Citizens Care and Rehabilitation Center of Frederi
1920 Rosemont Avenue · Frederick, MD · 21702 · 2407729200
170 certified beds Government - County
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 77 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.80 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.71 | 0.55–0.75 |
| Weekend hours / resident-day | 3.38 | ≈ weekday level |
| Nursing turnover / year | 24% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (41 in the current record)
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Potential for harm · D October 16, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected November 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 16, 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 November 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 23, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected February 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 23, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 23, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 23, 2024
Ensure that residents are free from significant medication errors.
Corrected February 3, 2025 · Pharmacy Service
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Potential for harm · E December 23, 2024
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.
Corrected February 3, 2025 · Pharmacy Service
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Potential for harm · F December 23, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 3, 2025 · Nutrition and Dietary
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Potential for harm · E December 23, 2024
Provide and implement an infection prevention and control program.
Corrected February 3, 2025 · Infection Control
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Potential for harm · D December 23, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected February 3, 2025 · Infection Control
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Actual harm · G June 18, 2019
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 August 2, 2019 · Resident Rights
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Potential for harm · D June 18, 2019
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 2, 2019 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 18, 2019
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 2, 2019 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 18, 2019
Respond appropriately to all alleged violations.
Corrected August 2, 2019 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 18, 2019
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 2, 2019 · Resident Assessment and Care Planning
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Potential for harm · D June 18, 2019
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 17, 2019 · Resident Assessment and Care Planning
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Potential for harm · D June 18, 2019
Provide activities to meet all resident's needs.
Corrected August 2, 2019 · Quality of Life and Care
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Potential for harm · D June 18, 2019
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 2, 2019 · Quality of Life and Care
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Potential for harm · D June 18, 2019
Assist a resident in gaining access to vision and hearing services.
Corrected August 2, 2019 · Quality of Life and Care
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Potential for harm · D June 18, 2019
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 2, 2019 · Quality of Life and Care
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Potential for harm · D June 18, 2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 17, 2019 · Quality of Life and Care
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Potential for harm · E June 18, 2019
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected September 17, 2019 · Nursing and Physician Services
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Potential for harm · E June 18, 2019
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.
Corrected August 2, 2019 · Nursing and Physician Services
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Potential for harm · E June 18, 2019
Observe each nurse aide's job performance and give regular training.
Corrected September 17, 2019 · Nursing and Physician Services
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Potential for harm · E June 18, 2019
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 17, 2019 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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 215105 · certified since December 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.