Find a nursing home

Home / Maryland / Havre De Grace

Lorien Bulle Rock

1501 Blenheim Farm Lane, Havre De Grace, MD 21078 · Harford County · (410) 939-9300

78 certified beds, about 71 residents a day · For profit - Corporation · Medicare and Medicaid since 2013

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 215359 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 1, 2025, inspectors cited 3 health deficiencies (the Maryland average is 17, the national average 9.2).

None of its 33 health citations since October 2018 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 3.92 hours per resident per day, against 3.87 across Maryland and 3.86 nationally. Registered nurses accounted for 0.61 of those hours.

44.3% of nursing staff left within the year CMS measured (Maryland average 40.2%).

CMS links it to Lorien Health Services, an affiliated group of 8 nursing homes.

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.

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 33 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
31D
2E
0F
Potential for minimal harm
0A
0B
0C
July 1, 2025Standard inspection, Complaint inspection · 7 citations
  1. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on medical record review and an interview it was determined that the facility failed to hold care plan meetings with the interdisciplinary team for a resident at the time of the quarterly revision of their care plan. This was evident for 1 (Resident #24) of 35 residents reviewed during the annual recertification survey.
  2. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on observation, interview and record review, it was determined that the facility failed to ensure proper medication storage according to professional standards of practice. This was found to be evident for 1 out of 3 medication carts observed during the recertification survey.
  3. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wrote1c) On 7/01/25 at 8:45 AM a review of Resident #225 printed medical record revealed there was no documentation to verify the resident was repositioned at least every two hours. In addition, the staff documented the type of assistance the resident needed to get dressed but the documentation did not specify whether the resident was dressed. On 7/01/25 at 9:45 AM during an interview with the Director of Nursing (DON), the surveyor verbalized there was no documentation to verify the resident was being turned and/or repositioned. The DON verbalized they recently started having the GNA's sign off in Tasks. The staff should make sure the residents are turned every 2 hours. Based on interviews, and record review, it was determined that the facility failed to maintain medical records in accordance with acceptable professional standards and practices by keeping complete and accurate documentation. [...]
  4. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on review of facility reported incident details, resident medical records, facility staff personnel files, and interview with facility staff, it was determined that the facility failed to ensure a resident was free from abuse. This was evident for 1 (Resident #76) out of 35 residents reviewed during the annual survey.
  5. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on interviews and record review, it was determined that the facility failed to immediately report an allegation of abuse to the State Office of Health Care Quality within the allotted two-hour timeframe. This was found evident in 2 out of 4 (Resident #74 & 81) residents reviewed for abuse allegations during an annual and complaint survey.
  6. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on record review and interviews it was determined that the facility staff failed to interview all the staff who worked on the unit during the investigative phase of an allegation of abuse. This deficient practice was evidenced in 1 (#74) of 10 facility reported incident investigation reviewed during the recertification and complaint survey.
  7. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on record review and staff interview it was determined that the facility failed to reposition the resident, toilet or check the resident for being wet or being soiled for 4.5 hours. This was evident for 1 (Resident #80) of 1 residents reviewed for ADL's during an annual and complaint survey
June 28, 2022Standard inspection · 5 citations
  1. E
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 1, 2022
    Inspectors wroteBased on clinical record review, observation, resident interview, and staff interview it was determined that the facility staff failed to ensure residents' pain management programs were overseen in a consistent manner. This was evident for 2 (#13 and #20) out of 27 residents in the survey sample.
  2. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 1, 2022
    Inspectors wroteBased on medical record review, it was determined that facility staff failed to notify the physician of finger stick results below 100 as ordered by the physician for Resident #21. This was evident for 1 of 27 residents reviewed during the survey process.
  3. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 1, 2022
    Inspectors wroteBased on medical record review it was determined the facility staff failed to perform a bladder scan as ordered for Resident #199 and failed to notify the physician of the results of a bladder scan for Resident #300 as ordered by the physician. This was evident for 2 of 27 residents selected for review during the annual survey process.
  4. D
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 1, 2022
    Inspectors wroteBased on observations and staff interviews it was determined the required staff posting information was not in prominent place readily accessible to residents and visitors. This was evident during the entire survey process.
  5. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 1, 2022
    Inspectors wroteBased on medical record review it was determined that the facility staff failed to ensure Residents #4 and #300 were free from un-necessary medications. This was evident for 2 of 5 residents selected for review of un-necessary medications and 2 of 27 residents selected for review during the annual survey.
October 5, 2018Standard inspection · 21 citations
  1. E
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 21, 2018
    Inspectors wroteBased on record review and interviews it was determined the facility staff failed to provide showers to Residents (#20, #23, #35 and #21). This was evident for 4 of 39 residents selected for review during the annual survey process.
  2. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2018
    Inspectors wroteBased on observation and staff interview it was determined the facility staff failed to provide Resident #35 with the most dignified existence. This was evident for 1 of 39 residents selected for review during the survey process.
  3. 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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2018
    Inspectors wroteBased on record review, it was determined that the facility staff failed to properly void an old MOLST form when a new one is created. This was evident for 1 (Residents #62) of 9 residents reviewed for advance directives during an annual recertification survey.
  4. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2018
    Inspectors wroteBased on complaint, reviews of a closed record, and staff interview, it was determined that the facility staff failed to notify residents and/or representative and the Ombudsman of transfer and reason for transfer to the hospital in writing. This was evident for 2 (Resident #216 and #66) of 2 residents reviewed for Hospitalization during an annual recertification survey.
  5. 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.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2018
    Inspectors wroteBased on review of the medical record and staff interview, it was determined that the facility staff failed to provide the resident and their representative with a written notice of bed hold policy, at the time of the resident transfer for hospitalization. This was evident for 1 (Resident #66) of 5 residents reviewed for Hospitalization during an annual recertification survey.
  6. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2018
    Inspectors wroteBased on medical record review, observation and staff interview, it was determined the facility staff failed to review and revise the interdisciplinary care plans to reveal accurate interventions for residents (#30 and #35). This was evident for 2 of 39 residents selected for investigation during the survey process.
  7. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2018
    Inspectors wroteBased on medical record review, observation and interview, it was determined the facility staff failed to apply ace wraps to Resident #35 according to the standard of practice. This was evident for 1 of 39 residents selected for review during the annual survey process.
  8. D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2018
    Inspectors wroteBased on observation and interview, it was determined the facility staff failed to provide services that would allow residents the ability to achieve the greatest independence with performing Activities of Daily Living to Residents (# 116). This was evident for 1 of 39 residents selected for review during the survey process.
  9. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2018
    Inspectors wroteBased on medical record review, observation and interview, it was determined the facility staff failed to obtain consultations as ordered for Resident #20; failed to ensure the validity of a fluid restriction for Resident #35 and it was determined the facility staff failed to follow a physician order and obtain daily weights for Resident #66. This was evident for 3 of 39 residents selected for review during the annual survey process.
  10. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2018
    Inspectors wroteBased on medical record review and interview, the facility failed to provide treatment/services to maintain vision (Resident #21). This is evident for 1 out of 39 residents selected for review during the investigation stage of the survey process.
  11. D
    Provide appropriate foot care.
    F687 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2018
    Inspectors wroteBased on medical record review and interview, the facility failed to obtain a podiatry consultation as ordered by the physician for Resident (#17) and the facility staff failed to assist in making the requested podiatry appointment for diabetic preventive care (Resident #25). This is evident for 2 out of 39 residents selected for review during the investigation stage of the survey process.
  12. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2018
    Inspectors wroteBased on medical record review, observation and interview, it was determined the facility staff provided care to Resident #30 to prevent a potential accident. This was evident for 1 of 39 residents selected for review during the annual survey process.
  13. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2018
    Inspectors wroteBased on medical record review, observation and interview, it was determined the facility staff failed to obtain weights as ordered for Resident #20 and the facility staff failed to offer Resident #30 alternative foods. This was evident for 2 of 39 residents selected for review during the annual survey process.
  14. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2018
    Inspectors wroteBased on record review, observation and interview, it was determined the facility staff failed to administer DuoNeb treatment to Resident #118 in accordance with the standard of practice. This was evident for 1 of 39 residents selected for review during the annual survey process.
  15. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2018
    Inspectors wroteBased on medical record review and interview, it was determined the facility staff failed to act upon the consultant pharmacist recommendation in a timely manner for Resident #35. This was evident for 1 of 39 residents selected for review during the annual survey process.
  16. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2018
    Inspectors wroteBased on medical record review and interview, it was determined the facility staff failed to document the heart rate and blood pressure for Resident #44 when the physician ordered parameters. This was evident for 1 of 39 residents selected for review during the annual survey process.
  17. 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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2018
    Inspectors wroteBased on medical record review and interview, it was determined the facility staff failed to identify specific targeted behaviors to monitor and assess for the continued use of psycho-active medication for Residents (#20 and #35). This was evident for 2 of 39 residents selected for review during the survey process. 1. The facility staff failed to identify specific targeted behaviors to monitor and assess for the continued use of psycho-active medication for Resident #20. Medical record review for Resident # 20 revealed on 11/3/17 the physician ordered: Abilify 2.5 milligrams by mouth 2 times a day for psychosis. Abilify is an antipsychotic medication. It works by changing the actions of chemicals in the brain. Abilify is used to treat the symptoms of psychotic conditions such as schizophrenia and bipolar I disorder (manic depression). [...]
  18. D
    Provide routine and 24-hour emergency dental care for each resident.
    F790 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2018
    Inspectors wroteBased on medical record and staff interview, it was determined that the facility staff failed to provide treatment to maintain dental health for Resident #21. This is evident for 1 out of 39 residents selected for review during the investigation stage of the survey process.
  19. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2018
    Inspectors wroteBased on observation and interview, it was determined facility staff failed to label with an expiration date individual serving containers of fruit juice.
  20. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2018
    Inspectors wroteBased on medical record review and interview, it was determined the facility staff failed to maintain the medical records for Residents ( #23, #35 and #25) in the most complete and accurate form. This was evident for 3 of 39 residents selected for review during the survey process.
  21. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2018
    Inspectors wroteBased on observation and staff interview the facility staff failed to post an isolation sign on room [ROOM NUMBER] door to alert visitors, residents, and staff to see the nurse before entering the room. This was true for 1 out of 39 residents selected for review during the annual survey process.

Fire safety inspections

19 fire safety citations on file: 18 on July 1, 2025, 1 on June 28, 2022.

Every fire safety citation19 citations
  1. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · July 1, 2025 · Corrected (the home has a date of correction)
  2. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · July 1, 2025 · Corrected (the home has a date of correction)
  3. F
    Properly provide smoke detection systems in areas open to corridors.
    K 347 · July 1, 2025 · Corrected (the home has a date of correction)
  4. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 1, 2025 · Corrected (the home has a date of correction)
  5. F
    Have simulated fire drills held at unexpected times.
    K 712 · July 1, 2025 · Corrected (the home has a date of correction)
  6. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · July 1, 2025 · Corrected (the home has a date of correction)
  7. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 1, 2025 · Corrected (the home has a date of correction)
  8. E
    Meet other general requirements.
    K 100 · July 1, 2025 · Corrected (the home has a date of correction)
  9. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · July 1, 2025 · Corrected (the home has a date of correction)
  10. E
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · July 1, 2025 · Corrected (the home has a date of correction)
  11. E
    Have properly located and lighted "Exit" signs.
    K 293 · July 1, 2025 · Corrected (the home has a date of correction)
  12. E
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · July 1, 2025 · Corrected (the home has a date of correction)
  13. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · July 1, 2025 · Corrected (the home has a date of correction)
  14. E
    Have restrictions on the use of portable space heaters.
    K 781 · July 1, 2025 · Corrected (the home has a date of correction)
  15. D
    Provide properly protected cooking facilities.
    K 324 · July 1, 2025 · Corrected (the home has a date of correction)
  16. D
    Ensure that gas containers are correctly designed and tested, and in locations that are labeled.
    K 905 · July 1, 2025 · Corrected (the home has a date of correction)
  17. D
    Ensure gas cylinders are properly stored.
    K 906 · July 1, 2025 · Corrected (the home has a date of correction)
  18. D
    Have proper medical gas storage and administration areas.
    K 923 · July 1, 2025 · Corrected (the home has a date of correction)
  19. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · June 28, 2022 · Corrected (the home has a date of correction)

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.

MeasureThis homeMarylandUnited States
All nursing staff (RN, LPN and aides)3.923.873.86
Registered nurses0.610.840.69
All nursing staff on weekends3.463.473.42
Nurse aides2.08
Licensed practical nurses1.24
Nursing staff turnover (share who left in a year)44.3%40.2%45.8%
Registered nurse turnover40.0%38.7%42.9%
Administrators who left0

CMS expects 3.87 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 4.11 on weekdays and 3.46 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 19.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.46 in April to June 2025 to 3.92 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.920.614.113.46 19.8%0 of 9071
Oct to Dec 20254.050.814.193.70 13.4%0 of 9269
Jul to Sep 20254.470.914.644.04 13.7%0 of 9270
Apr to Jun 20254.460.894.614.07 12.5%0 of 9172
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Maryland, Jan to Mar 20263.730.743.883.348.0%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.

MeasureThis homeMarylandUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
22.520.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.30.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.51.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.62.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.61.11.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
24.922.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
8.35.94.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
3.413.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.121.023.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.99.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.61.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.51.21.8

Owners and operators

Legal business name: LORIEN LIFE CENTER HARFORD II INC. CMS links this home to Lorien Health Services, a group of 8 nursing homes averaging 3.8 stars overall.

NameRoleTypeShareSince
Collison, Michele5% or greater direct ownership interestIndividual10%12/17/1998
Juras, Rosemary5% or greater direct ownership interestIndividual12/17/1998
Licata, Linda5% or greater direct ownership interestIndividual10%12/17/1998
Mangione, Joanne5% or greater direct ownership interestIndividual10%12/17/1998
Mangione, John5% or greater direct ownership interestIndividual10%12/17/1998
Mangione, Louis5% or greater direct ownership interestIndividual10%12/17/1998
Mangione, Nicholas5% or greater direct ownership interestIndividual10%12/17/1998
Mangione, Peter5% or greater direct ownership interestIndividual10%12/17/1998
Mangione, Samuel5% or greater direct ownership interestIndividual10%12/17/1998
O'Keefe, Frances5% or greater direct ownership interestIndividual10%12/17/1998
Heck, ElissaW-2 managing employeeIndividual04/27/2018
Grimmel, LouisCorporate officerIndividual12/27/1998
Juras, RosemaryCorporate officerIndividual01/01/2003
Licata, LindaCorporate officerIndividual12/17/1998
Mangione, JohnCorporate officerIndividual11/28/2012
Mangione, LouisCorporate officerIndividual12/17/1998

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 11 problems in this area, most recently on July 1, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on June 28, 2022: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on July 1, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on July 1, 2025: "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."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.46 hours per resident per day, below the Maryland average of 3.47.

Other nursing homes nearby

Maryland contacts for a concern about a nursing home

These are the official offices in Maryland. NursingHomeClear cannot take or act on complaints.

Common questions

What is Lorien Bulle Rock's Medicare star rating?
CMS rates Lorien Bulle Rock 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Lorien Bulle Rock get at its last inspection?
3 health deficiencies at the standard inspection on July 1, 2025. The Maryland average is 17.
Has Lorien Bulle Rock been fined?
CMS lists no fines in the last three years.
Does Lorien Bulle Rock 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 Lorien Bulle Rock?
CMS lists 16 owners and managers, and links the home to Lorien Health Services. Legal business name: LORIEN LIFE CENTER HARFORD II INC.

Sources

Find a nursing home Read an inspection