Lorien Health Systems - Columbia
6334 Cedar Lane, Columbia, MD 21044 · Howard County · (410) 531-5300
205 certified beds, about 192 residents a day · For profit - Corporation · Medicare and Medicaid since 1978
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 215112 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 14, 2026, inspectors cited 19 health deficiencies (the Maryland average is 17, the national average 9.2).
Of 53 health citations since October 2019, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $16,042 in the last three years; the largest was $16,042, and the latest is dated July 12, 2024.
Nurses and nurse aides worked 4.14 hours per resident per day, against 3.87 across Maryland and 3.86 nationally. Registered nurses accounted for 0.86 of those hours.
41.5% 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.
310/19
2507/24
609/25
1901/26
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 53 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
41D
6E
5F
Potential for minimal harm
0A
0B
0C
January 14, 2026Standard inspection, Complaint inspection · 19 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interviews, and record reviews, it was determined that the facility failed to ensure proper kitchen and dining practices. Specifically, the facility failed to label and date food items; monitor refrigerator and freezer temperatures; monitor safe food temperatures; discard expired food items; maintain an ice cream freezer to ensure it remained free from excessive frost buildup; and ensure residents were served the foods listed on their meal tickets. This was evident in 1 of 1 kitchen, 2 of 3 food pantries observed, and 1 of 2 test trays audited during the Kitchen and Dining task conducted as part of the facility's annual survey.
- E 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 that the facility failed to ensure medications were kept secure. This was evident for 3 observations on 2 different units within the facility during the survey.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and interview it was determined that the facility failed to ensure staff appropriately wore source control (face masks) during a period of increased influenza in the community and a current facility outbreak; and failed to ensure hand hygiene was completed between resident contacts. This was found to be evident during 6 random observations during the survey.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, record review and interview, it was determined that the facility failed to maintain resident dignity by honoring the residents clothing preferences and providing a dignified environment. This failure affected 2 residents (Resident #4 and Resident #150) of 7 residents reviewed for dignity 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 reviews and interviews, it was determined that the facility failed to ensure accuracy of Residents' life-sustaining treatment wishes and failed to maintain an Advance Directive/ designated point person on file. This was evident for 1 (Resident #67) out of 8 residents reviewed during an annual survey.
- 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 bathroom walls were kept in good repair. This was found to be evident in four out of four resident bathroom's observed.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on Facility Reported Incident (FRI) file (2696293) review, record review and staff interview, it was determined the facility failed to report an unknown origin injury to the State Agency, the Office of Health Care Quality (OHCQ), immediately but not later than 2 hours after the facility was made aware of the injury's severity. This was evident for 1 (Resident #208) out of 5 residents reviewed for incidents during an annual survey.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on Facility Reported Incident file (2696293) review, record reviews, and interviews, it was determined that the facility failed to thoroughly conduct investigations regarding a severe injury of unknown origin. This was evident for 1 (Resident #208) out of 5 residents reviewed for incidents during an annual survey.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record review and staff interviews, it was determined that the facility failed to provide the required written bed hold notice and transfer notification to the resident and/or the responsible representative upon transfer to the hospital. This was evident for 3 (Resident #201, #166, and #9) of 4 residents reviewed for hospitalization during the annual survey.
- 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 it was determined that the facility failed to ensure an interdisciplinary care plan meeting was held to review and update the resident's care plan following a quarterly Minimum Data set assessment. This was found to be evident for one (Resident #9) out of 6 residents reviewed for nutrition.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review and staff interviews, it was determined that the facility failed to ensure acceptable standards of practice to accurately reconcile controlled medications. During observation of the facility narcotic books, it was observed that 2 of 2 narcotic reconciliation were not documented per acceptable standards of practice during the annual survey.
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to provide an activity program according to the resident's comprehensive assessment and personal choice. This deficiency was evident for 1 of 4 residents (Resident #4) reviewed for activities during the survey.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interviews, it was determined that the facility failed to ensure physician orders were followed. This was evident for one (Resident #171) out of five residents reviewed for unnecessary medications.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, medical record review and interviews it was determined that the facility failed to ensure wound treatment was completed as ordered and that orders coincided with treatments being documented by the wound care physician. This was found to be evident for one (Resident #13) out of three residents reviewed for pressure ulcers during the survey.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on medical record review, interview and observation it was determined that the facility failed to ensure an underweight resident was provided diet as needed. This was found to be evident for one (Resident #137) out of six residents reviewed for nutrition.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on record review and interview it was determined that the facility failed to ensure pain management was provided in accordance with professional standards of practice. This was found to be evident for one ( Resident #137) out of three residents reviewed in relation to faciity reported incidents of injury of unknown origin.
- 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 record review and interview, it was determined that the facility failed to have an effective process to ensure that pharmacy recommendations were reviewed by the resident's provider. This was evident for 1 resident (Resident #2) of 5 residents reviewed for unnecessary medications during the 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 record review and interviews, it was determined that the facility failed to maintain a complete and accurate medical record. This was evident for 1(resident #202) out of 199 residents review during an annual survey.
- D Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspectors wroteBased on pertinent document review and interviews, it was determined the facility failed to ensure that the appropriate party signed the arbitration agreement or that the resident received information and understood the arbitration agreement. This was evident for one of three residents reviewed for arbitration during a survey.
September 29, 2025Complaint inspection · 6 citations
- E Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on medical record review and interview, the facility staff failed to provide treatment/services to prevent/heal pressures ulcers (Resident #7, #19 & #23). This is evident for 3 of 5 residents reviewed for pressure ulcers during a complaint survey.
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on review of a facility reported incident, medical record review and interviews, the facility staff failed to ensure outside providers obtained consent from a resident's representative to perform a debridement on a resident's wound (Resident #9). This was evident for 1 of 24 residents reviewed during a complaint survey.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on review of facility documentation and staff interview, it was determined the facility failed to provide documentation that allegations of abuse were thoroughly investigated. This was evident for 1 (#12) of 10 residents reviewed for facility reported incidents during a complaint survey.
- 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 staff interview, it was determined the facility staff failed to review and revise the interdisciplinary care plans to reveal accurate interventions. This was evident for 1 (#14) of 14 residents reviewed for complaints during a complaint survey.
- 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 failed to ensure residents received treatments per physician orders (Resident #18 and #19). This was evident for 2 of 24 residents reviewed during a complaint survey.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on medical record review and staff interview it was determined the facility failed to keep a resident's drug regimen free from unnecessary drugs by failing to follow physician ordered parameters when administering blood pressure and diabetic medications. This was evident for 3 (#16, #17, #23) of 24 residents reviewed during a complaint survey.
July 12, 2024Standard inspection, Complaint inspection · 25 citations
- F Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on record review and interview with the facility staff, it was determined that the facility failed to complete a performance review of every nurse aide at least once every 12 months. This was evident for 5 Geriatric Nursing Assistant, (GNA #26, GNA #27, GNA #28, GNA #29 and GNA #30) of the 5 GNAs reviewed for performance evaluations.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on interview, observation and record review it was determined that the facility staff failed 1) to prevent bare hands contact of ready-to-eat food (toast). This was observed while conducting an in-room interview with resident #49, and 2) to ensure: kitchen staff use of hair coverings, clean and appropriate dating and storage of food items, maintenance of kitchen equipment, cold food storage free from ice accumulation, tray line accuracy, sanitary food prep surfaces free from personal items, and ensure monitoring of required dishwashing sanitization temperature levels. All residents have the potential to be affected by these practices.
- F Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Inspectors wroteBased on record review and interview it was determined that the facility failed to ensure all staff received training in effective communication. This was evident for all staff during the Extended Survey investigation portion of the recertification survey.
- F Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Inspectors wroteBased on record review and interviews it was determined that the facility failed to have a Behavioral Health Training Program. This was evident during the Extended Survey portion of the recertification survey.
- E 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 4 (Resident #49, #74, #99, #131) of 6 residents reviewed for hospitalization during a recertification/complaint survey.
- E 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/resident representative in writing of the bed-hold policy upon transfer of a resident to an acute care facility. This was evident for 4 (Resident #49, #74, #99, #131) of 6 residents reviewed for hospitalization during a recertification/complaint survey.
- 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 observation, medical record review, and staff interview, it was determined the facility staff failed to develop and initiate comprehensive person-centered care plans for residents residing in the facility. This was evident for 1 (# 131) of 2 residents reviewed for dialysis, 1 (Resident #163) out of 9 residents reviewed for unnecessary medications, 1 resident (Resident #83) of 1 residents reviewed for Rehabilitation and Restorative care during the recertification survey, and 1 (Resident #109) out of one resident reviewed for hospice during the facility's recertification survey.
- D Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Inspectors wroteBased on observation and interviews with residents, it was determined that the facility staff failed to treat residents with dignity and respect by leaving residents who needed assistance with dressing undressed. This was evident for 1 (Resident #61) of 4 residents reviewed for dignity during the survey.
- 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 with the facility staff, it was determined that the facility failed to provide an environment that was safe, clean and in good repair. This was evident in one room during the initial observation of the Renaissance 1 Medical Surgical Unit (MSU).
- 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 with the facility staff, it was determined that the facility failed to provide a baseline care plan to the resident or the resident representative. This was evident for one (Resident # 6) out of 6 residents reviewed for dental services during the annual survey, and one (Resident #186) out of 3 closed records reviewed during the recertification survey.
- 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 record review, observation, and interview, it was determined that the facility failed to update/revise care plans after an episode of fall and elopement attempt. This was evident for 1 (Resident #154) of 5 residents reviewed for care plans, and 1 (Resident #89) out of 2 residents reviewed for elopement during the annual and complaint survey.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and medical record review it was determined the facility failed to: ensure a medical order was followed, ensure a medical order was present for a care intervention, and ensure a resident's call device was within reach. This was evident for 1 (resident #393) out of 7 residents reviewed for pressure injuries during the facility's recertification survey.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on medical record review and interview, the facility failed to provide adequate pressure ulcer management for a resident (resident #553). This was evident in 1 of 14 residents reviewed when investigating facility reported incidents and complaints during the facility's recertification survey.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, medical record review, and interview it was determined the facility failed to 1) follow physician's orders and the resident's care plan for the administration of oxygen, 2) follow medical orders for respiratory care of a resident and ensure labeling and changing of respiratory equipment, and 3) ensure a medical order was present for respiratory care delivered, ensure a medical order was followed, and ensure labeling and changing of respiratory equipment. This was evident for 3 (Residents #49, #81, and #163) out of 4 residents reviewed for respiratory care during the recertification/complaint survey.
- D Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Inspectors wroteBased on record review and staff interview, a facility agency provider failed to place visit notes into a resident's medical record (resident #545) timely. This was evident for 1 of 14 residents reviewed when investigating facility reported incidents and complaints during the recertification survey.
- 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 observation, interview and record review it was determined the facility failed to ensure residents remained free from unnecessary medications. This was evident for 2 (#138, #163) out of 9 residents reviewed for unneccessary medications during the facility's recertification survey, and 1 (resident #545) out of 14 reviewed during facility reported incident and complaint investigations during the 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 and interviews it was determined that the facility failed to ensure 1) medications were securely stored, 2) all drugs and biologicals used in the facility are labeled in accordance with professional standards, including expiration dates and 3) failed to monitor and document daily, on the temperature log, the refrigerator temperature where residents' medications are stored to preserve their integrity. This was evident for 3 medication carts and on inspection of the medication rooms during the recertification survey.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on interview and medical record review, it was determined that the facility failed to ensure that residents who require dental services on a routine or emergent basis receive necessary or recommended dental services in a timely manner, and 2) to assist a resident in scheduling a dental visit/appointment to obtain dental care outside the facility. This was evident for 2 (#49, #453) of 7 residents reviewed for dental services 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 observation, medical record review, and interviews, it was determined the facility failed to maintain complete and accurate medical records in accordance with accepted professional standards. This was evident for 2 (Resident #131, #105) of 77 residents reviewed during a recertification /complaint survey.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and medical record review it was determined the facility failed to: 1) ensure staff donned appropriate personal protective equipment for enhanced barrier precautions, and ensure the medical order for enhanced barrier precautions was timely implemented and followed, and 2) use appropriate infection control practice during urinary catheter maintenance. This was evident for 1 (Resident #393) out of 7 residents reviewed for pressure injuries and 1 (Resident #6) out of 4 residents reviewed for urinary catheter during the recertification survey.
- 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 staff failed to document that residents and/or their Responsible Parties (RPs) were provided education on the Influenza vaccine before requesting consent. This was evident for 1 (Resident #109) of 5 residents reviewed for Immunizations during the survey.
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on a review of the facility investigation, resident medical records, other pertinent documentation, interviews, and observations, it was determined that the facility failed to provide ongoing supervision/intervention to address a resident who was known to have exit-seeking/elopement behaviors. This was evident for 1 (Resident #109) of 2 residents reviewed for elopement during the survey. The Maryland Office of Health Care Quality (OHCQ) determined that this concern met the Federal definition of Immediate Jeopardy. After the incident, the facility implemented effective and thorough corrective measures. The facility's plan and action were verified during this survey; therefore, this deficiency will be cited as past noncompliance. The date of correction was 3/22/24.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and interviews with staff, it was determined that the facility failed to ensure that the allegations of injury of unknown, and alleged abuse were reported to the state agency within the required timeframe. This was evident for two (Resident #75 and #89) of seven residents reviewed for injury of unknown origin during the facility's recertification survey.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on a review of the facility investigations, interviews, and record reviews, it was determined that the facility failed to thoroughly investigate an injury of unknown origin and an elopement incident. This was evident for 2 (Resident #75 and Resident #109) of 19 residents reviewed for Facility Reported Incidents during a recertification survey.
- D Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on a review of the facility investigation, record review, observation, and interview, it was determined that the facility failed to identify and provide appropriate treatment and services to assist residents in attaining their highest practicable mental health. This was evident for 1 (Resident #109) of 5 residents reviewed for behavior-emotional well-being during the annual survey.
October 4, 2019Standard inspection · 3 citations
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on observation, interview with residents' families, and review of medical record, it was determined that the facility failed to ensure that residents with limited mobility received appropriate equipment to maintain mobility and independence. This was evident for 1 (Resident #129) of 2 residents reviewed for position and mobility.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on review of resident medical records and interview with facility staff, it was determined that the facility failed to ensure that residents' as-needed pain medication orders specified the parameters when they should be given. This was evident for 1 (Resident #3) of 6 residents reviewed for unnecessary medication.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview with facility staff, it was determined that the facility failed to ensure that dishes and utensils were cleaned in a sanitary manner as evidenced by the high temperature dishwasher not reaching the expected final rinse temperature. This was evident for 1 of 2 observations of the kitchen.
Fire safety inspections
25 fire safety citations on file: 12 on January 14, 2026, 9 on July 12, 2024, 4 on October 4, 2019.
Every fire safety citation25 citations
- F Meet other general requirements.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- 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.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 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 Have restrictions on the use of portable space heaters.
- E Ensure proper usage of power strips and extension cords.
- E Have proper medical gas storage and administration areas.
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- 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.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install corridor and hallway doors that block smoke.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Have proper medical gas storage and administration areas.
- 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 an enclosure around a vertical opening shaft.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Install corridor and hallway doors that block smoke.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| July 12, 2024 | Fine | $16,042 |
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) | 4.14 | 3.87 | 3.86 |
| Registered nurses | 0.86 | 0.84 | 0.69 |
| All nursing staff on weekends | 3.81 | 3.47 | 3.42 |
| Nurse aides | 2.18 | ||
| Licensed practical nurses | 1.11 | ||
| Nursing staff turnover (share who left in a year) | 41.5% | 40.2% | 45.8% |
| Registered nurse turnover | 25.6% | 38.7% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.08 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 4.28 on weekdays and 3.81 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.15 in April to June 2025 to 4.14 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 | 4.14 | 0.86 | 4.28 | 3.81 | 4.3% | 0 of 90 | 192 |
| Oct to Dec 2025 | 4.15 | 0.84 | 4.27 | 3.82 | 9.0% | 0 of 92 | 193 |
| Jul to Sep 2025 | 4.08 | 0.84 | 4.22 | 3.73 | 13.1% | 0 of 92 | 195 |
| Apr to Jun 2025 | 4.15 | 0.88 | 4.28 | 3.82 | 13.3% | 0 of 91 | 195 |
| 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 | 28.2 | 20.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.4 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.9 | 2.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.0 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 41.5 | 22.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.8 | 5.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.3 | 13.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.7 | 21.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.7 | 9.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.2 | 1.8 |
Owners and operators
Legal business name: LORIEN NURSING & REHAB CTR INC.. CMS links this home to Lorien Health Services, a group of 8 nursing homes averaging 3.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Collison, Michele | 5% or greater direct ownership interest | Individual | 10% | 11/01/2020 |
| Juras, Rosemary | 5% or greater direct ownership interest | Individual | 10% | 11/01/2020 |
| Licata, Linda | 5% or greater direct ownership interest | Individual | 10% | 11/01/2020 |
| Mangione, Joanne | 5% or greater direct ownership interest | Individual | 10% | 11/01/2020 |
| Mangione, John | 5% or greater direct ownership interest | Individual | 10% | 11/01/2020 |
| Mangione, Louis | 5% or greater direct ownership interest | Individual | 10% | 11/01/2020 |
| Mangione, Nicholas | 5% or greater direct ownership interest | Individual | 10% | 11/01/2020 |
| Mangione, Peter | 5% or greater direct ownership interest | Individual | 10% | 11/01/2020 |
| Mangione, Samuel | 5% or greater direct ownership interest | Individual | 10% | 11/01/2020 |
| O'Keefe, Frances | 5% or greater direct ownership interest | Individual | 10% | 11/01/2020 |
| Dubey, Chelsea | W-2 managing employee | Individual | 01/01/2020 | |
| Grimmel, Louis | Corporate director | Individual | 12/01/2008 | |
| Juras, Rosemary | Corporate director | Individual | 12/01/2008 | |
| Licata, Linda | Corporate director | Individual | 08/16/1977 | |
| Mangione, John | Corporate director | Individual | 08/16/1977 | |
| Mangione, Louis | Corporate director | Individual | 08/16/1977 | |
| Grimmel, Louis | Corporate officer | Individual | 08/16/1977 | |
| Juras, Rosemary | Corporate officer | Individual | 12/01/2008 | |
| Licata, Linda | Corporate officer | Individual | 08/16/1977 | |
| Mangione, John | Corporate officer | Individual | 12/01/2008 | |
| Mangione, Louis | Corporate officer | Individual | 08/19/1977 | |
| Maryland Health Enterprises, Inc. | Operational/managerial control | Organization | 04/11/1989 |
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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 14 problems in this area, most recently on January 14, 2026: "Provide activities to meet all resident's needs."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 9 problems in this area, most recently on January 14, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- When is the care plan meeting, and can family attend it?Inspectors cited 8 problems in this area, most recently on January 14, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on January 14, 2026: "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."
Other nursing homes nearby
- Residences at Vantage Point Columbia, 2.4 mi · 5 of 5 stars · 26 citations
- The Lutheran Village at Miller's Grant Ellicott City, 5.6 mi · 5 of 5 stars · 14 citations
- Lorien Nursing & Rehab Ctr - Elkridge Elkridge, 6.1 mi · 3 of 5 stars · 40 citations
- Encore at Turf Valley Ellicott City, 7.2 mi · 4 of 5 stars · 33 citations
- Ellicott City Healthcare Center Ellicott City, 7.3 mi · 2 of 5 stars · 119 citations
- Autumn Lake Healthcare at Oak Manor Burtonsville, 7.5 mi · 4 of 5 stars · 41 citations
- Autumn Lake Healthcare at Patuxent River Laurel, 7.8 mi · 3 of 5 stars · 60 citations
- Autumn Lake Healthcare at Cherry Lane Laurel, 7.9 mi · 5 of 5 stars · 40 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 Lorien Health Systems - Columbia's Medicare star rating?
- CMS rates Lorien Health Systems - Columbia 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Lorien Health Systems - Columbia get at its last inspection?
- 19 health deficiencies at the standard inspection on January 14, 2026. The Maryland average is 17.
- Has Lorien Health Systems - Columbia been fined?
- Yes. CMS lists 1 fine totaling $16,042 in the last three years.
- Does Lorien Health Systems - Columbia 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 Health Systems - Columbia?
- CMS lists 22 owners and managers, and links the home to Lorien Health Services. Legal business name: LORIEN NURSING & REHAB CTR 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.