MALLARD BAY NURSING AND REHAB
Certified for Medicare and Medicaid since 1989-03-17, MALLARD BAY NURSING AND REHAB is a 160-bed nursing home in CAMBRIDGE, Maryland, averaging 109.7 residents a day.
Has MALLARD BAY NURSING AND REHAB been cited for violations?
CMS lists 87 health-inspection deficiencies for MALLARD BAY NURSING AND REHAB since 2018-12-04, 65 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 2026-06-25.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-25 | F0584, F0692 | 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. / Provide enough food/fluids to maintain a resident's health. | E |
| 2026-06-25 | F0600, F0755 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2026-05-21 | F0609, F0627, F0628, F0684, F0686 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2026-03-30 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F |
| 2026-03-30 | F0761, F0801 | 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. / Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E |
| 2026-03-30 | F0610, F0677, F0842, F0880 | Respond appropriately to all alleged violations. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. | D |
| 2026-03-30 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | B |
| 2026-01-08 | F0641, F0684 | Ensure each resident receives an accurate assessment. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E |
| 2026-01-08 | F0558, F0583, F0628, F0685, F0689, F0695, F0840, F0842 | Reasonably accommodate the needs and preferences of each resident. / Keep residents' personal and medical records private and confidential. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Assist a resident in gaining access to vision and hearing services. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / 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 |
| 2025-10-22 | F0604, F0657, F0842 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-09-05 | F0550, F0584, F0602, F0609, F0656, F0658, F0684, F0685, F0689, F0842, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. / Assist a resident in gaining access to vision and hearing services. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. | D |
| 2025-04-30 | F0558, F0580, F0609, F0610, F0641, F0677, F0684, F0692, F0725, F0839, F0850 | 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Ensure each resident receives an accurate assessment. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Employ staff that are licensed, certified, or registered in accordance with state laws. / Hire a qualified full-time social worker in a facility with more than 120 beds. | E |
| 2025-04-30 | F0583, F0600, F0636, F0656, F0657, F0686, F0689, F0710, F0755, F0757, F0791, F0840, F0842 | Keep residents' personal and medical records private and confidential. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / 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 appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide or obtain dental services for each resident. / 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 |
| 2022-08-26 | F0580, F0623, F0686, F0692, F0803, F0842 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide enough food/fluids to maintain a resident's health. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2018-12-04 | F0730, F0812 | Observe each nurse aide's job performance and give regular training. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2018-12-04 | F0758, F0842 | 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2018-12-04 | F0552, F0558, F0580, F0585, F0610, F0636, F0641, F0656, F0684, F0695, F0756, F0880 | Ensure that residents are fully informed and understand their health status, care and treatments. / 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. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Respond appropriately to all alleged violations. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Ensure each resident receives an accurate assessment. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Provide and implement an infection prevention and control program. | D |
How is MALLARD BAY NURSING AND REHAB staffed relative to the MD average?
| Measure | This facility | MD average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.26637 | 3.87381 |
| Total nursing staff turnover (%) | 45.2 | 40.2 |
| Average number of residents per day | 109.7 | 105.7 |
Who owns MALLARD BAY NURSING AND REHAB, and what chain is it in?
MALLARD BAY NURSING AND REHAB is registered with CMS as For profit - Corporation, operates under the legal business name CAMBRIDGE MD OPCO LLC and belongs to the KEY HEALTH MANAGEMENT chain.
| Role | Owner | Association date |
|---|---|---|
| DIRECT OWNERSHIP INTEREST | CAMBRIDGE MD HOLDCO LLC | since 11/01/2022 |
| INDIRECT OWNERSHIP INTEREST | MD5 INVESTORS LLC, HIRTH, YECHIEL | since 11/01/2022 |
| OPERATIONAL/MANAGERIAL CONTROL | HIRTH, YECHIEL, HOWARD, DANIEL, WHITE, ELLIOTT | since 11/01/2022 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | AUSCH, SARA, EISEN, MENASHE, KLEIN, YEHUDIS, PERLSTEIN, BARRY, SCHLUSSEL, NAFTALI | since 06/10/2025 |
| ADP OF THE SNF | KEY HEALTH MANAGEMENT LLC, HOWARD, DANIEL, WHITE, ELLIOTT | since 11/01/2022 |
Were you or a family member harmed at MALLARD BAY NURSING AND REHAB?