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Citizens Care and Rehabilitation Center of Frederick

Citizens Care and Rehabilitation Center of Frederick is a large, 170-bed nursing home in Frederick, Maryland. This nursing home is managed by Auora Mid-Atlantic LLC, a Millersville company that owns or manages a number of nursing homes in Maryland.

This nursing home has an interesting history. The Medicare ratings for Citizens Care crashed from four stars to two stars in 2015 based on health inspections (here is one that was pretty brutal), staffing, and quality measures.

Auora had just bought the company so there was a lot of fingerpointing as for who was responsible for this fall from grace.

To make matters worse, the rehabilitation group in the facility, RehabCare, had been giving unreasonable amounts of therapy to the facility's Medicare patients until the Justice Department stepped in and gave them a whopping fine. The train was arguably falling off the rails.

Looking at these nursing homes, the path is bad to worse. But Citizens Care went the other way. Frederick County Government retained operations in 2016. Auora Mid-Atlantic, which apparently stayed on as the management company, found some way to turn it around. In 2017, Citizen Care got a 5-star overall rating from Medicare. It still had a health inspection that was nothing to brag about, but there is no question this facility is doing much better. Crazy story.

In spite of the problems it had, we were unable to find any recent nursing home abuse or neglect lawsuits against Citizen Care.

The address for Citizens Care and Rehabilitation Center of Frederick is 1920 Rosemont Ave Frederick, MD 21702. Their phone number is 240-772-9200.

Please note the ratings below have not yet been updated. These ratings were from the year before when the facility was struggling.

1 Vital Statistics
Number of Beds: 170 certified bedsinformation

Beds in the nursing home that have been approved by the federal government to participate in Medicare or Medicaid.

Accepts: Medicare and Medicaidinformation

Shows if the nursing home participates in the Medicare, Medicaid, or both.

2 Key Ratings
Star Rating Summary
Overall Rating information

Medicare assigns the overall star rating based on a nursing homes's performance on 3 separate measures: Health inspections, staffing, and quality measures. Each of these domains have their own star ratings, with more stars meaning better quality of care

Four StarsAbove Average
Health Inspection information

Medicare assigns the star rating based on a nursing home’s weighted score from recent health inspections. More stars means fewer health risks

Three StarsAverage
Staffing information

Medicare assigns the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs), and Nurse aides. More stars means a better level of staffing per nursing home resident

Three StarsAverage
RN StaffingThree StarsAverage
Quality Measures information

Medicare assigns the star rating based on data from a select set of clinical data measures. More stars means better quality of care

Five StarsMuch Above Average
3 Key Short Stay Statistics
DescriptionCitizens Care And Rehabilitation Center Of FrederiMaryland
Average
Percent of short-stay residents who self-report moderate to severe pain
Lower percentages are better.
8.6%10.4%
Percentage of SNF residents with pressure ulcers that are new or worsened
Lower percentages are better.
1.4%Not Available
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
99.5%85.3%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
99.6%84.0%
Percentage of short-stay residents who got antipsychotic medication for the first time
Lower percentages are better.
1.0%1.7%
4 Key Long Stay Statistics
DescriptionCitizens Care And Rehabilitation Center Of FrederiMaryland
Average
Percent of long-stay residents experiencing one or more falls with major injury
Lower percentages are better.
3.3%2.7%
Percent of long-stay residents with a urinary tract infection
Lower percentages are better.
1.2%2.5%
Percent of long-stay residents who self-report moderate to severe pain
Lower percentages are better.
8.4%5.4%
Percent of long-stay high-risk residents with pressure ulcers
Lower percentages are better.
6.3%8.8%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Lower percentages are better.
67.8%62.3%
Percent of long-stay residents who have or had a catheter inserted and left in their bladder
Lower percentages are better.
0.3%1.7%
Percent of long-stay residents who were physically restrained
Lower percentages are better.
0.0%0.2%
Percentage of long-stay residents whose ability to move independently worsened
Lower percentages are better.
23.2%22.5%
Percent of long-stay residents whose need for help with daily activities has increased
Lower percentages are better.
18.4%18.0%
Percent of long-stay residents who lose too much weight
Lower percentages are better.
6.0%5.8%
Percent of long-stay residents who have depressive symptoms
Lower percentages are better.
3.9%3.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Lower percentages are better.
24.6%16.2%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Higher percentages are better.
97.9%96.7%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Higher percentages are better.
99.0%94.1%
Percent of long-stay residents who received an antipsychotic medication
Lower percentages are better.
6.7%12.4%
5 Inspection Summary

Date of standard health inspection: 01/12/2018
Total number of health deficiencies: 20
Average number of health deficiencies in Maryland: 14.9

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