Maryland › Harford County › Havre De Grace
Citizens Care Center
415 South Market Street, Havre De Grace, MD 21078
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.
Citizens Care Center, in Havre De Grace, Maryland, is certified for 184 beds under non-profit, other ownership.
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 2.
Inspectors recorded 38 health deficiencies across the three most recent survey cycles (14, 12, 12 by cycle, most recent first), none at the actual-harm level. That is 20.7 per 100 beds, fewer than the state median of 43.7.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.0 hours per resident per day (0.8 RN), close to the Maryland median of 3.6; nursing staff turnover is 28.2%.
Compared with county, state and nation
| Measure | This facility | Harford Co. median | Maryland median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 38 | 41 | 45 | 28.7 |
| Citations per 100 beds | 20.7 | 31.8 | 43.7 | 26.8 |
| Total nurse hours per resident day | 4.0 | 3.9 | 3.6 | 3.9 |
| RN hours per resident day | 0.8 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 28.2% | 44.3% | 41.5% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (6 in the county, 221 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Maryland average per facility for the same cycle, as published by CMS. Standard health survey dates: 29 Jan 2026, 7 May 2024.
Severity mix: D ×31 E ×7
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 29 Jan 2026 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 15 Mar 2026 |
| 29 Jan 2026 | F0700 | Try 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. | E | Standard survey | 15 Mar 2026 |
| 29 Jan 2026 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 15 Mar 2026 |
| 29 Jan 2026 | 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 | 15 Mar 2026 |
| 29 Jan 2026 | 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 | 15 Mar 2026 |
| 29 Jan 2026 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 15 Mar 2026 |
| 29 Jan 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 15 Mar 2026 |
| 29 Jan 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 15 Mar 2026 |
| 29 Jan 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 15 Mar 2026 |
| 29 Jan 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 15 Mar 2026 |
| 29 Jan 2026 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 15 Mar 2026 |
| 7 Nov 2025 | 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. | D | Complaint investigation | 22 Dec 2025 |
| 7 Nov 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 22 Dec 2025 |
| 7 Nov 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 | 22 Dec 2025 |
| 7 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 21 Jun 2024 |
| 7 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 21 Jun 2024 |
| 7 May 2024 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard survey | 21 Jun 2024 |
| 7 May 2024 | F0625 | 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. | D | Standard survey | 21 Jun 2024 |
| 7 May 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 | 21 Jun 2024 |
| 7 May 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 21 Jun 2024 |
| 7 May 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 21 Jun 2024 |
| 7 May 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 21 Jun 2024 |
| 7 May 2024 | F0758 | 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. | D | Standard survey | 21 Jun 2024 |
| 7 May 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. | D | Standard survey | 21 Jun 2024 |
| 7 May 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 21 Jun 2024 |
| 7 May 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 21 Jun 2024 |
| 2 May 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. | E | Standard survey | 16 Jun 2019 |
| 2 May 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 16 Jun 2019 |
| 2 May 2019 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 16 Jun 2019 |
| 2 May 2019 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 16 Jun 2019 |
| 2 May 2019 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 16 Jun 2019 |
| 2 May 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. | D | Standard survey | 16 Jun 2019 |
| 2 May 2019 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 16 Jun 2019 |
| 2 May 2019 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 16 Jun 2019 |
| 2 May 2019 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 16 Jun 2019 |
| 2 May 2019 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 16 Jun 2019 |
| 2 May 2019 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 16 Jun 2019 |
| 2 May 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 16 Jun 2019 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Maryland average. Turnover: nursing staff 28.2%, RNs 30.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Maryland median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 24.1% | 20.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.6% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 7.3% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.6% | 2.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.4% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 24.0% | 20.7% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.9% | 5.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 21.4% | 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, other. Legal business name: Citizens Nursing Home Board Of Harford County.
No organisations are listed in the CMS ownership record for this facility.
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 Harford County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Lorien Bulle Rock | Havre De Grace | 78 | 5 | 5 | 4 | 33 | 42.3 | — | 1 Jul 2025 |
| Sterling Care Forest Hill | Forest Hill | 156 | 5 | 4 | 3 | 39 | 25.0 | $10K | 22 Dec 2025 |
| Sterling Care Riverside | Belcamp | 129 | 5 | 4 | 2 | 41 | 31.8 | $4K | 25 Aug 2025 |
| Lorien Nsg & Rehab Ctr Belair | Bel Air | 120 | 4 | 4 | 4 | 53 | 44.2 | — | 9 Jan 2026 |
| Sterling Care Bel Airabuse icon | Bel Air | 155 | 3 | 2 | 2 | 45 | 29.0 | — | 12 Mar 2026 |
All 6 facilities in Harford County
Questions and answers
How many deficiencies has Citizens Care Center been cited for?
38 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 Citizens Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Citizens Care Center compare?
Reported total nurse staffing is 4.0 hours per resident per day against a Maryland median of 3.6 and a national average of 3.9.
Who operates Citizens Care Center?
Ownership type is non-profit, other. Individual owners and managers are not listed on this site.
When was Citizens Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 29 Jan 2026; the most recent standard health survey was 29 Jan 2026.
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.