Carroll Lutheran Village
Carroll Lutheran Village, in WESTMINSTER, Maryland, holds 72 certified beds and has been certified for Medicare and Medicaid since 1981-09-14, averaging 67.1 residents a day.
Has Carroll Lutheran Village been cited for violations?
CMS lists 34 health-inspection deficiencies for Carroll Lutheran Village since 2018-09-25, 6 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2025-06-06.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-06-06 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-06-06 | F0657, F0695, F0697, F0761, F0842 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2021-09-02 | F0726, F0812, F0867 | 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F |
| 2021-09-02 | F0641, F0842, F0880 | Ensure each resident receives an accurate assessment. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | E |
| 2021-09-02 | F0550, F0656, F0657, F0658, F0684, F0689, F0757, F0758, F0761, F0925 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / 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. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D |
| 2018-09-25 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2018-09-25 | F0584, F0624, F0761 | 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. / Prepare residents for a safe transfer or discharge from the nursing home. / 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. | E |
| 2018-09-25 | F0558, F0580, F0582, F0656, F0757, F0758 | Reasonably accommodate the needs and preferences of each resident. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. | D |
| 2018-09-25 | F0623, F0625 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. | C |
How is Carroll Lutheran Village staffed?
| Measure | This facility | MD average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.89138 | 3.87381 |
| Total nursing staff turnover (%) | 33.7 | 40.2 |
| Average number of residents per day | 67.1 | 105.7 |
Who owns Carroll Lutheran Village?
Carroll Lutheran Village is registered with CMS as Non profit - Corporation, operates under the legal business name CARROLL LUTHERAN VILLAGE INC.
| Role | Owner | Association date |
|---|---|---|
| INDIRECT OWNERSHIP INTEREST | BRANCH, JEFFREY, COUSINS, KAREN, MARTINEZ, JOSE | since 04/01/2025 |
| CORPORATE OFFICER | BRANCH, JEFFREY, POWELL, STEVEN, ROSENHEIM, MICHELLE | since 06/02/2014 |
| OPERATIONAL/MANAGERIAL CONTROL | CARROLL LUTHERAN VILLAGE INC, FRIENDS SERVICES FOR THE AGING, SODEXHO INC, COUSINS, KAREN, GARVIN, RENEE, MARTINEZ, JOSE, ROMERIL, KERRIE, ROSENHEIM, MICHELLE, UTTENREITHER, HEATHER | since 01/01/2000 |
| ADP OF THE SNF | AEGIS THERAPIES, INC., FRIENDS SERVICES FOR THE AGING, SODEXHO INC, COUSINS, KAREN, MARTINEZ, JOSE, UTTENREITHER, HEATHER | since 07/10/2025 |
Were you or a family member harmed at Carroll Lutheran Village?