Citizens Care Center

Name: Citizens Care Center
Address: 415 SOUTH MARKET STREET, Havre de Grace, MD, 21078, US
Telephone: 4109395500

415 South Market Street, Havre de Grace, MD 21078 · Harford County · 184 certified beds · avg 125 residents/day · certified since Jan 3, 1967

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.45

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 (38)

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
Jan 29, 2026	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.
Jan 29, 2026	E · Potential for harm, repeated	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Jan 29, 2026	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Jan 29, 2026	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.
Jan 29, 2026	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.
Jan 29, 2026	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.
Jan 29, 2026	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.
Jan 29, 2026	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.
Jan 29, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Jan 29, 2026	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.
Jan 29, 2026	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Nov 7, 2025	D · Potential for 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. · from a complaint
Nov 7, 2025	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. · from a complaint
Nov 7, 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
May 7, 2024	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
May 7, 2024	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
May 7, 2024	D · Potential for harm, one-off	The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings.
May 7, 2024	D · Potential for harm, one-off	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.
May 7, 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.
May 7, 2024	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.
May 7, 2024	D · Potential for harm, one-off	The facility did not observe each nurse aide's job performance or provide regular training as required.
May 7, 2024	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
May 7, 2024	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.
May 7, 2024	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.
May 7, 2024	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.
May 7, 2024	D · Potential for harm, one-off	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention.
May 2, 2019	E · Potential for harm, repeated	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.
May 2, 2019	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
May 2, 2019	E · Potential for harm, repeated	The facility did not observe each nurse aide's job performance or provide regular training as required.
May 2, 2019	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.
May 2, 2019	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
May 2, 2019	D · Potential for 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.
May 2, 2019	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.
May 2, 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.
May 2, 2019	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
May 2, 2019	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.
May 2, 2019	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
May 2, 2019	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.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (12 → 11).

Year	Citations	Worst severity that year
2019	12	E
2024	12	E
2025	3	D
2026	11	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)	4.45	3.83	3.95	top 15% in Maryland; top 25% in the U.S.
Registered Nurse hours	0.90	0.83	0.69	top 25% in Maryland; top 21% in the U.S.
Weekend total nurse staffing	4.11	3.43	3.50	top 14% in Maryland; top 20% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.69	0.63	0.48	top 26% in Maryland; top 17% in the U.S.
Total nursing staff turnover (%)	28.2	40.2	45.8	top 20% in Maryland; top 11% in the U.S.
RN turnover (%)	30.0	38.7	42.9	top 29% in Maryland; top 29% 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 4.02, RN 0.81, weekend 3.72. 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: 2/5 · long-stay residents: 2/5 · short-stay residents: 3/5

Who owns this facility

Non profit - Other

Owner / manager	Type	Role	Stake	Since
Badeker, Patricia	Individual	Corporate Director	NOT APPLICABLE	01/23/2020
Baxter, Wendell	Individual	Corporate Director	NOT APPLICABLE	10/31/2012
Beulah, Curtis	Individual	Corporate Director	NOT APPLICABLE	12/03/2015
Correri, John	Individual	Corporate Director	NOT APPLICABLE	12/03/2015
Jordan, Joyce	Individual	Corporate Director	NOT APPLICABLE	10/31/1999
Panos, Peter	Individual	Operational/Managerial Control	NOT APPLICABLE	11/23/1976
Quimby, Cindy	Individual	W-2 Managing Employee	NOT APPLICABLE	06/08/2022
Roberts, Anna	Individual	Corporate Director	NOT APPLICABLE	10/31/2013
Welch, James	Individual	Corporate Director	NOT APPLICABLE	10/31/2016
Zavrotny, Kimberly	Individual	Corporate Director	NOT APPLICABLE	02/27/2020

Questions to ask on your visit

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

"Who completes resident assessments here, and how do you check them for accuracy?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"What is your policy on physical restraints, and what alternatives do you try first?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"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
Lorien Bulle Rock	4.3 mi	Havre de Grace, MD	★★★★★	5/5
Sterling Care Riverside	9.4 mi	Belcamp, MD	★★★★★	4/5
Lorien Nsg & Rehab Ctr Belair	10.7 mi	Bel Air, MD	★★★★☆	4/5
Autumn Lake Healthcare at Calvert Manor	12.3 mi	Rising Sun, MD	★★★☆☆	3/5
Laurelwood Healthcare Center	14.2 mi	Elkton, MD	★★★☆☆	2/5
Sterling Care Bel Air	14.3 mi	Bel Air, MD	★★★☆☆	2/5	abuse
Elkton Nursing and Rehabilitation Center	14.5 mi	Elkton, MD	★☆☆☆☆	1/5	abuseSFF
Sterling Care Forest Hill	15.3 mi	Forest Hill, MD	★★★★★	4/5
Oxford Health Center	17.5 mi	Oxford, PA	★★★★☆	4/5
Exceptional Care for Children	18.8 mi	Newark, DE	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Havre de Grace →

Facility data as of CMS processing date 2026-08-01. CCN 215039.

The Care File

Visit checklist — Citizens Care Center

415 South Market Street, Havre de Grace, MD 21078 · 4109395500

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

Questions for the administrator:

☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "What is your policy on physical restraints, and what alternatives do you try first?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "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 215039 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)