Fairfield Nursing & Rehabilitation Center
1454 Fairfield Loop Road · Crownsville, MD · 21032 · 4109236820
96 certified beds For profit - Corporation Chain: Fundamental Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
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
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.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
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: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.51 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.56 | 0.55–0.75 |
| Weekend hours / resident-day | 3.13 | ≈ weekday level |
| Nursing turnover / year | 22% | median 45% |
| Fines (3-yr window) | 1 · $51,597 |
Inspection citations (53 in the current record)
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Potential for harm · D March 23, 2026 · found via complaint
Give the resident's representative the ability to exercise the resident's rights.
Corrected April 3, 2026 · Resident Rights
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Potential for harm · D March 23, 2026 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected April 3, 2026 · Resident Rights
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Potential for harm · D March 23, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 3, 2026 · Quality of Life and Care
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Potential for harm · D September 17, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected October 20, 2025 · Resident Rights
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Potential for harm · D September 17, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected October 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 17, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · E September 17, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · E September 17, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 20, 2025 · Quality of Life and Care
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Potential for harm · D September 17, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 20, 2025 · Quality of Life and Care
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Potential for harm · D September 17, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 20, 2025 · Quality of Life and Care
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Potential for harm · D September 17, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected October 20, 2025 · Quality of Life and Care
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Potential for harm · D September 17, 2025 · found via complaint
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected October 20, 2025 · Nursing and Physician Services
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Potential for harm · D September 17, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 20, 2025 · Pharmacy Service
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Potential for harm · D September 17, 2025 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected October 20, 2025 · Pharmacy Service
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Potential for harm · D September 17, 2025 · found via complaint
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 October 20, 2025 · Pharmacy Service
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Potential for harm · D September 17, 2025 · found via complaint
Provide or obtain dental services for each resident.
Corrected October 20, 2025 · Quality of Life and Care
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Potential for harm · D September 17, 2025 · found via complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected October 20, 2025 · Nutrition and Dietary
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Potential for harm · D September 17, 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 October 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 17, 2025 · found via complaint
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected October 20, 2025 · Administration
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Potential for harm · E September 17, 2025 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected October 20, 2025 · Environmental
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Potential for harm · E September 17, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected October 31, 2025 · Environmental
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No harm found · C September 17, 2025 · found via complaint
Post nurse staffing information every day.
Corrected October 20, 2025 · Nursing and Physician Services
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Potential for harm · D May 3, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 25, 2024 · Resident Rights
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Potential for harm · D May 3, 2024
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 June 25, 2024 · Resident Rights
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Potential for harm · D May 3, 2024
Keep residents' personal and medical records private and confidential.
Corrected June 25, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 30, 2024 | Fine | $51,597 |
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.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 215236 · certified since November 11, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.