Carroll Park Healthcare
3330 Wilkens Avenue · Baltimore, MD · 21229 · 4105251544
140 certified beds For profit - Limited Liability company Chain: Engage Healthcare
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
Red flags
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
5 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 3.38 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.69 | 0.55–0.75 |
| Weekend hours / resident-day | 3.16 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | 1 · $306,550 |
Inspection citations (115 in the current record)
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Potential for harm · D March 4, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 8, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 26, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected December 22, 2025 · Resident Rights
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Potential for harm · D November 26, 2025
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.
Corrected December 22, 2025 · Resident Rights
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Potential for harm · D November 26, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected December 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 26, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 26, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 26, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 26, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected December 22, 2025 · Quality of Life and Care
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Potential for harm · E November 26, 2025
Provide and implement an infection prevention and control program.
Corrected December 22, 2025 · Infection Control
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Potential for harm · D May 14, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 14, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 14, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 14, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 14, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 14, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 20, 2025 · Quality of Life and Care
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Potential for harm · D May 14, 2025 · found via complaint
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected June 20, 2025 · Nursing and Physician Services
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Potential for harm · D May 14, 2025 · found via complaint
Observe each nurse aide's job performance and give regular training.
Corrected June 20, 2025 · Nursing and Physician Services
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Potential for harm · D May 14, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · F May 14, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected June 20, 2025 · Environmental
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Immediate jeopardy · J November 20, 2023
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected January 5, 2024 · Quality of Life and Care
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Immediate jeopardy · K November 20, 2023
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected May 13, 2024 · Administration
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Immediate jeopardy · J November 20, 2023 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected May 13, 2024 · Quality of Life and Care
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Immediate jeopardy · K November 20, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 13, 2024 · Quality of Life and Care
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Potential for harm · E November 20, 2023
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected January 5, 2024 · Resident Rights
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Potential for harm · D November 20, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected January 5, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 20, 2023 | Fine | $306,550 |
| November 20, 2023 | Payment Denial | 83 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 215085 · certified since May 11, 1972. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.