Lorien Nsg & Rehab Ctr Belair
1909 Emorton Road, Bel Air, MD 21015 · Harford County · (410) 803-1400
120 certified beds, about 111 residents a day · For profit - Corporation · Medicare and Medicaid since 2002
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 215341 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 9, 2026, inspectors cited 7 health deficiencies (the Maryland average is 17, the national average 9.2).
None of its 53 health citations since May 2019 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.11 hours per resident per day, against 3.87 across Maryland and 3.86 nationally. Registered nurses accounted for 1.23 of those hours.
49.4% 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.
2005/19
704/24
1706/24
211/25
701/26
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
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
48D
3E
2F
Potential for minimal harm
0A
0B
0C
January 9, 2026Standard inspection · 7 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 observation and interview it was determined the facility failed to ensure food temperatures were taken and recorded prior to the serving of food, ensure foods were not left open to air within the walk in refrigerator and freezer, ensure the labeling of foods and follow professional standards for food service safety. This was evident during the surveyor's initial tour of the facility's kitchen and has the potential to impact all residents who eat food from the kitchen.
- 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 interviews with staff, it was determined that the facility failed to ensure a system was in place to notify the local Ombudsman of the facility's initiated transfers to the hospital. This was evident for 1 (Resident #113) out of 3 closed records reviewed during the annual survey.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observations, medical record reviews, and interviews with facility staff, it was determined that the facility failed to follow professional standards of practice by not administering physician-ordered medications at their scheduled times, and failed to ensure the timely administration of medications. This was found to be evident for 2 (Resident # 103 and Resident # 107) of 6 residents observed during medication administration observation, and for 1 (Resident #11) out of 2 Residents reviewed for pain during the survey.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, medical record review and interviews with facility staff it was determined the facility failed to prevent a medication error rate from exceeding above five percent, by administering medications outside of the scheduled time range resulting in a medication error rate of 14.81 percent. This was found to be evident for 2 (Resident # 103 and Resident # 107) of 6 residents observed during medication administration observation during the survey.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on interviews with the resident family, review of the medical record and interviews with facility staff it was determined that the facility failed to ensure that dental services were provided for a resident. This was found to be evident for 1 (Resident # 50) of 41 residents reviewed 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 with staff, it was determined that the facility failed to maintain medical records in accordance with accepted professional standards and practices. This was evident for 3 (Resident #114, Resident #42, and Resident #84) out of 41 residents reviewed during the annual survey.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and interview it was determined the facility failed to ensure appropriate infection control measures was maintained for a resident's foley catheter bag. This was evident for 1 (#84) out of 1 Resident reviewed for urinary catheters during the facility's recertification survey.
November 17, 2025Complaint inspection · 2 citations
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on review of a facility reported incident, medical record review, and interview, it was determined that the facility failed to provide needed activities of daily living (ADL) for a resident totally dependent for care (Resident #10). This was evident for 1 of 29 residents reviewed during a complaint survey.
- D 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 #1). This is evident for 1 of 3 residents reviewed for pressure ulcers during a complaint survey.
June 12, 2024Standard inspection, Complaint inspection · 17 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 observation, interview and record review it was determined that the facility staff failed to: 1) ensure cold holding temperatures were consistently taken, ensure cold holding temperatures are maintained within appropriate ranges, ensure ice cream freezers were free from ice build up, and ensure ice cream was covered, and 2) ensure the required sanitation levels of the facility's dishwashing machine at each mealtime were monitored. This was evident during the facility's recertification 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 that the facility staff failed to develop and initiate comprehensive person-centered care plans for residents residing in the facility. This was evident for 4 (# 70, #46, #54, #90) of 42 residents reviewed during a recertification survey.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure Resident #68 had access to their call bell to call for staff assistance. This was evident for 1 out of 4 residents reviewed for environment.
- 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 observation, interview and record review it was determined the facility failed to 1) ensure a second certification of incapacity was obtained, 2) ensure that residents were provided information regarding advanced directives, and 3) obtain Advanced Directives from residents/resident's family. This was evident for 3 (Residents #54, #90, and #112) out of 7 residents reviewed for advanced directives during the 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 1 (#86) of 6 residents reviewed for hospitalization during a recertification 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/resident representative in writing of the bed-hold policy upon transfer of a resident to an acute care facility. This was evident for 2 (#86, #104) of 6 residents reviewed for hospitalization during a recertification 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 1 (#70) of 42 residents reviewed during a 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 the resident and staff interviews and medical record review, it was determined that the facility failed to revise care plans after a resident sustained an injury after a fall. This was evident for one resident (Resident #95) out of 42 residents reviewed for care plan timing and revision.
- D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on observation, interview and record review, it was determined that the facility failed to have a resident's hearing aids accessible to the resident. This was evident for 1( Resident #46) of 1 resident reviewed for management of their hearing aids.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review it was determined the facility failed to: 1) ensure timely and necessary care was provided to a resident, including following medical orders, staff communication regarding resident needs, oversight, assessment and action by staff trained and allowed within the scope of practice for care of resident tube feeding equipment and appropriate documentation of care concerns, and 2) ensure that there were accurate physician orders for resident care. This was evident upon surveyor's review of two facility self reported incidents (MD00205639 & MD00205866) regarding Resident #3, and one resident (Resident #71) of three residents reviewed for rehabilitation services.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review it was determined that the facility failed to ensure that residents received respiratory care consistent with professional standards of practice. This was evident for 2 (#44, #86) of 2 residents reviewed for respiratory care during the recertification survey.
- 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 the facility staff failed to ensure that pharmacist recommendations were acted upon and documented in the resident's medical record. This was evident for 1 (#2) of 5 residents selected for Unnecessary Medications Review during a recertification/complaint 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 interviews and record reviews, it was determined that the facility failed to monitor and document residents' needs for the use of PRN (as needed) psychotropic medication. This was evident for 1 (Resident #112) of 5 residents reviewed for unnecessary medication during the annual survey.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wrote2) During surveyor's record review of the medication administration audit report on 6/3/24 at 12:55PM the surveyor observed the following documentation in the medical record signed off by LPN #31 for the following care for Resident #3: On 5/12/24 at 1:58AM LPN #31 documented the following care occurred at 1:57AM: Assessment of the enteral tube for proper placement prior to each feeding, flush, or medication administration. On 5/12/24 at 1:58AM LPN #31 documented the following care occurred at 1:57AM: Check enteral tube for residual every shift/if 150ml or over, hold feeding for 1 hour and recheck: If residual 100ml or over, notify MD-document amount in ml every shift document amount. On 5/12/24 at 1:58PM LPN #31 signed off on enteral tube water flushes. On 5/12/24 at 2:02AM LPN #31 signed off on every shift monitoring of a pressure relief mattress for proper function. [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, and interview it was determined the facility staff failed to 1) ensure proper hand hygiene while performing dressing changes. This was evident for 2 observed dressing changes for residents #44 and #54 conducted during the infection control facility task investigation. 2) perform handwashing before and after gloving. This was evident for one (Resident #567) of 6 residents reviewed for Infection Prevention and Control.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure an allegation of neglect and an investigation of neglect were timely reported. This was evident for 1 (MD00205866) out of 6 facility reported incidents reviewed during the facility's recertification survey.
- 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 complaint intake review, medical record review, and staff interview it was determined that the facility failed to document the transfer of a resident in the medical record including the reason for the transfer. This was evident for 1 (#166) of 3 residents reviewed for discharge.
April 9, 2024Complaint inspection · 7 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on record review and interview it was determined that the facility failed to allow residents the right to have a dignified existence by failing to answer call lights in a timely manner. This was evident for 3 (#30, #43, and #42) of 41 residents reviewed during the 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 medical record review of a complaint and a facility reported incident, review of medical records and interview with staff, it was determined that the facility failed to ensure that a resident was free from mental and physical abuse. This was evident during the review of 2 of 23 (#21 and #22) residents reviewed for abuse.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on record review and interview it was determined that the facility failed to conduct a thorough investigation of an allegation of neglect to determine the root cause and implement a plan of correction. This was evident for 1 (#30) of 23 residents review for abuse.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on medical record review and interviews the facility failed to provide incontinent care for dependent residents. This was true for 2 out of 2 (resident # 6 and resident # 39) residents reviewed for Activities of Daily Living for dependent residents.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on medical chart review and interviews with the DON (Director of Nursing), the facility failed to ensure residents receive care, consistent with professional standards of practice, to prevent pressure ulcers. This was evident for 1(resident #39) out of 1 resident investigated for wounds.
- 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 record review and staff interview it was determined that the facility failed to ensure that nursing assistants were competent and had the skill set needed to care for the residents. This was evident for 1 (#) of # nursing assistant staff reviewed.
- D Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on the review of complaints, facility reported incidents, interviews, and employee files, it was determined that the facility failed to ensure that geriatric nursing assistants (GNA) had the required 1. abuse training and 2. competencies to provide safe and proper care to residents in the facility. This was determined during the review of 1 (GNA #17) of 9 employee files.
May 15, 2019Standard inspection · 20 citations
- E 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 interview, it was determined 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 Residents (# 9 and #15). This was evident for 2 of 5 residents selected for review of unnecessary medication and 2 of 38 residents selected for review during the annual survey process.
- E Provide or obtain dental services for each resident.
Inspectors wroteBased on medical record review and staff interview it was determined that facility staff failed to provide dental services to a resident with a broken tooth for Resident (#26). This was evident for 1 of 2 residents selected for review of dental services and 1 of 38 residents selected for review during the annual survey process.
- 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 medical record review, it was determined the facility staff failed to 1. update a resident's care plans to properly indicate a resident's up to date wishes, and 2. void older MOLST forms located in a resident's active medical record. This was evident for 2 (Resident #31 and #41) of 5 residents reviewed for Advance Directives during an annual recertification 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 record review and interview, it was determined the facility staff failed to provide abuse updated training to a Geriatric Nursing Assistant, failed to provide in-service abuse training to all staff and failed to notify the physician and family member of the alleged abuse in a timely manner for Resident #12. This was evident for 1 of 1 resident selected for abuse investigation and 1 of 38 residents selected for review during the annual survey process.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on medical record review and staff interview it was determined the facility failed to notify the resident/resident representative in writing of a transfer/discharge of a resident along with the reason for the transfer. This was evident for 2 (Residents #41 and #112) of 38 residents reviewed during an annual recertification 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 2 (Residents #41 and #112) of 38 residents sampled for investigations.
- 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 review of medical record and staff interview, it was determined the facility staff failed to develop a baseline care plan for Residents (#211, #23 and #112). This was evident for 3 of 38 residents selected for review during the survey process.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on medical record review and interview, it was determined the facility staff failed to implement comprehensive care plans for Resident #9 to address bladder incontinence and to address pressure ulcer for Resident #112. This was evident for 1 of 1 resident selected for review of bladder incontinence and 1 of 3 residents selected for review of pressure ulcer during the survey process and 2 of 38 residents selected for review during the annual survey process.
- 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 upon medical record review and staff interview it was determined that facility staff failed to update a resident's care plan to reflect the resident's need for two caregiver assistance with bed mobility. This was evident for 1 of 38 residents ( Resident #261) reviewed during survey investigation.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation and interview, the facility staff failed to fail to apply Ted stockings for Resident #34 and failed to have two staff participation to reposition Resident #16. This was evident for 2 of 38 residents during the investigative portion of the survey.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, medical record review and interview, the facility staff failed to provide treatment/services to prevent/heal pressure ulcers to (Resident #34). This is evident for 1 of 3 residents selected for review of pressure ulcers and 1 of 38 residents selected for review during the survey process. A pressure ulcer (also known as pressure sore or decubitus ulcer) is any lesion caused by unrelieved pressure that results in damage to the underlying tissue. Pressure ulcers are staged according to their severity from Stage I (area of persistent redness), Stage II (superficial loss of skin such as an abrasion, blister, or shallow crater), Stage III (full thickness skin loss involving damage to subcutaneous tissue presenting as a deep crater), and Stage IV (full thickness skin loss with extensive damage to muscle, bone, or tendon).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on complaint, reviews of a medical record, and staff interview, it was determined the facility failed to 1. obtain enough staff assistance to protect a resident from falling, and 2. provide a resident with supervision to prevent the resident from falling. This was evident for 2 (Resident's #23 and #112) of 7 residents reviewed for accidents during an annual recertification 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 record review it was determined that the facility staff failed to thoroughly assess and intervene when Resident #9 was noted with a decrease in urinary continence. This was evident for 1 of 1 resident selected for review of urinary continence and 1 of 38 residents selected for review during the annual survey.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on record review, observation and interview, it was determined the facility staff failed to provide 1:1 assistance to Resident #213. This was evident for 1 of 6 residents selected of nutrition and 1 of 38 residents selected for review during the survey process.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on medical record review and interview it was determined the facility staff failed to thoroughly assess the need for pain medication for Residents (#211) and failed to thoroughly document a pre or post assessment of pain while administering pain medication to Resident (#62). This was evident for 2 of 5 residents selected for review of pain during the annual survey and 2 of 38 residents selected for review during the annual 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 interview, it was determined the facility staff failed to ensure that medications were properly secured, thoroughly labeled with residents' name, and dated when the medication was open. This was evident for 1 of 4 medication carts and 2 of 3 treatment carts observed during the annual survey process. And the facility nursing staff failed to properly store and secure medications in failing to maintain a treatment cart locked.
- D Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspectors wroteBased on medical record review and interview, it was determined the facility staff failed to obtain laboratory blood test as ordered for Resident (#9). This was evident for 1 of 38 residents selected for review of laboratory results in the survey sample.
- D Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Inspectors wroteBased on observation and interview, it was determined the facility staff failed to maintain confidential information-HIPAA related to Resident (#312). This was evident for 1 of 38 residents selected for review during the annual 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 clinical record review, observation, and staff interview it was determined that the facility staff failed to ensure documentation of the use of a hand roll was recorded completely (#33). This was true for 1 out of the 38 residents reviewed as part of the survey process.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations and interview, it was determined the facility staff failed to promote an environment that decreased the potential of transmission of communicable diseases or infections for Resident (#26). This was evident for observations of dining in the restorative dining room [ROOM NUMBER] out of 10 residents observed for dining and 1 out of 38 residents selected for review of infection control during the survey process.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Maryland | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.11 | 3.87 | 3.86 |
| Registered nurses | 1.23 | 0.84 | 0.69 |
| All nursing staff on weekends | 3.79 | 3.47 | 3.42 |
| Nurse aides | 2.19 | ||
| Licensed practical nurses | 0.70 | ||
| Nursing staff turnover (share who left in a year) | 49.4% | 40.2% | 45.8% |
| Registered nurse turnover | 23.3% | 38.7% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.93 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 4.25 on weekdays and 3.79 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 9.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.22 in April to June 2025 to 4.11 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 | 4.11 | 1.23 | 4.25 | 3.79 | 9.0% | 0 of 90 | 111 |
| Oct to Dec 2025 | 4.19 | 1.10 | 4.33 | 3.82 | 13.5% | 0 of 92 | 110 |
| Jul to Sep 2025 | 4.14 | 1.04 | 4.26 | 3.84 | 17.1% | 0 of 92 | 114 |
| Apr to Jun 2025 | 4.22 | 1.11 | 4.35 | 3.88 | 20.3% | 0 of 91 | 115 |
| 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 | 25.9 | 20.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 7.2 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.8 | 2.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.2 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 48.1 | 22.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 12.1 | 5.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.6 | 13.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.2 | 21.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.4 | 9.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.2 | 1.8 |
Owners and operators
Legal business name: LORIEN HARFORD, 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% | 12/17/1998 |
| Juras, Rosemary | 5% or greater direct ownership interest | Individual | 12/17/1998 | |
| Licata, Linda | 5% or greater direct ownership interest | Individual | 10% | 12/17/1998 |
| Mangione, Joanne | 5% or greater direct ownership interest | Individual | 10% | 12/17/1998 |
| Mangione, John | 5% or greater direct ownership interest | Individual | 10% | 12/17/1998 |
| Mangione, Louis | 5% or greater direct ownership interest | Individual | 10% | 12/17/1998 |
| Mangione, Nicholas | 5% or greater direct ownership interest | Individual | 10% | 12/17/1998 |
| Mangione, Peter | 5% or greater direct ownership interest | Individual | 10% | 12/17/1998 |
| Mangione, Samuel | 5% or greater direct ownership interest | Individual | 12/17/1998 | |
| O'Keefe, Frances | 5% or greater direct ownership interest | Individual | 10% | 12/17/1998 |
| Grimmel, Louis | Corporate officer | Individual | 12/17/1998 | |
| Juras, Rosemary | Corporate officer | Individual | 01/01/2003 | |
| Licata, Linda | Corporate officer | Individual | 12/17/1998 | |
| Mangione, John | Corporate officer | Individual | 12/17/1998 | |
| Mangione, Louis | Corporate officer | Individual | 12/17/1998 | |
| Brandt, Johanna | Operational/managerial control | Individual | 01/01/2024 | |
| Sesay, Alfred | Operational/managerial control | Individual | 01/01/2024 | |
| Brandt, Johanna | Adp of the SNF | Individual | 10/28/2025 | |
| Chardon-Borrero, Madai | Adp of the SNF | Individual | 10/28/2025 |
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 15 problems in this area, most recently on January 9, 2026: "Provide or obtain dental services for each resident."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 10 problems in this area, most recently on January 9, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- When is the care plan meeting, and can family attend it?Inspectors cited 10 problems in this area, most recently on January 9, 2026: "Ensure services provided by the nursing facility meet professional standards of quality."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on January 9, 2026: "Ensure medication error rates are not 5 percent or greater."
Other nursing homes nearby
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- Sterling Care Forest Hill Forest Hill, 4.8 mi · 5 of 5 stars · 39 citations
- Sterling Care Riverside Belcamp, 5.1 mi · 5 of 5 stars · 41 citations
- Lorien Bulle Rock Havre De Grace, 8.1 mi · 5 of 5 stars · 33 citations
- Citizens Care Center Havre De Grace, 10.7 mi · 5 of 5 stars · 38 citations
- Glen Meadows Retirement Com. Glen Arm, 13.4 mi · 4 of 5 stars · 36 citations
- Oak Crest Village Parkville, 15.2 mi · 4 of 5 stars · 26 citations
- Franklin Woods Center Baltimore, 15.9 mi · 4 of 5 stars · 46 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 Nsg & Rehab Ctr Belair's Medicare star rating?
- CMS rates Lorien Nsg & Rehab Ctr Belair 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Lorien Nsg & Rehab Ctr Belair get at its last inspection?
- 7 health deficiencies at the standard inspection on January 9, 2026. The Maryland average is 17.
- Has Lorien Nsg & Rehab Ctr Belair been fined?
- CMS lists no fines in the last three years.
- Does Lorien Nsg & Rehab Ctr Belair 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 Nsg & Rehab Ctr Belair?
- CMS lists 19 owners and managers, and links the home to Lorien Health Services. Legal business name: LORIEN HARFORD, 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.