FREDERICK VILLA HEALTHCARE

For profit - Corporation · ENGAGE HEALTHCARE chain · 125 certified beds · CCN 215178 · ACADEMY MD OPCO · Baltimore · MD


FREDERICK VILLA HEALTHCARE is a 125-bed nursing home in CATONSVILLE, Maryland. CMS has certified it for Medicare and Medicaid since 1989-01-01. It averages 109.3 residents a day.

What harm was found in the violations cited at FREDERICK VILLA HEALTHCARE?

CMS lists 69 health-inspection deficiencies for FREDERICK VILLA HEALTHCARE since 2019-05-28, 40 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-05-06.

Survey dateTagDeficiencySeverity
2026-05-06F0697Provide safe, appropriate pain management for a resident who requires such services.G
2026-05-06F0725, F0773, F0840, F0842Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. / Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2026-03-23F0655, F0656, F0684, F0760, F0842Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that residents are free from significant medication errors. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-08-28F0882, F0925Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F
2025-08-28F0609, F0610, F0657, F0880Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide and implement an infection prevention and control program.E
2025-08-28F0550, F0578, F0580, F0584, F0602, F0605, F0628, F0641, F0655, F0676, F0684, F0686, F0690, F0697, F0730, F0757, F0761, F0791, F0812, F0842, F0881, F0883, F0887, F0943Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Protect each resident from the wrongful use of the resident's belongings or money. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe, appropriate pain management for a resident who requires such services. / Observe each nurse aide's job performance and give regular training. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Provide or obtain dental services for each resident. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Implement a program that monitors antibiotic use. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.D
2023-04-13F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2023-04-13F0584, F0925Honor 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. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E
2023-04-13F0558, F0641, F0657, F0658, F0684, F0757, F0814, F0842Reasonably accommodate the needs and preferences of each resident. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Dispose of garbage and refuse properly. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2023-04-13F0732Post nurse staffing information every day.B
2019-05-28F0641Ensure each resident receives an accurate assessment.E
2019-05-28F0578, F0582, F0584, F0600, F0656, F0657, F0679, F0684, F0688, F0697, F0725, F0756, F0757, F0761, F0800, F0842Honor 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. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / 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. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Provide safe, appropriate pain management for a resident who requires such services. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D

How is FREDERICK VILLA HEALTHCARE staffed relative to the MD average?

MeasureThis facilityMD average
Total nurse staffing hours per resident per day3.278763.87381
Total nursing staff turnover (%)42.240.2
Average number of residents per day109.3105.7

Who owns FREDERICK VILLA HEALTHCARE, and what chain is it in?

FREDERICK VILLA HEALTHCARE is registered with CMS as For profit - Corporation, operates under the legal business name ACADEMY MD OPCO and belongs to the ENGAGE HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTACADEMY MD HOLDCO LLCsince 08/01/2023
5% OR GREATER INDIRECT OWNERSHIP INTERESTLIGHTEN, JAKE, PANETH, JACKsince 08/01/2023
W-2 MANAGING EMPLOYEELOLOYAN, ELISHAsince 08/01/2023
CORPORATE OFFICERPANETH, JACKsince 08/01/2023
OPERATIONAL/MANAGERIAL CONTROLLIGHTEN, JAKEsince 08/01/2023

Were you or a family member harmed at FREDERICK VILLA HEALTHCARE?