Ginger Cove
4000 River Crescent Drive, Annapolis, MD 21401 · Anne Arundel County · (410) 266-7300
55 certified beds, about 41 residents a day · Non profit - Other · Medicare since 1988
Part of a continuing care retirement community Certified for Medicare
Overall
4 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
1 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 215174 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on November 24, 2025, inspectors cited 0 health deficiencies (the Maryland average is 17, the national average 9.2).
None of its 12 health citations since June 2019 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.68 hours per resident per day, against 3.87 across Maryland and 3.86 nationally. Registered nurses accounted for 1.50 of those hours.
43.1% of nursing staff left within the year CMS measured (Maryland average 40.2%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
206/19
906/24
111/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
0E
0F
Potential for minimal harm
0A
0B
1C
November 24, 2025Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteNumber of residents sampled: Number of residents cited: Based on record review and staff interview, it was determined that the facility failed to report an allegation of misappropriation of property in a timely manner. This was evident in 1 out of 3 facility reported incidents reviewed during the recertification survey.
June 4, 2024Standard inspection, Complaint inspection · 9 citations
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation and interview it was determined that the facility failed to ensure residents had a homelike environment. This was evident for 3 (#21, #34, and #39) of 16 residents reviewed during the initial pool process.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on medical record review and interview it was determined that the facility failed to have a process in place to ensure that residents and resident representatives received a notice of transfer in writing. (Resident #40 and #246). This was evident in 2 of 3 residents reviewed for hospitalization during the survey.
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on record review and staff interview it was determined that the facility failed to have a process in place to ensure that residents and resident representatives received the bed hold policy in writing within 24 hours after being sent to the hospital (Resident #40 and #246). This was evident for 2 of 3 resident records reviewed for hospitalization during an annual survey.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on record review and interview it was determined that the facility failed to have a process in place to ensure that a baseline care plan was provided to the resident and resident representative within 48 hours of admission to the facility (Resident #40 and #42). This was evident for 2 of 4 residents reviewed for baseline care plans during an annual survey.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on medical record review and interview with the resident and staff it was determined the facility staff failed to ensure residents' plans of care included individual resident care needs and interventions to assist each resident in reaching their highest practicable level of wellbeing. This was evident for 1 (#10) of 1 resident reviewed for Dialysis.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on medical record review and interview with staff it was determined the facility staff 1) failed to measure resident centered objectives in order to determine the effectiveness of the residents care plan interventions; (Resident #10) and 2) failed to ensure resident's care plan reviews were completed by an interdisciplinary team which included the attending physician, a registered nurse and nurse aide involved in the resident's care, a member of food and nutrition services staff and the resident/representative; (Resident #10) and 3) failed to hold quarterly care plan meetings to include the interdisciplinary team, resident and resident's representative for residents. (Resident #40). This was evident for 2 out of 5 residents reviewed for care planning during an annual survey.
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on record review and staff interview it was determined that the facility failed to ensure that a discharge summary was complete and accurate. This was evident for 1 (#42) of 3 closed records reviewed.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record review and staff interview it was determined that the facility failed to develop and implement policies and procedures to ensure all residents were offered and/or receive the appropriate pneumococcal vaccinations as per the national standards. This was evident for 2 (#21 and #34) of 5 residents reviewed for pneumococcal vaccinations.
- C Post nurse staffing information every day.
Inspectors wroteBased on observations, a review of daily staffing records, and staff interviews it was determined the facility failed to post the total number and actual hours worked by categories of Registered nurses, Licensed practical nurses, and Certified nursing aides per shift and in an accurate, clear and readable format.
June 7, 2019Standard inspection · 2 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, medical record review and staff interview it was determined that the facility failed to implement a comprehensive person-centered care plan. This was evident for 1 of 2 residents (Resident #36) reviewed for ADL's during an annual recertification survey.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, medical record review and staff interview it was determined that the facility failed to follow a physician order and insert a resident's hearing aids daily at 8 am. This was evident for 1 of 2 residents (Resident #36) reviewed for ADL's during an annual recertification survey.
Fire safety inspections
35 fire safety citations on file: 11 on November 24, 2025, 22 on June 4, 2024, 2 on June 7, 2019.
Every fire safety citation35 citations
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E Install corridor and hallway doors that block smoke.
- E Ensure proper usage of power strips and extension cords.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Install corridor and hallway doors that block smoke.
- F Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Meet other general requirements.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Have exits that are accessible at all times.
- E Have properly installed electrical wiring and gas equipment.
- D Have properly located and lighted "Exit" signs.
- D Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- D Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D Meet other general requirements that are deficient.
- D Have restrictions on the use of portable space heaters.
- D Have restrictions on the use of portable space heaters.
- D Have proper medical gas storage and administration areas.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Maryland | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.68 | 3.87 | 3.86 |
| Registered nurses | 1.50 | 0.84 | 0.69 |
| All nursing staff on weekends | 4.37 | 3.47 | 3.42 |
| Nurse aides | 2.29 | ||
| Licensed practical nurses | 0.89 | ||
| Nursing staff turnover (share who left in a year) | 43.1% | 40.2% | 45.8% |
| Registered nurse turnover | 36.4% | 38.7% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.18 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.81 on weekdays and 4.37 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.75 in April to June 2025 to 4.68 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.68 | 1.50 | 4.81 | 4.37 | 0.0% | 0 of 90 | 41 |
| Oct to Dec 2025 | 4.93 | 1.69 | 5.13 | 4.41 | 0.0% | 0 of 92 | 35 |
| Jul to Sep 2025 | 5.00 | 1.70 | 5.20 | 4.47 | 1.5% | 0 of 92 | 34 |
| Apr to Jun 2025 | 4.75 | 1.16 | 4.83 | 4.56 | 3.3% | 0 of 91 | 42 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Maryland, Jan to Mar 2026 | 3.73 | 0.74 | 3.88 | 3.34 | 8.0% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Maryland | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 29.3 | 20.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.4 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.7 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 9.4 | 2.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 4.8 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.9 | 22.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.4 | 5.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 17.8 | 13.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.9 | 21.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 20.1 | 9.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.2 | 1.8 |
Owners and operators
Legal business name: ANNAPOLIS LIFE CARE, INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Boulden, Phyllis | W-2 managing employee | Individual | 11/16/1992 | |
| Fisher, Donald | W-2 managing employee | Individual | 12/06/2021 | |
| Boulden, Phyllis | Corporate director | Individual | 04/29/2016 | |
| Fisher, Donald | Corporate officer | Individual | 12/06/2021 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on June 4, 2024: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on June 4, 2024: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on November 24, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on June 4, 2024: "Develop and implement policies and procedures for flu and pneumonia vaccinations."
Other nursing homes nearby
- South River Rehabilitation and Wellness Center Edgewater, 1.6 mi · 4 of 5 stars · 52 citations
- Future Care Annapolis Annapolis, 1.7 mi · not rated · 0 citations
- Autumn Lake Healthcare at Spa Creek Annapolis, 3 mi · 3 of 5 stars · 73 citations
- Complete Care at Annapolis Annapolis, 3.7 mi · 5 of 5 stars · 30 citations
- Fairfield Nursing & Rehabilitation Center Crownsville, 5.3 mi · 2 of 5 stars · 58 citations
- Future Care Chesapeake Arnold, 6.8 mi · 5 of 5 stars · 21 citations
- Autumn Lake Healthcare at Crofton Crofton, 7.4 mi · 4 of 5 stars · 37 citations
- Complete Care at Severna Park LLC Severna Park, 8.4 mi · 3 of 5 stars · 67 citations
Maryland contacts for a concern about a nursing home
These are the official offices in Maryland. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Maryland Department of Health, Office of Health Care Quality, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Maryland Long-Term Care Ombudsman Program, Maryland Department of Aging, 800-243-3425. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Maryland Health Care Commission, Maryland Quality Reporting, Nursing Homes, where Maryland publishes its own records on licensed homes.
Common questions
- What is Ginger Cove's Medicare star rating?
- CMS rates Ginger Cove 4 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Ginger Cove get at its last inspection?
- 0 health deficiencies at the standard inspection on November 24, 2025. The Maryland average is 17.
- Has Ginger Cove been fined?
- CMS lists no fines in the last three years.
- Does Ginger Cove accept Medicaid?
- CMS lists it as "Medicare", so it is not certified for Medicaid.
- Who owns Ginger Cove?
- CMS lists 4 owners and managers. Legal business name: ANNAPOLIS LIFE CARE, INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.