NORTHAMPTON MANOR NURSING AND REHABILITATION CENTE
NORTHAMPTON MANOR NURSING AND REHABILITATION CENTE is a 196-bed nursing home in FREDERICK, Maryland. CMS has certified it for Medicare and Medicaid since 1990-02-01. It averages 110.8 residents a day.
What harm was found in the violations cited at NORTHAMPTON MANOR NURSING AND REHABILITATION CENTE?
CMS lists 67 health-inspection deficiencies for NORTHAMPTON MANOR NURSING AND REHABILITATION CENTE since 2019-10-04, 49 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-01-30.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-01-30 | F0584, F0628, F0657, F0684, F0690, F0695, F0700, F0730, F0740, F0756, F0760, F0761, F0865, F0880, F0940 | 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 the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / 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 treatment and care according to orders, resident’s preferences and goals. / 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 and appropriate respiratory care for a resident when needed. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / Observe each nurse aide's job performance and give regular training. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure that residents are free from significant medication errors. / 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. / Have a plan that describes the process for conducting QAPI and QAA activities. / Provide and implement an infection prevention and control program. / Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D |
| 2024-08-29 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-08-29 | F0607, F0609, F0610, F0730, F0732, F0835, F0880, F0887, F0941, F0942, F0943, F0944, F0949 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Observe each nurse aide's job performance and give regular training. / Post nurse staffing information every day. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Provide and implement an infection prevention and control program. / 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. / Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. / Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F |
| 2024-08-29 | F0580, F0641, F0657, F0759 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the 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 medication error rates are not 5 percent or greater. | E |
| 2024-08-29 | F0584, F0600, F0656, F0679, F0684, F0685, F0688, F0692, F0712, F0758, F0761, F0812, F0842, F0908, F0940, F0945 | 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. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Assist a resident in gaining access to vision and hearing services. / 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 enough food/fluids to maintain a resident's health. / Ensure that the resident and his/her doctor meet face-to-face at all required visits. / 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. / 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. / Keep all essential equipment working safely. / Develop, implement, and/or maintain an effective training program for all new and existing staff members. / Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | D |
| 2019-10-04 | F0812, F0867 | 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 |
| 2019-10-04 | F0657, F0689, F0700, F0759, F0842 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / Ensure medication error rates are not 5 percent or greater. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2019-10-04 | F0582, F0584, F0641, F0645, F0656, F0677, F0684, F0744, F0880 | 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. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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 the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Provide and implement an infection prevention and control program. | D |
| 2019-10-04 | F0732, F0908 | Post nurse staffing information every day. / Keep all essential equipment working safely. | C |
Why was NORTHAMPTON MANOR NURSING AND REHABILITATION CENTE fined?
| Date | Type | Amount |
|---|---|---|
| 2024-08-29 | Fine | $16,562 |
How is NORTHAMPTON MANOR NURSING AND REHABILITATION CENTE staffed relative to the MD average?
| Measure | This facility | MD average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.44253 | 3.87381 |
| Total nursing staff turnover (%) | 26.1 | 40.2 |
| Average number of residents per day | 110.8 | 105.7 |
Who owns NORTHAMPTON MANOR NURSING AND REHABILITATION CENTE, and what chain is it in?
NORTHAMPTON MANOR NURSING AND REHABILITATION CENTE is registered with CMS as For profit - Limited Liability company, operates under the legal business name FREDERICK HEALTH CARE LLC and belongs to the FUNDAMENTAL HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | MARYLAND LONG TERM CARE LLC | since 03/18/2016 |
| W-2 MANAGING EMPLOYEE | ROLES, MICHAEL | since 12/30/2021 |
| CORPORATE OFFICER | ROLES, MICHAEL | since 12/30/2021 |
Were you or a family member harmed at NORTHAMPTON MANOR NURSING AND REHABILITATION CENTE?