Citizens Care and Rehabilitation Center of FrederiCMS ratings, inspections and fines
- Address
- 1920 Rosemont Avenue, Frederick, MD 21702
- CCN
- 215105
- Ownership type
- Government, county
- Certified beds
- 170
- Chain
- None in the CMS record
- Residents per day
- 159
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Citizens Care and Rehabilitation Center of Frederi an overall rating of 5 of 5 stars. The last standard survey was on 20 Mar 2026. The latest survey cycle has 10 health citations. The median for nursing homes in Maryland is 16. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Frederick County median | Maryland median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 5 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 4 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 4.0 | 3.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 8 homes in the county, 221 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Maryland median |
|---|---|---|---|
| Cycle 1 (latest) | 20 Mar 2026 | 10 | 16 |
| Cycle 2 | 23 Dec 2024 | 8 | 18 |
| Cycle 3 | No date | 15 | 12 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 10 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 20 Mar 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 4 May 2026 |
| 20 Mar 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 4 May 2026 |
| 20 Mar 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 4 May 2026 |
| 20 Mar 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 4 May 2026 |
| 20 Mar 2026 | F0803 | Ensure 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 | Standard survey | 4 May 2026 |
| 20 Mar 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 4 May 2026 |
| 20 Mar 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 4 May 2026 |
| 20 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 4 May 2026 |
| 16 Oct 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 21 Nov 2025 |
| 16 Oct 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 21 Nov 2025 |
Survey cycle 2: 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 23 Dec 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 3 Feb 2025 |
| 23 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 3 Feb 2025 |
| 23 Dec 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 3 Feb 2025 |
| 23 Dec 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 3 Feb 2025 |
| 23 Dec 2024 | F0761 | 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. | E | Standard survey | 3 Feb 2025 |
| 23 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 3 Feb 2025 |
| 23 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 3 Feb 2025 |
| 23 Dec 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 3 Feb 2025 |
Survey cycle 3: 15 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 18 Jun 2019 | F0578 | 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. | G | Standard survey | 2 Aug 2019 |
| 18 Jun 2019 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 2 Aug 2019 |
| 18 Jun 2019 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 2 Aug 2019 |
| 18 Jun 2019 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 2 Aug 2019 |
| 18 Jun 2019 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 2 Aug 2019 |
| 18 Jun 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 17 Sep 2019 |
| 18 Jun 2019 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 2 Aug 2019 |
| 18 Jun 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 2 Aug 2019 |
| 18 Jun 2019 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 2 Aug 2019 |
| 18 Jun 2019 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 2 Aug 2019 |
| 18 Jun 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 17 Sep 2019 |
| 18 Jun 2019 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | Standard survey | 17 Sep 2019 |
| 18 Jun 2019 | F0726 | 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. | E | Standard survey | 2 Aug 2019 |
| 18 Jun 2019 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 17 Sep 2019 |
| 18 Jun 2019 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 17 Sep 2019 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Maryland median | Maryland average (CMS) |
|---|---|---|---|
| All nurse staff | 3.99 | 3.60 | 3.87 |
| Registered nurses (RN) | 0.77 | 0.70 | 0.84 |
| Licensed practical nurses (LPN) | 1.02 | 0.91 | |
| Nurse aides | 2.20 | 2.12 | |
| All nurse staff, weekends | 3.55 | 3.20 | 3.47 |
- Nurse staff turnover in a year
- 27.5%
- Nurse staff turnover, Maryland median
- 41.5%
- RN turnover in a year
- 23.8%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Maryland median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 21.9% | 20.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.9% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.0% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.0% | 2.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.2% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.1% | 20.7% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.8% | 5.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.6% | 11.9% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- Government, county
- Legal business name
- Frederick County Maryland
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Frederick County Maryland | 5% or greater direct ownership interest | 1 Sep 2016 | |
| Aurora Health Management, LLC | Operational/managerial control | 1 Sep 2016 | |
| Frederick County Maryland | Adp of the snf | 21 Feb 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Frederick County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Frederick Crossing of Journey | Frederick | 4 of 5 | 25 | $13,538 | 23 Feb 2026 | |
| Northampton Manor Nursing and Rehabilitation Cente | Frederick | 1 of 5 | 15 | $16,562 | 30 Jan 2026 | |
| Homewood Living Frederick | Frederick | 5 of 5 | 2 | $0 | 22 Jul 2025 | |
| Autumn Lake Healthcare at Braddock Heights | Frederick | 4 of 5 | 17 | $0 | 23 Jan 2026 | |
| Autumn Lake Healthcare at Glade Valley | Walkersville | 2 of 5 | 24 | $37,265 | 1 Jun 2026 | |
| Autumn Lake Healthcare at Ballenger Creek | Frederick | 2 of 5 | 30 | $0 | 30 Jun 2025 | |
| Willowbrooke Ct Skilled Care Buckingham's Choice | Adamstown | 5 of 5 | 4 | $0 | 17 Feb 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Citizens Care and Rehabilitation Center of Frederi (CCN 215105). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/citizens-care-and-rehabilitation-center-of-frederi-frederick-md-215105/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Citizens Care and Rehabilitation Center of Frederi last inspected?
- The latest inspection with a citation in the CMS record was on 20 Mar 2026. It was a standard survey. It gave 8 citations. The standard survey before the last one was on 23 Dec 2024.
- Who operates Citizens Care and Rehabilitation Center of Frederi?
- The CMS record gives the ownership type as government, county. CMS lists no chain for the home. The CMS ownership file names Aurora Health Management, LLC for operational or managerial control. This site does not show the names of persons.
- Is Citizens Care and Rehabilitation Center of Frederi a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Maryland as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.