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FOREST HAVEN NURSING AND REHABILITATION CTR Inspection Report, Violations & Safety Grade (CATONSVILLE, Maryland)

701 EDMONDSON AVENUE, CATONSVILLE, Maryland 21228

Phone: 4107477425

CMS Overall:2/5

Overview & Bed Count

Certified Beds
120
Avg Residents/Day
111.2
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Baltimore
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall2/5
Health1/5
Staffing3/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityMaryland AvgDifference
RN Hours per Resident per Day0.330.88-0.55
Total Nurse Hours per Resident per Day3.223.93-0.71
CMS Staffing Rating3/53.2/5-
Nursing Staff Turnover20.7%40.2%-

Health Citation History

82 health citations on record

DateCategoryDescriptionSeverity
2025-09-15Resident Rights DeficienciesHonor 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.F – Moderate Harm Potential
2025-09-15Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2025-09-15Administration DeficienciesConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.F – Moderate Harm Potential
2025-09-15Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2025-09-15Environmental DeficienciesKeep all essential equipment working safely.E – Moderate Harm Potential
2025-09-15Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.E – Moderate Harm Potential
2025-09-15Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E – Moderate Harm Potential
2025-09-15Environmental DeficienciesPut firmly secured handrails on each side of hallways.E – Moderate Harm Potential
2025-09-15Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D – Moderate Harm Potential
2025-09-15Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2025-09-15Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.D – Moderate Harm Potential
2025-09-15Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2025-09-15Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D – Moderate Harm Potential
2025-09-15Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2025-09-15Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2025-09-15Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2025-09-15Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2025-09-15Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2025-09-15Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.D – Moderate Harm Potential
2025-09-15Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2025-09-15Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2025-09-15Quality of Life and Care DeficienciesProvide or obtain dental services for each resident.D – Moderate Harm Potential
2025-09-15Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.D – Moderate Harm Potential
2025-09-15Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2025-09-15Environmental DeficienciesRegularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.D – Moderate Harm Potential
2025-09-15Environmental DeficienciesProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.D – Moderate Harm Potential
2025-09-15Environmental DeficienciesProvide bedrooms that don't allow residents to see each other when privacy is needed.D – Moderate Harm Potential
2025-09-15Nursing and Physician Services DeficienciesPost nurse staffing information every day.C – Minimal Harm Potential
2025-09-15Resident Rights DeficienciesAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.B – Minimal Harm Potential
2025-05-01Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2025-05-01Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.F – Moderate Harm Potential
2025-05-01Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.F – Moderate Harm Potential
2025-05-01Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2025-05-01Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.F – Moderate Harm Potential
2025-05-01Administration DeficienciesAdminister the facility in a manner that enables it to use its resources effectively and efficiently.F – Moderate Harm Potential
2025-05-01Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyF – Moderate Harm Potential
2025-05-01Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.F – Moderate Harm Potential
2025-05-01Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.F – Moderate Harm Potential
2025-05-01Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2025-05-01Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2025-05-01Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2025-05-01Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2025-05-01Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.D – Moderate Harm Potential
2025-05-01Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-05-01Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2025-05-01Pharmacy Service DeficienciesImplement 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.D – Moderate Harm Potential
2025-05-01Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2025-05-01Administration DeficienciesConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.D – Moderate Harm Potential
2025-05-01Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2024-05-30Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G – Actual Harm

Showing 50 of 82 citations.

Fire Safety Citation History

46 fire safety citations on record

DateCategoryDescriptionSeverity
2025-09-15Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2025-09-15Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2025-09-15Construction DeficienciesUse approved construction type or materials.F – Moderate Harm Potential
2025-09-15Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.F – Moderate Harm Potential
2025-09-15Egress DeficienciesHave corridors or aisles that are unobstructed and are at least 8 feet in width.F – Moderate Harm Potential
2025-09-15Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2025-09-15Smoke DeficienciesInstall an approved automatic sprinkler system.F – Moderate Harm Potential
2025-09-15Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2025-09-15Smoke DeficienciesInstall corridor and hallway doors that block smoke.F – Moderate Harm Potential
2025-09-15Services DeficienciesInstall properly constructed and protected linen or trash chutes.F – Moderate Harm Potential
2025-09-15Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2025-09-15Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.F – Moderate Harm Potential
2025-09-15Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2025-09-15Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2025-09-15Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2025-09-15Egress DeficienciesInstall proper backup exit lighting.E – Moderate Harm Potential
2025-09-15Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.E – Moderate Harm Potential
2025-09-15Smoke DeficienciesInstall properly constructed windows in hallway walls or doors.E – Moderate Harm Potential
2025-09-15Construction DeficienciesMeet other general requirements.D – Moderate Harm Potential
2025-09-15Egress DeficienciesHave stairways and smokeproof enclosures used as exits that meet safety requirements.D – Moderate Harm Potential
2025-09-15Egress DeficienciesHave properly located and lighted "Exit" signs.D – Moderate Harm Potential
2025-09-15Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.D – Moderate Harm Potential
2025-09-15Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2025-09-15Services DeficienciesEnure that solid fuel-burning fireplaces are not in patient sleeping areas.D – Moderate Harm Potential
2025-09-15Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2022-08-02Construction DeficienciesUse approved construction type or materials.F – Moderate Harm Potential
2022-08-02Egress DeficienciesHave corridors or aisles that are unobstructed and are at least 8 feet in width.F – Moderate Harm Potential
2022-08-02Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2022-08-02Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2022-08-02Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2022-08-02Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the use of electrical equipment.E – Moderate Harm Potential
2022-08-02Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.D – Moderate Harm Potential
2022-08-02Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.D – Moderate Harm Potential
2022-08-02Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.D – Moderate Harm Potential
2022-08-02Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2022-08-02Services DeficienciesInstall properly constructed and protected linen or trash chutes.D – Moderate Harm Potential
2020-02-27Construction DeficienciesUse approved construction type or materials.F – Moderate Harm Potential
2020-02-27Egress DeficienciesHave corridors or aisles that are unobstructed and are at least 8 feet in width.F – Moderate Harm Potential
2020-02-27Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2020-02-27Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2020-02-27Smoke DeficienciesFollow proper procedures when the fire alarm was out of service for more than 4 hours.F – Moderate Harm Potential
2020-02-27Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2020-02-27Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2020-02-27Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.E – Moderate Harm Potential
2020-02-27Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2020-02-27Miscellaneous DeficienciesHave restrictions on the use of portable space heaters.D – Moderate Harm Potential

Total Penalties & Fines

$273,754
Total Fine Amount (CMS)
2
Number of Fines
2
Total Penalties
DateTypeFine AmountPayment Denial
2025-05-01Fine$120,068-
2024-05-30Fine$153,686-

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