Carroll Lutheran Village

Name: Carroll Lutheran Village
Address: 200 ST. LUKE'S CIRCLE, Westminster, MD, 21157, US
Telephone: 4108480225

200 St. Luke'S Circle, Westminster, MD 21157 · Carroll County · 72 certified beds · avg 67 residents/day · certified since Sep 14, 1981

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.49

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (34)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 6, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 6, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jun 6, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jun 6, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Jun 6, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jun 6, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Sep 2, 2021	F · Potential for harm, facility-wide	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Sep 2, 2021	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Sep 2, 2021	F · Potential for harm, facility-wide	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Sep 2, 2021	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Sep 2, 2021	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Sep 2, 2021	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Sep 2, 2021	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Sep 2, 2021	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Sep 2, 2021	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Sep 2, 2021	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Sep 2, 2021	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Sep 2, 2021	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Sep 2, 2021	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Sep 2, 2021	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Sep 2, 2021	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Sep 2, 2021	D · Potential for harm, one-off	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Sep 25, 2018	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Sep 25, 2018	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Sep 25, 2018	E · Potential for harm, repeated	The facility did not properly prepare residents for a safe transfer or discharge. Before a resident leaves, the facility must get them ready and make sure the move is safe and orderly.
Sep 25, 2018	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Sep 25, 2018	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Sep 25, 2018	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Sep 25, 2018	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Sep 25, 2018	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Sep 25, 2018	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Sep 25, 2018	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Sep 25, 2018	C · Minimal risk, facility-wide	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Sep 25, 2018	C · Minimal risk, facility-wide	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (16 → 6).

Year	Citations	Worst severity that year
2018	12	F
2021	16	F
2025	6	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Maryland avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.49	3.83	3.95	top 14% in Maryland; top 23% in the U.S.
Registered Nurse hours	1.19	0.83	0.69	top 12% in Maryland; top 10% in the U.S.
Weekend total nurse staffing	4.24	3.43	3.50	top 13% in Maryland; top 17% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.91	0.63	0.48	top 15% in Maryland; top 8% in the U.S.
Total nursing staff turnover (%)	33.7	40.2	45.8	top 30% in Maryland; top 21% in the U.S.
RN turnover (%)	35.0	38.7	42.9	top 42% in Maryland; top 38% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.89, RN 1.03, weekend 3.67. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Branch, Jeffrey	Individual	Indirect Ownership Interest	NOT APPLICABLE	07/08/2019
Cousins, Karen	Individual	Indirect Ownership Interest	NOT APPLICABLE	04/01/2025
Martinez, Jose	Individual	Indirect Ownership Interest	NOT APPLICABLE	04/01/2025
Aegis Therapies, INC.	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2023
Branch, Jeffrey	Individual	Corporate Officer	NOT APPLICABLE	07/08/2019
Carroll Lutheran Village INC	Organization	Operational/Managerial Control	NOT APPLICABLE	09/10/1981
Cousins, Karen	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2025
Cousins, Karen	Individual	ADP of the SNF	NOT APPLICABLE	07/15/2025
Friends Services for the Aging	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2000
Friends Services for the Aging	Organization	ADP of the SNF	NOT APPLICABLE	07/10/2025
Garvin, Renee	Individual	Operational/Managerial Control	NOT APPLICABLE	01/27/2025
Martinez, Jose	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2025
Martinez, Jose	Individual	ADP of the SNF	NOT APPLICABLE	07/15/2025
Powell, Steven	Individual	Corporate Officer	NOT APPLICABLE	06/02/2014
Romeril, Kerrie	Individual	Operational/Managerial Control	NOT APPLICABLE	12/14/2024
Rosenheim, Michelle	Individual	Corporate Officer	NOT APPLICABLE	06/24/2025
Rosenheim, Michelle	Individual	Operational/Managerial Control	NOT APPLICABLE	06/24/2025
Sodexho INC	Organization	Operational/Managerial Control	NOT APPLICABLE	05/01/2024
Sodexho INC	Organization	ADP of the SNF	NOT APPLICABLE	07/10/2025
Uttenreither, Heather	Individual	Operational/Managerial Control	NOT APPLICABLE	08/18/2023

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"How do you keep residents' medical records accurate, complete, and secure?"
"How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
"How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Atlee Hill Health and Rehab Center	0.4 mi	Westminster, MD	★★☆☆☆	2/5
Westminster Rehabilitation and Wellness Center	1.0 mi	Westminster, MD	★★☆☆☆	2/5	abuse
Autumn Lake Healthcare at Long View	9.4 mi	Manchester, MD	★★★★☆	4/5
Lorien Taneytown, INC	11.0 mi	Taneytown, MD	★★★☆☆	3/5
Future Care Cherrywood	11.7 mi	Reisterstown, MD	★★★★★	4/5
Copper Ridge Nursing and Assisted Living Center	12.3 mi	Sykesville, MD	★☆☆☆☆	1/5
Willowbrooke Court Skilled Care Center Fairhaven	12.5 mi	Sykesville, MD	★★★★☆	3/5
Autumn Lake Healthcare at Birch Manor	12.5 mi	Sykesville, MD	★★★★☆	3/5
Chapel Hill Nursing Center	13.0 mi	Randallstown, MD	★☆☆☆☆	2/5
Concordia at Spiritrust Utz Terrace	13.6 mi	Hanover, PA	★★★★★	4/5
Lorien Health Systems Mt Airy	15.5 mi	Mount Airy, MD	★★★★★	4/5
Mount Airy Nursing and Rehab Center	15.8 mi	Mount Airy, MD	★★☆☆☆	2/5	abuse

Compare this facility with the 3 closest →

All facilities in Westminster →

Facility data as of CMS processing date 2026-08-01. CCN 215133.

The Care File

Visit checklist — Carroll Lutheran Village

200 St. Luke'S Circle, Westminster, MD 21157 · 4108480225

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
☐ "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 215133 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)