Citizens Care and Rehabilitation Center of Frederi

Name: Citizens Care and Rehabilitation Center of Frederi
Address: 1920 ROSEMONT AVENUE, Frederick, MD, 21702, US
Telephone: 2407729200

1920 Rosemont Avenue, Frederick, MD 21702 · Frederick County · 170 certified beds · avg 159 residents/day · certified since Dec 1, 1976

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.80

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Jun 18, 2019 · F-0578

The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.

Why it matters: Ignoring these rights means residents may receive treatments they refused, or miss having their end-of-life wishes respected.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Aug 2, 2019 (Deficient, Provider has date of correction)

All citations in the current public record (33)

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
Mar 20, 2026	F · Potential for harm, facility-wide	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Mar 20, 2026	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.
Mar 20, 2026	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Mar 20, 2026	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Mar 20, 2026	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Mar 20, 2026	D · Potential for harm, one-off	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Mar 20, 2026	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.
Mar 20, 2026	D · Potential for harm, one-off	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.
Oct 16, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Oct 16, 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. · from a complaint
Dec 23, 2024	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.
Dec 23, 2024	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.
Dec 23, 2024	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.
Dec 23, 2024	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Dec 23, 2024	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.
Dec 23, 2024	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.
Dec 23, 2024	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Dec 23, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Jun 18, 2019	▲ G · Actual harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Jun 18, 2019	E · Potential for harm, repeated	The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit.
Jun 18, 2019	E · Potential for harm, repeated	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Jun 18, 2019	E · Potential for harm, repeated	The facility did not observe each nurse aide's job performance or provide regular training as required.
Jun 18, 2019	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.
Jun 18, 2019	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Jun 18, 2019	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Jun 18, 2019	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Jun 18, 2019	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.
Jun 18, 2019	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 18, 2019	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Jun 18, 2019	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.
Jun 18, 2019	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Jun 18, 2019	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jun 18, 2019	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.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 8).

Year	Citations	Serious (G–L)	Worst severity that year
2019	15	1	G ▲
2024	8	0	F
2025	2	0	D
2026	8	0	F

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)	3.80	3.83	3.95	top 35% in Maryland; top 48% in the U.S.
Registered Nurse hours	0.74	0.83	0.69	top 43% in Maryland; top 33% in the U.S.
Weekend total nurse staffing	3.38	3.43	3.50	top 37% in Maryland; top 49% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.55	0.63	0.48	top 44% in Maryland; top 28% in the U.S.
Total nursing staff turnover (%)	27.5	40.2	45.8	top 17% in Maryland; top 10% in the U.S.
RN turnover (%)	23.8	38.7	42.9	top 18% in Maryland; top 20% 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 3.99, RN 0.77, weekend 3.55. Staffing rating: 4/5.

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

Government - County

Owner / manager	Type	Role	Stake	Since
Frederick County Maryland	Organization	5% or Greater Direct Ownership Interest	—	09/01/2016
White, Erin	Individual	5% or Greater Direct Ownership Interest	—	11/01/2024
Aurora Health Management, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/2016
Frederick County Maryland	Organization	ADP of the SNF	NOT APPLICABLE	02/21/2025
White, Erin	Individual	Corporate Director	NOT APPLICABLE	11/01/2024
White, Erin	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2016
White, Erin	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2024

Questions to ask on your visit

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

"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"Could I join residents for a meal to see the food quality and temperature for myself?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"How do you keep residents' medical records accurate, complete, and secure?"
"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
Frederick Crossing of Journey	1.5 mi	Frederick, MD	★★★★☆	3/5
Northampton Manor Nursing and Rehabilitation Cente	1.8 mi	Frederick, MD	★☆☆☆☆	1/5
Homewood Living Frederick	3.0 mi	Frederick, MD	★★★★★	5/5
Autumn Lake Healthcare at Braddock Heights	4.6 mi	Frederick, MD	★★★★☆	4/5
Autumn Lake Healthcare at Glade Valley	5.2 mi	Walkersville, MD	★★☆☆☆	2/5
Autumn Lake Healthcare at Ballenger Creek	5.5 mi	Frederick, MD	★★☆☆☆	1/5
Willowbrooke Ct Skilled Care Buckingham's Choice	7.9 mi	Adamstown, MD	★★★★★	5/5
South Mountain Rehab Center	12.3 mi	Boonsboro, MD	★★★☆☆	3/5
Fahrney-Keedy Memorial Home	13.8 mi	Boonsboro, MD	★★★★★	5/5
Lorien Health Systems Mt Airy	15.8 mi	Mount Airy, MD	★★★★★	4/5
Mount Airy Nursing and Rehab Center	16.7 mi	Mount Airy, MD	★★☆☆☆	2/5	abuse
Creekside Center for Rehabilitation and Nursing	19.5 mi	Hagerstown, MD	★☆☆☆☆	1/5	SFF

Compare this facility with the 3 closest →

All facilities in Frederick →

Facility data as of CMS processing date 2026-08-01. CCN 215105.

The Care File

Visit checklist — Citizens Care and Rehabilitation Center of Frederi

1920 Rosemont Avenue, Frederick, MD 21702 · 2407729200

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

Most serious findings on record:

▲ Jun 18, 2019 (F-0578, Actual harm, one-off): The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.

Questions for the administrator:

☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "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 215105 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)