Lorien Bulle Rock

Name: Lorien Bulle Rock
Address: 1501 BLENHEIM FARM LANE, Havre de Grace, MD, 21078, US
Telephone: 4109399300

1501 Blenheim Farm Lane, Havre de Grace, MD 21078 · Harford County · 78 certified beds · avg 71 residents/day · certified since Jun 5, 2013

Part of chain: LORIEN HEALTH SERVICES (8 facilities, chain avg rating 3.8★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.89

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★★5/5 · 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 (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
Jul 1, 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.
Jul 1, 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.
Jul 1, 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
Jul 1, 2025	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. · from a complaint
Jul 1, 2025	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. · from a complaint
Jul 1, 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
Jul 1, 2025	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. · from a complaint
Jun 28, 2022	E · Potential for harm, repeated	The facility did not provide safe and appropriate pain management for a resident who needed it.
Jun 28, 2022	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.
Jun 28, 2022	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 28, 2022	D · Potential for harm, one-off	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Jun 28, 2022	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.
Oct 5, 2018	E · Potential for harm, repeated	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.
Oct 5, 2018	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.
Oct 5, 2018	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.
Oct 5, 2018	D · Potential for harm, one-off	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.
Oct 5, 2018	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.
Oct 5, 2018	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.
Oct 5, 2018	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.
Oct 5, 2018	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Oct 5, 2018	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.
Oct 5, 2018	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.
Oct 5, 2018	D · Potential for harm, one-off	The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults.
Oct 5, 2018	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.
Oct 5, 2018	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.
Oct 5, 2018	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.
Oct 5, 2018	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.
Oct 5, 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.
Oct 5, 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.
Oct 5, 2018	D · Potential for harm, one-off	The facility did not provide routine dental care and 24-hour emergency dental care for residents.
Oct 5, 2018	D · Potential for harm, one-off	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.
Oct 5, 2018	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.
Oct 5, 2018	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 decreased between the last two inspection cycles (5 → 3).

Year	Citations	Worst severity that year
2018	21	E
2022	5	E
2025	7	D

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)	3.89	3.83	3.95	top 32% in Maryland; top 44% in the U.S.
Registered Nurse hours	0.60	0.83	0.69	bottom 34% in Maryland; top 48% in the U.S.
Weekend total nurse staffing	3.43	3.43	3.50	top 34% in Maryland; top 46% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.40	0.63	0.48	bottom 29% in Maryland; top 48% in the U.S.
Total nursing staff turnover (%)	44.3	40.2	45.8	bottom 40% in Maryland; top 48% in the U.S.
RN turnover (%)	40.0	38.7	42.9	bottom 46% in Maryland; top 46% 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 3.92, RN 0.61, weekend 3.46. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Collison, Michele	Individual	5% or Greater Direct Ownership Interest	10%	12/17/1998
Juras, Rosemary	Individual	5% or Greater Direct Ownership Interest	—	12/17/1998
Licata, Linda	Individual	5% or Greater Direct Ownership Interest	10%	12/17/1998
Mangione, Joanne	Individual	5% or Greater Direct Ownership Interest	10%	12/17/1998
Mangione, John	Individual	5% or Greater Direct Ownership Interest	10%	12/17/1998
Mangione, Louis	Individual	5% or Greater Direct Ownership Interest	10%	12/17/1998
Mangione, Nicholas	Individual	5% or Greater Direct Ownership Interest	10%	12/17/1998
Mangione, Peter	Individual	5% or Greater Direct Ownership Interest	10%	12/17/1998
Mangione, Samuel	Individual	5% or Greater Direct Ownership Interest	10%	12/17/1998
O'Keefe, Frances	Individual	5% or Greater Direct Ownership Interest	10%	12/17/1998
Grimmel, Louis	Individual	Corporate Officer	NOT APPLICABLE	12/27/1998
Heck, Elissa	Individual	W-2 Managing Employee	NOT APPLICABLE	04/27/2018
Juras, Rosemary	Individual	Corporate Officer	NOT APPLICABLE	01/01/2003
Licata, Linda	Individual	Corporate Officer	NOT APPLICABLE	12/17/1998
Mangione, John	Individual	Corporate Officer	NOT APPLICABLE	11/28/2012
Mangione, Louis	Individual	Corporate Officer	NOT APPLICABLE	12/17/1998

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 is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"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?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"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 assess and manage residents' pain, especially for those who have trouble communicating?"
"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
Citizens Care Center	4.3 mi	Havre de Grace, MD	★★★★★	4/5
Lorien Nsg & Rehab Ctr Belair	8.1 mi	Bel Air, MD	★★★★☆	4/5
Sterling Care Riverside	9.0 mi	Belcamp, MD	★★★★★	4/5
Sterling Care Bel Air	11.4 mi	Bel Air, MD	★★★☆☆	2/5	abuse
Sterling Care Forest Hill	12.0 mi	Forest Hill, MD	★★★★★	4/5
Autumn Lake Healthcare at Calvert Manor	12.2 mi	Rising Sun, MD	★★★☆☆	3/5
Oxford Health Center	16.5 mi	Oxford, PA	★★★★☆	4/5
Laurelwood Healthcare Center	16.9 mi	Elkton, MD	★★★☆☆	2/5
Elkton Nursing and Rehabilitation Center	17.5 mi	Elkton, MD	★☆☆☆☆	1/5	abuseSFF

Compare this facility with the 3 closest →

All facilities in Havre de Grace →

Facility data as of CMS processing date 2026-08-01. CCN 215359.

The Care File

Visit checklist — Lorien Bulle Rock

1501 Blenheim Farm Lane, Havre de Grace, MD 21078 · 4109399300

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

Questions for the administrator:

☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "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?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "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 assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "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 215359 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)