Elder Care Record

Maryland › Carroll County › Westminster

Carroll Lutheran Village

200 St. Luke'S Circle, Westminster, MD 21157

CCN 215133 · Non-profit, corporation · 72 certified beds

Continuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 72 beds, Carroll Lutheran Village serves Westminster in Carroll County, Maryland and has taken Medicare and Medicaid residents since 1981.

CMS gives it 5 of 5 stars overall, above the Maryland median of 3; the health inspection rating is 4, staffing 5 and quality measures 5.

Inspectors recorded 34 health deficiencies across the three most recent survey cycles (6, 16, 12 by cycle, most recent first), none at the actual-harm level. That is 47.2 per 100 beds, about the same as the state median of 43.7.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.9 hours per resident per day (1.0 RN), close to the Maryland median of 3.6; nursing staff turnover is 33.7%.

34health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.9nurse hours per resident per daystate median 3.6
93%occupancy (residents ÷ beds)67 residents a day

Compared with county, state and nation

MeasureThis facilityCarroll Co. medianMaryland medianUS average
Overall star rating5433.0
Health citations, 3 cycles34544528.7
Citations per 100 beds47.267.743.726.8
Total nurse hours per resident day3.94.03.63.9
RN hours per resident day1.00.80.70.7
Nursing staff turnover33.7%51.1%41.5%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (10 in the county, 221 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)6
Cycle 216
Cycle 312

Dark bar: this facility. Grey bar: Maryland average per facility for the same cycle, as published by CMS. Standard health survey dates: 6 Jun 2025, 2 Sep 2021.

Severity mix: D ×21 E ×7 F ×4 C ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
6 Jun 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey3 Jul 2025
6 Jun 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey3 Jul 2025
6 Jun 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey3 Jul 2025
6 Jun 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey3 Jul 2025
6 Jun 2025F0761Ensure 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.DStandard survey3 Jul 2025
6 Jun 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey3 Jul 2025
2 Sep 2021F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FStandard survey20 Oct 2021
2 Sep 2021F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey20 Oct 2021
2 Sep 2021F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard survey20 Oct 2021
2 Sep 2021F0641Ensure each resident receives an accurate assessment.EStandard survey20 Oct 2021
2 Sep 2021F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey20 Oct 2021
2 Sep 2021F0880Provide and implement an infection prevention and control program.EStandard survey20 Oct 2021
2 Sep 2021F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey20 Oct 2021
2 Sep 2021F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey20 Oct 2021
2 Sep 2021F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey20 Oct 2021
2 Sep 2021F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey20 Oct 2021
2 Sep 2021F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey20 Oct 2021
2 Sep 2021F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey20 Oct 2021
2 Sep 2021F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey20 Oct 2021
2 Sep 2021F0758Implement 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.DStandard survey20 Oct 2021
2 Sep 2021F0761Ensure 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.DStandard survey20 Oct 2021
2 Sep 2021F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DStandard survey20 Oct 2021
25 Sep 2018F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey6 Nov 2018
25 Sep 2018F0584Honor 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.EStandard survey6 Nov 2018
25 Sep 2018F0624Prepare residents for a safe transfer or discharge from the nursing home.EStandard survey6 Nov 2018
25 Sep 2018F0761Ensure 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.EStandard survey6 Nov 2018
25 Sep 2018F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey6 Nov 2018
25 Sep 2018F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey6 Nov 2018
25 Sep 2018F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey6 Nov 2018
25 Sep 2018F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey6 Nov 2018
25 Sep 2018F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey6 Nov 2018
25 Sep 2018F0758Implement 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.DStandard survey6 Nov 2018
25 Sep 2018F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CStandard survey6 Nov 2018
25 Sep 2018F0625Notify 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.CStandard survey6 Nov 2018

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.89 h
Nurse aides2.05 h
LPN0.82 h
RN1.03 h
Weekend total3.67 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Maryland average. Turnover: nursing staff 33.7%, RNs 35.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMaryland medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay22.5%20.0%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.0%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.9%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.0%2.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay14.4%20.7%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.5%5.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay6.1%11.9%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, corporation. Legal business name: Carroll Lutheran Village Inc.

OrganisationRole in the CMS recordInterestSince
Carroll Lutheran Village IncOperational/managerial controlNOT APPLICABLE09/10/1981
Friends Services For the AgingOperational/managerial controlNOT APPLICABLE01/01/2000
Sodexho IncOperational/managerial controlNOT APPLICABLE05/01/2024
Aegis Therapies, Inc.Adp of the snfNOT APPLICABLE12/01/2023
Friends Services For the AgingAdp of the snfNOT APPLICABLE07/10/2025
Sodexho IncAdp of the snfNOT APPLICABLE07/10/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Carroll County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Lorien Health Systems Mt AiryMount Airy625454267.7—7 May 2026
Autumn Lake Healthcare At Birch ManorSykesville1184338572.0—20 Nov 2025
Autumn Lake Healthcare At Long ViewManchester1094433027.5—1 Dec 2025
Willowbrooke Court Skilled Care Center FairhavenSykesville794353240.5—18 Jul 2025
Lorien Taneytown, IncTaneytown633343758.7$65K25 Sep 2025
Atlee Hill Health and Rehab CenterWestminster6022467111.7$15K29 Aug 2025
Mount Airy Nursing and Rehab Centerabuse iconMount Airy1042247168.3—22 May 2026
Westminster Rehabilitation and Wellness Centerabuse iconWestminster1702237443.5$64K4 May 2026

All 10 facilities in Carroll County

Questions and answers

How many deficiencies has Carroll Lutheran Village been cited for?

34 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Maryland median is 45 per facility.

Has Carroll Lutheran Village been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Carroll Lutheran Village compare?

Reported total nurse staffing is 3.9 hours per resident per day against a Maryland median of 3.6 and a national average of 3.9.

Who operates Carroll Lutheran Village?

Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Carroll Lutheran Village Inc, Friends Services For the Aging and Sodexho Inc. Individual owners and managers are not listed on this site.

When was Carroll Lutheran Village last inspected?

The most recent survey or investigation in the CMS record is dated 6 Jun 2025; the most recent standard health survey was 6 Jun 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.