, neglect, or an immediate safety threat, do not wait — contact the appropriate authorities directly.
Maryland Long-Term Care Ombudsman
Advocates for residents of nursing homes and assisted living facilities. Free and confidential.
aging.maryland.gov →Maryland Office of Health Care Quality
File a formal complaint about a licensed Maryland health care facility.
health.maryland.gov →Adult Protective Services (Maryland)
Report suspected abuse or neglect of a vulnerable adult: 1-800-917-7383.
dhr.maryland.gov →Care Safety Check is an independent information service and is not affiliated with any government agency. We cannot intervene in facility disputes or investigate complaints.