Laurelwood Healthcare Center
100 Laurel Drive, Elkton, MD 21921 · Cecil County · (410) 398-8800
110 certified beds, about 99 residents a day · For profit - Corporation · Medicare and Medicaid since 1978
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 215111 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 30, 2026, inspectors cited 5 health deficiencies (the Maryland average is 17, the national average 9.2).
Of 74 health citations since September 2019, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $95,610 in the last three years; the largest was $95,610, and the latest is dated August 8, 2024.
Nurses and nurse aides worked 3.40 hours per resident per day, against 3.87 across Maryland and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.
42.0% 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.
2909/19
303/24
3608/24
601/26
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 74 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
54D
14E
4F
Potential for minimal harm
0A
0B
1C
January 30, 2026Standard inspection, Complaint inspection · 6 citations
- F Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
Inspectors wroteBased on observations and interviews, it was determined that the facility failed to provide individual closet space that keeps a resident's clothing separate from their roommates. This was found to be evident in all double occupancy rooms in the facility.
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on medical record review and facility staff interview, the facility staff failed to protect and value a resident's right to religious freedom (residents #18, 40, 43, 81, 83, and 91). This was evident for 6 out of residents reviewed for resident rights during a recertification survey.
- E 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 staff interviews, it was determined that the facility failed to ensure a safe, homelike environment as evidenced by multiple sliding closet doors being broken and not being able to close properly. This was found to be evident in rooms 120, 128, 215, 221, 225, 228, and 229.
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on record review and interviews, it was determined that the facility failed to ensure that a resident was free from a significant medication error. This was evident for 1 (#343957) of 7 complaints reviewed during an annual survey.
- D Post nurse staffing information every day.
Inspectors wroteBased on observations and staff interview, it was determined that the facility failed to ensure staffing information was complete and was not missing information. This was evident for 2 out of 2 units observed during the recertification survey.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on record review and interviews, it was determined that the facility failed to ensure that a resident was free from a significant medication error. This was evident for 1 (#343957) of 7 complaints reviewed during an annual survey.
August 8, 2024Standard inspection, Complaint inspection · 36 citations
- F Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on the surveyor's observation and interview with staff, it was determined that the facility failed to ensure that it had qualified staff with the appropriate competencies and skill sets to carry out food and nutrition services. This was evidenced by the lack of qualified staff and has the potential to affect all residents.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on the surveyor's observation and Interviews with staff, it was determined that the facility failed to ensure that food was stored and served in accordance with professional standards for food safety requirements. This was identified during multiple observations of the kitchen food service operations during the recertification/complaint survey and has the potential to affect all residents.
- F Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Inspectors wroteBased on the surveyor's observation and staff interviews, it was determined that the facility failed to maintain the guidelines and the facility's policy for storing food brought in by family or visitors and distinguishing it from the facility's food. This was evidenced by observations of residents' food storage brought in by family and visitors and has the potential to affect all residents.
- E Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on review of complaints, medical record review, policy review, and interview, it was determined the facility staff 1) failed to notify the physician in a timely manner when a resident had a fall and weight loss and, 2) failed to notify the responsible party when there was a significant change in weight and a change in residents condition. This was evident for 1 (#102) of 8 residents reviewed for accidents and 3 (#247, #125, #133) of 3 residents reviewed for nutrition and significant change in condition
- E 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 the facility failed to ensure a homelike environment. This was evident throughout the facility during the surveyor's environmental tour.
- E 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, staff interviews and a complaint, it was determined that the facility staff failed to develop, initiate and implement a comprehensive person-centered care plans for residents. This was evident for 7 (Resident #35,#30, #92, #72, #247, #125 and #113) of 87 residents reviewed for care plan during the facility's recertification/complaint survey. A care plan is a guide that addresses the unique needs of each resident. It is used to plan, assess, and evaluate the effectiveness of the resident's care. Legal blindness is visual acuity less than 20/200, but to fit the definition, the person must not be able to attain 20/200 vision even with prescription eyewear. Normal vision is 20/20. That means you can clearly see an object 20 feet away. If you're legally blind, your vision is 20/200 or less in your better eye or your field of vision is less than 20 degrees. [...]
- E 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 complaints, observation, record review, and interview, it was determined that the facility staff: 1) failed to hold care plan meetings for residents and/or their representatives (Resident #38, #35, #14, and #15) and 2) failed to revise and update resident's comprehensive care plan (Resident #14, #15, #72) . This was evident for 5 of 87 residents reviewed during a recertification/complaint survey.
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on the interview and record review, it was determined that the facility failed to inform the resident of the changes to his/ her treatment plan. This was evident for 1(Resident #21) of 6 residents reviewed for residents' care during the survey.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on record review and interview it was determined the facility failed to ensure that resident/resident's representative was offered the opportunity to develop advance directives and/or provided information regarding advance directives. This was evident for 2 (Resident #14, #15) of 4 residents reviewed for advance directives.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on record review and interview it was determined the facility failed to ensure advance written notification to residents was issued when the facility determined that residents no longer qualified for Medicare part A skilled services. This was evident for 3 out of 3 residents (#46, #25, and #248) reviewed during the surveyor's beneficiary protection notification review during the facility's recertification survey.
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, record review, and interview it was determined the facility failed to ensure secure storage of resident records and personal information. This was evident during the surveyor's exterior environment tour of the facility's grounds during the facility's recertification survey.
- 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 staff interview it was determined the facility failed to notify the resident/resident representative (RP) in writing of a transfer/discharge of a resident along with the reason for the transfer. This was evident for 2 (#38, #4) of 4 residents reviewed for hospitalization during a recertification/complaint 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, resident interview, and staff interviews, it was determined that the facility failed to offer a Bed-hold notice to the resident or resident's representative before the facility transferred a resident to the hospital. This was evident for 1 (Resident #72) of 4 resident records reviewed for hospitalization during a recertification/complaint survey.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, medical record review, and interview, it was determined the facility staff failed to ensure Minimum Data Set (MDS) assessments were accurately coded. This was evident for 2 (#38, #125) of 82 residents reviewed during a recertification/complaint survey.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record review and interview it was determined that the facility to refer residents to the appropriate state-designated authority for Level II Preadmission Screening and Resident Review (PASARR) evaluation and determination. This was evident for 1 resident (Resident #30) of 2 residents reviewed for PASSAR during the annual survey.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, record review, and interview it was determined the facility failed to meet professional standards of practice by failing to ensure staff followed physician orders for administration of medications and documentation. This was evident for 2 (Resident #41, #66) of 4 residents observed for medication administration during a recertification/complaint survey.
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, interview, and medical record review, it was determined the facility failed to implement an ongoing program of activities based on the abilities, interests and treatment needs of a resident that resided in the facility. This was evident for 1 (#38) of 82 residents reviewed during a recertification/complaint survey.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, medical record review, and interview, it was determined the facility staff failed to change a resident's urinary catheter and drainage bag and failed to follow discharge orders from an acute care facility to arrange for a resident with a foley catheter to be seen by an outpatient urologist (Resident #48), and 2) failed to monitor and empty a urinary drainage bag as ordered (Resident #70). This was evident for 2 of 2 residents reviewed for urinary catheter during a recertification/complaint survey.
- D Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on a review of employee records and interviews, it was determined that the facility failed to ensure that nursing staff had competency evaluations upon hire. This was evident for 5 (Registered Nurse #50, #51, Geriatric Nursing Assistant #16, #48, and #49) of 5 randomly selected nursing staff reviewed for competencies.
- D Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on a review of employee records and interviews, it was determined that the facility staff failed to conduct performance reviews of Geriatric Nursing Assistants (GNAs)at least once every 12 months. This was evident for 3 ( GNA #16, #48, and#49) of 3 randomly selected GNAs' records reviewed for annual training requirements during the recertification/complaint survey.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, medical record review, and interview, it was determined the facility failed to ensure that its medication error rates are not 5 percent or greater. This was found to be evident based on errors identified during medication administration for 2 (Resident #41, #66) of 4 residents observed. The observations were made on two of two nursing units and involved one of three different nurses.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation and interview it was determined facility staff failed to remove expired medications and patient supplies. This was evident on 1 of 2 nursing units and a central supply room observed during a recertification/complaint survey.
- D Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspectors wroteBased on record review and interview it was determined that the facility failed to ensure that residents understood the arbitration agreement. This was evident for 1 signed agreement (for Resident #14) of 3 signed agreements reviewed during the recertification/complaint survey.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review, it was determined that the facility failed to 1) use proper hand hygiene and 2) use proper personal protective equipment, evident for 1 resident (Resident # 73) of 23 residents reviewed for Enhanced Barrier Precaution (EBP). The facility also failed to 3) perform annual revision of Infection Prevention and Control Policies and Procedures, which was evident for 4 of 5 policies and procedures reviewed during the infection control task.
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, review of the facility investigation, record review, and interview. It was determined that the facility failed to provide a safe environment to prevent a fall with injury causing actual harm (Resident #102 ), and failed to provide supervision to prevent an elopement (Resident #18 and #106). This was evident in 3 of 3 residents reviewed for accidents during a recertification/complaint survey.
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on medical record review, observation and interview, the facility staff failed to provide residents a dignified existence (Resident #20, #50, #121, #594, #595, #596, #597, #598 and #599). This was evident for 9 of 42 residents reviewed during a recertification/complaint survey.
- E Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review, interview with staff and facility reported incidents, it was determined the facility failed to ensure that allegations of abuse, neglect, exploitation, injuries of unknown origin, an elopement and unwitnessed fall were reported to the state agency within required timeframe. This was evident for 3 (Resident #101, #27, #129) of 26 residents reviewed for the facility's self-reported incidents and 1 (#102) of 8 residents reviewed for accidents.
- E Respond appropriately to all alleged violations.
Inspectors wroteBased on interviews, record reviews and a review of facility-reported incident investigations, it was determined that the facility failed to thoroughly investigate allegations of abuse, neglect, injury of unknown origin, unusual occurrence, elopements, and falls. This was evident for 9 (Resident #18, #101, #109, #112, #20, #27, #129 and #102) of 26 residents reviewed for facility self-reported incidents and 1 (#102) of 8 residents reviewed for accidents during a recertification/complaint survey.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on a complaint, observation, interviews, and record reviews, it was determined the facility failed to provide services with reasonable accommodation of resident needs and preferences. This was evident for 2 (#6, #134) of 87 residents reviewed during a recertification and complaint survey.
- D Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Inspectors wroteBased on medical record review and interview, the facility staff failed to convey resident funds to a resident at discharge (Resident #104). This was evident for 1 of 3 residents reviewed during an annual survey.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on the facility's self-reported incident, residents' medical record review, and interview, it was determined that the facility failed to prevent incident of abuse that was related to a resident kissing an opposite-gender resident who did not want to. This was evident for one (Resident #16) of 13 abuse investigations, including complaints and facility-reported incidents.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on policy review, facility investigation review, medical record review, and staff interview, it was determined that the facility failed to implement the abuse policy by failing to timely report and conduct a thorough investigation of alleged abuse and a documented unwitnessed fall with injury. This was evident for 1 (#129) of 26 facility reported incidents reviewed and 1 (#102) of 8 residents reviewed for accidents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review and interview, the facility staff failed to provide medication and treatment in accordance with professional standards of practice (Resident #110, #120 and #134) and 2) failed to have an order for the management of oxygen for a resident on oxygen therapy (Resident #133). This was evident during a recertification/complaint survey.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on complaint, medical record review and staff interview it was determined the facility failed to have a process in place to address weight loss in a timely manner (Resident #247, #125). and 2) failed to monitor a resident's nutritional status by documenting their eating amount every shift and developing a care plan (Resident #103). This was evident for 3 of 4 residents reviewed for nutrition during a recertification/complaint survey.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on medical record review and interview, it was determined the facility failed to maintain complete and accurate medical records in accordance with accepted professional standards. This was evident for 1 (#102) of 2 residents reviewed for Hospice care and one facility self report (Resident #131) during a recertification/complaint survey.
- D Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Inspectors wroteBased on a review of employee records and an interview, it was determined that the facility failed to provide evidence that nursing staff had received annual education on abuse, neglect, exploitation prevention, and misappropriation of resident property along with dementia management and resident abuse prevention . This was evident for 5 (Registered Nurse #50, #51, Geriatric Nurse Assistant #16, #48, and #49) of 5 randomly selected nursing staff reviewed for annual training requirements during the recertification/complaint survey.
March 14, 2024Complaint inspection · 3 citations
- 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 reviews of a complaint, a closed medical record, and staff interview, it was determined that the facility staff failed to notify a resident, the resident's representative, and the Long-Term Care State Ombudsman's Office in writing after the facility decided to refuse to readmit a resident that was sent to the hospital. This was evident for 1 (Resident #1) of 3 residents reviewed for discharge during a complaint 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 complaint, reviews of 2 closed medical records and all pertinent administrative policies and procedures, and staff interview, it was determined that the facility staff failed to provide a resident nor the resident's representative with written information regarding the facility bed-hold policy. This was evident for 2 (Residents #2 and #3) of 3 residents reviewed for receiving a bed hold policy upon emergent discharge to the hospital.
- D Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Inspectors wroteBased on reviews of a complaint, a closed clinical record and staff interviews, it was determined that the facility failed to permit a resident to return to the facility after a brief hospitalization. This was evident for 1 (Resident #1) of 3 complaints reviewed during a complaint survey.
September 18, 2019Standard inspection · 29 citations
- E 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 surveyors observations and resident interview it was determined that the facility failed to provide a safe, clean, comfortable and homelike environment. This deficient practice has the potential to affect multiple residents.
- E 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 review of the medical record and interviews with staff, it was determined that the facility staff failed to develop comprehensive care plans for residents (#94 and #93). This was evident for 2 of 51 residents reviewed during the annual survey.
- E Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspectors wroteBased on staff interview, review of 3 previous surveys, and the facility Quality Assurance Performance Improvement (QAPI) plan, it was determined that nursing home administration failed to continuously monitor the effectiveness of the interventions required to correct cited deficiencies resulting in 5 repeated citations since 2017.
- E Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on medical record review, review of annual surveys for 3/30/2017 & 5/24/018, complaint survey of 3/29/2019, and interviews with facility staff, it was determined that the facility's Quality Assurance Performance Improvement (QAPI) Plan failed to effectively implement plans of action and monitor effectiveness to correct identified quality deficiencies. This was for 5 of 36 deficiencies from the 9/18/2019 annual survey that had been previously cited.
- E Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on observation it was determined that the facility failed to maintain an effective pest control program as evidenced by the presence of flies. This deficient practice has the potential to impact all residents.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on medical record review, observation and interview, it was determined the facility staff failed to provide Resident (#35) with a lip plate as indicated on the meal ticket. This was evident for 1 of 51 residents selected for review during the survey process.
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on medical record review, observation and interview, it was determined the facility staff failed to promote self-determination for Residents (#56 and #57). This was evident for 2 of 5 residents in the survey sample for choices and 2 of 51 residents selected for review during the survey.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on medical record review and interviews with staff, it was determined the nursing staff failed to notify the responsible party of a resident's change in condition requiring hospitalization (Resident #94). This was evident for 1 of 1 residents reviewed for notification of change during this survey.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on medical record review, facility investigation review, and staff interview it was determined that the facility staff failed to thoroughly investigate an injury of unknown origin for a resident (#301). This was evident for 1 of 8 residents reviewed for pain management.
- D Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Inspectors wroteBased on medical record review and interview with staff it was determined that the facility staff failed to have a system in place to ensure that the transfer of the resident's medical record and appropriate information is communicated to the receiving health care provider. This was found to be evident for 3 out of 5 (#44, #84 and #92) residents reviewed for hospitalization during the investigative portion of 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 medical record review and staff interview, it was determined the facility failed to notify the resident or the resident's responsible party in writing of the facilities bed-hold policy before transferring them to the hospital. This was evident for 3 (Residents #44, #84 and #92) of 5 residents sampled for investigations.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on medical record review, it was determined the facility staff failed to ensure Minimum Data Set (MDS) assessments were accurately coded. This was evident for 2 (#77 and #101) of 51 residents reviewed during an annual recertification 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 medical record review and staff interview, it was determined the facility failed to develop and then provide Resident (#44 and #300) and their representative with a summary of the baseline care plan within 48 hours of admission to the facility. This was evident for 2 of 5 resident reviewed for dementia care during an annual recertification survey.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on medical record review and interview, it was determined the facility staff failed to administer a medication to Resident (#53) in accordance with the standard of practice. This was evident for 1 of 51 residents reviewed of medication administration during the survey process.
- 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 interview it was determined the facility staff failed to provide grooming and personal hygiene services for Residents (#57 and #16). This is evident for 2 of 51 residents selected for review for ADL care reviewed during the annual survey process.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review and interview, it was determined the facility staff failed to obtain abdominal girths as ordered for Resident (#35), failed to obtain a cardiology consultation as ordered for Resident (#53), failed to obtain weekly weights as ordered for Resident (#57) and failed to ensure Resident (#56) was deemed capable to sign consents. This was evident for 4 of 51 residents selected for review during the survey process.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on medical record review, observation and interviews, it was determined the facility staff failed to provide an environment free from potential accidents for Resident (#53). This was evident for 1 of 2 residents selected for accident review and 1 of 51 residents selected for review during the annual survey process and observations noted by surveyors.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on medical record review and staff interview it was determined the facility staff failed to follow a Physician's order for Resident (#1) for tracheotomy care in accordance with the standard of practice. This was evident for 1 of 1 resident selected for review of tracheotomy care during the annual survey process.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on a review of the clinical records and staff interview it was determined that the facility staff failed to document the administered of pain medication, assess the need for pain medication and thoroughly monitor the effectiveness. This was true for 2 (#92 and #35) out of the 8 residents reviewed for pain management during an annual recertification survey.
- D Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Inspectors wroteBased on medical record review and staff interview, it was determined the facility staff failed to ensure a physician visited a resident (#101) the required number of times during their admission and the physician failed to ensure 2 certifications of inability to make medical decision were provided for Resident (#93). This was evident for 1 of 5 residents reviewed for hospitalization during the annual survey and 1 out of 10 residents selected for review of advance directives and 2 out of 51 residents selected for review during the annual survey process.
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on medical record review and interview, it was determined the facility staff failed to complete an ordered consult (Resident #94) for 1 of 2 residents reviewed for dementia care.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on medical record review and staff interview, it was determined that a resident's physician failed to take steps to address irregularities in the resident's drug regimen. This was evident for 1 (Resident #77) of 4 residents reviewed for unnecessary medications during an annual recertification survey.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on medical record review and staff interviews, it was determined that the facility staff failed to ensure that a resident's medication regimen was free from unnecessary medication by failing to ensure that a psychotropic medication had an adequate indication for use. This was evident for 1 (Resident #77) of 4 residents reviewed for unnecessary medications during an annual recertification.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on medical record review and staff interview, it was determined that a resident's physician failed to take steps to address irregularities in the resident's drug regimen (Resident #77) and the facility staff failed to clearly identify target symptoms for the administration of psychotropic medications and establish a plan for the ongoing monitoring of those symptoms for Resident (#93) and the facility staff failed to document the administered of as needed psychotropic medications for Resident (#44) and thoroughly monitor the effectiveness. This was evident for 3 of 5 residents reviewed for unnecessary medications during an annual recertification survey.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, it was determined the facility staff failed to properly store medications. This was observed twice during an annual recertification survey.
- D Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Inspectors wroteBased on medical record review and interview, it was determined the facility staff failed to obtain a diagnostic test as ordered for Resident (#57) in a timely manner. This was evident for 1 of 51 residents selected for review during the survey process.
- D Provide or get specialized rehabilitative services as required for a resident.
Inspectors wroteBased on complaint, reviews of a medical record, and staff interview, it was determined that the facility staff failed to 1. document an Occupational Therapy screen, and 2. initiate nursing restorative care and plan. This was evident for 1 (Resident #4) of 51 residents reviewed during an annual recertification survey.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on review of employee health records and staff interview the facility staff failed to thoroughly screen for Tuberculosis and failed to have 2nd step Tuberculosis (PPD) completed to those newly hired employees (Employee #22, #23 and #24).
- C Post nurse staffing information every day.
Inspectors wroteBased on observation and staff interview, it was determined the facility failed to 1. to post the Daily Staffing Schedule in a prominent place and readily accessible to visitors and residents, and 2. retain copies of the posted staffing on the Daily Staffing Schedule. This was evident for all residents in the facility.
Fire safety inspections
37 fire safety citations on file: 10 on January 30, 2026, 19 on August 8, 2024, 8 on September 18, 2019.
Every fire safety citation37 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Properly provide smoke detection systems in areas open to corridors.
- F Inspect, test, and maintain automatic sprinkler systems.
- 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 Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Provide properly protected cooking facilities.
- D Install an approved automatic sprinkler system.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Provide properly protected cooking facilities.
- F Install a fire alarm system that can be heard throughout the facility.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Provide a written emergency evacuation plan.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have generator or other power source capable of supplying service within 10 seconds.
- 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 properly located and lighted "Exit" signs.
- E Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- E Properly provide smoke detection systems in areas open to corridors.
- E Install an approved automatic sprinkler system.
- E Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E Meet other general requirements that are deficient.
- E Have properly installed electrical wiring and gas equipment.
- D Meet other general requirements.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Meet other general requirements that are deficient.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- D Have exits that are accessible at all times.
- D Meet requirements for the use of electrical equipment.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| August 8, 2024 | Fine | $95,610 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.40 | 3.87 | 3.86 |
| Registered nurses | 0.69 | 0.84 | 0.69 |
| All nursing staff on weekends | 3.15 | 3.47 | 3.42 |
| Nurse aides | 2.02 | ||
| Licensed practical nurses | 0.69 | ||
| Nursing staff turnover (share who left in a year) | 42.0% | 40.2% | 45.8% |
| Registered nurse turnover | 37.5% | 38.7% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.63 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 3.50 on weekdays and 3.15 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.26 in April to June 2025 to 3.40 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 | 3.40 | 0.69 | 3.50 | 3.15 | 0.4% | 0 of 90 | 99 |
| Oct to Dec 2025 | 3.49 | 0.79 | 3.61 | 3.20 | 2.5% | 0 of 92 | 94 |
| Jul to Sep 2025 | 3.64 | 0.72 | 3.76 | 3.32 | 17.6% | 0 of 92 | 102 |
| Apr to Jun 2025 | 3.26 | 0.66 | 3.36 | 2.99 | 10.9% | 0 of 91 | 101 |
| 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Maryland
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Maryland, all employers | |||
| CNAs (nursing assistants) | $20.79 | $18.46 to $22.00 | 27,720 |
| LPNs and LVNs | $35.89 | $31.40 to $38.30 | 9,560 |
| Registered nurses | $47.98 | $40.26 to $51.61 | 52,910 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 14.8 | 20.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.5 | 2.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 17.3 | 22.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.2 | 5.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 23.3 | 13.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 16.9 | 21.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.7 | 9.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.2 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 22 problems in this area, most recently on January 30, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 13 problems in this area, most recently on January 30, 2026: "Provide activities to meet all resident's needs."
- When is the care plan meeting, and can family attend it?Inspectors cited 10 problems in this area, most recently on August 8, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on January 30, 2026: "Ensure that residents are free from significant medication errors."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.15 hours per resident per day, below the Maryland average of 3.47.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Elkton Nursing and Rehabilitation Center Elkton, 1.7 mi · 1 of 5 stars · 153 citations
- Exceptional Care for Children Newark, 4.7 mi · 5 of 5 stars · 5 citations
- Newark Manor Nursing Home Newark, 6.3 mi · 3 of 5 stars · 26 citations
- Jeanne Jugan Residence Newark, 8.3 mi · 5 of 5 stars · 14 citations
- Encore at West Meadow L.L.C. Newark, 8.6 mi · 2 of 5 stars · 54 citations
- Autumn Lake Healthcare at Calvert Manor Rising Sun, 9.8 mi · 3 of 5 stars · 38 citations
- Excelcare at Newark LLC Newark, 11 mi · 2 of 5 stars · 41 citations
- New Castle Health and Rehabilitation Center New Castle, 11.2 mi · 2 of 5 stars · 47 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 Laurelwood Healthcare Center's Medicare star rating?
- CMS rates Laurelwood Healthcare Center 3 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Laurelwood Healthcare Center get at its last inspection?
- 5 health deficiencies at the standard inspection on January 30, 2026. The Maryland average is 17.
- Has Laurelwood Healthcare Center been fined?
- Yes. CMS lists 1 fine totaling $95,610 in the last three years.
- Does Laurelwood Healthcare Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Laurelwood Healthcare Center?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
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.