Frederick Crossing of Journey

30 North Place · Frederick, MD · 21701 · 3016956618

120 certified beds For profit - Limited Liability company

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.

Score breakdown

Inspection record 30% of score 44
Serious harm & abuse 20% 84
Staffing 20% 72
Federal penalties 15% 75
Trend 10% 66
Context 5% 100

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: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.553.48 min · 4.1 strong
RN hours / resident-day0.560.55–0.75
Weekend hours / resident-day3.31≈ weekday level
Nursing turnover / year25%median 45%
Fines (3-yr window)1 · $13,538

Inspection citations (79 in the current record)

  • Potential for harm · D February 23, 2026

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected March 18, 2026 · Resident Rights

  • Potential for harm · D February 23, 2026

    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 March 18, 2026 · Resident Rights

  • Potential for harm · D February 23, 2026

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected March 18, 2026 · Resident Rights

  • Potential for harm · D February 23, 2026

    Assess the resident when there is a significant change in condition

    Corrected March 18, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 23, 2026

    Ensure each resident receives an accurate assessment.

    Corrected March 18, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 23, 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 18, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 23, 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 18, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 23, 2026

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

    Corrected March 18, 2026 · Quality of Life and Care

  • Potential for harm · D February 23, 2026

    Provide activities to meet all resident's needs.

    Corrected March 18, 2026 · Quality of Life and Care

  • Potential for harm · D February 23, 2026

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected March 18, 2026 · Quality of Life and Care

  • Potential for harm · D February 23, 2026

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected March 18, 2026 · Quality of Life and Care

  • Potential for harm · D February 23, 2026

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected March 18, 2026 · Quality of Life and Care

  • Potential for harm · D February 23, 2026

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Corrected March 18, 2026 · Quality of Life and Care

  • Potential for harm · D February 23, 2026

    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 March 18, 2026 · Pharmacy Service

  • Potential for harm · D February 23, 2026

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected March 18, 2026 · Nutrition and Dietary

  • Potential for harm · D February 23, 2026

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    Corrected March 18, 2026 · Administration

  • Potential for harm · D February 23, 2026

    Provide and implement an infection prevention and control program.

    Corrected March 18, 2026 · Infection Control

  • Potential for harm · D January 30, 2026 · found via complaint

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

    Corrected February 18, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D October 16, 2025 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected November 26, 2025 · Resident Rights

  • Potential for harm · D October 16, 2025 · found via complaint

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

    Corrected November 26, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 16, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected November 26, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 27, 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 March 19, 2025 · Pharmacy Service

  • Potential for harm · D February 27, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected March 19, 2025 · Infection Control

  • Actual harm · G October 30, 2024 · found via complaint

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

    Corrected December 13, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 30, 2024

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected November 27, 2024 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
October 30, 2024Fine$13,538

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 215184 · certified since January 10, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.