ST. ELIZABETH REHABILITATION & NURSING CENTER

BALTIMORE, MD · 162 beds · Non profit - Other

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • This facility has a substantiated finding of abuse
  • 1 citation(s) at the highest severity level — immediate risk to residents
  • 2 citation(s) where residents suffered actual harm
  • $66,996 in fines
  • 65% total nursing staff turnover

Green Flags

No positive signals identified yet.

Quick Facts

★★☆☆☆
CMS Overall
★★☆☆☆
Health Inspection
28
1.5x state avg
Deficiencies
$66,996
Fines (3-yr)
★★☆☆☆
Staffing

Violation Timeline

August 28, 2025

14 deficiencyies
F0578 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F0585 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

F0600 Actual Harm Scope/Severity: G

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F0610 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Respond appropriately to all alleged violations.

F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0676 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

F0684 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0689 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0692 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide enough food/fluids to maintain a resident's health.

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

October 15, 2024

6 deficiencyies
F0660 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Plan the resident's discharge to meet the resident's goals and needs.

F0557 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

F0623 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

F0732 Potential Harm Scope/Severity: D

Nursing and Physician Services Deficiencies

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Post nurse staffing information every day.

See full violation history →

Staffing

0.71
RN hrs/res/day
0.77
LPN hrs/res/day
1.93
CNA hrs/res/day
3.11
Weekend hrs/res/day
65%
Total nurse turnover
62%
RN turnover

A nurse checks on each resident roughly every 7.0 hours on average.

Fines & Penalties

  • Fine Aug 28, 2025
    $50,655
  • Fine Oct 15, 2024
    $16,341
Total $66,996

Ownership

Non profit - Other Chain: VIERRA COMMUNITIES
  • DEREK R. VUCICH REVOCABLE TRUST

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 12/01/2024

    NO PERCENTAGE PROVIDED Organization
  • DEREK R. VUCICH TRUST

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 12/01/2024

    NO PERCENTAGE PROVIDED Organization
  • VIERRA COMMUNITIES LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 12/01/2024

    NO PERCENTAGE PROVIDED Organization
  • BANGURA, JOHN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 12/01/2024

    Individual
  • VUCICH, DEREK

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 12/01/2024

    Individual

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