Citizens Care Center
415 South Market Street · Havre De Grace, MD · 21078 · 4109395500
184 certified beds Non profit - Other
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 78 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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 5 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.16 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.78 | 0.55–0.75 |
| Weekend hours / resident-day | 3.90 | ≈ weekday level |
| Nursing turnover / year | 29% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (38 in the current record)
-
Potential for harm · D January 29, 2026
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected March 15, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E January 29, 2026
Ensure each resident receives an accurate assessment.
Corrected March 15, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 29, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 15, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 29, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 15, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 29, 2026
Provide activities to meet all resident's needs.
Corrected March 15, 2026 · Quality of Life and Care
-
Potential for harm · D January 29, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 15, 2026 · Quality of Life and Care
-
Potential for harm · D January 29, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 15, 2026 · Quality of Life and Care
-
Potential for harm · E January 29, 2026
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.
Corrected March 15, 2026 · Quality of Life and Care
-
Potential for harm · D January 29, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected March 15, 2026 · Pharmacy Service
-
Potential for harm · D January 29, 2026
Provide or obtain dental services for each resident.
Corrected March 15, 2026 · Quality of Life and Care
-
Potential for harm · D January 29, 2026 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 15, 2026 · Quality of Life and Care
-
Potential for harm · D November 7, 2025 · found via complaint
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
-
Potential for harm · D November 7, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 22, 2025 · Resident Rights
-
Potential for harm · D November 7, 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 December 22, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D May 7, 2024
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected June 21, 2024 · Resident Rights
-
Potential for harm · D May 7, 2024
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.
Corrected June 21, 2024 · Resident Rights
-
Potential for harm · D May 7, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 21, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D May 7, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 21, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E May 7, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 21, 2024 · Quality of Life and Care
-
Potential for harm · D May 7, 2024
Observe each nurse aide's job performance and give regular training.
Corrected June 21, 2024 · Nursing and Physician Services
-
Potential for harm · D May 7, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected June 21, 2024 · Pharmacy Service
-
Potential for harm · D May 7, 2024
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.
Corrected June 21, 2024 · Pharmacy Service
-
Potential for harm · D May 7, 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 June 21, 2024 · Pharmacy Service
-
Potential for harm · D May 7, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 21, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D May 7, 2024
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected June 21, 2024 · Nursing and Physician Services
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
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 215039 · certified since January 3, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.