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Lorien Bulle Rock
1501 Blenheim Farm Lane, Havre de Grace, MD 21078 (opens Google Maps) · Harford County · (410) 939-9300· 78 certified beds · avg 71 residents/day · certified since Jun 5, 2013 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: LORIEN HEALTH SERVICES (8 facilities, chain avg rating 3.8★)
5/5
Health inspection rating (on-site)
inspected Jul 1, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.89
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 33 inspection findings. Open the full record below to read every finding.
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. F-0657
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. F-0761
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint F-0842
View all 33 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 1, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| Jul 1, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Jul 1, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Jul 1, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0600 |
| Jul 1, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0609 |
| Jul 1, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0610 |
| Jul 1, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0677 |
| Jun 28, 2022 | E · Potential for more than minimal harm, pattern | The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697 |
| Jun 28, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0580 |
| Jun 28, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Jun 28, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0732 |
| Jun 28, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0757 |
| Oct 5, 2018 | E · Potential for more than minimal harm, pattern | 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. · F-0561 |
| Oct 5, 2018 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| Oct 5, 2018 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| Oct 5, 2018 | D · Potential for more than minimal harm, isolated | 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. · F-0623 |
| Oct 5, 2018 | D · Potential for more than minimal harm, isolated | 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. · F-0625 |
| Oct 5, 2018 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| Oct 5, 2018 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Oct 5, 2018 | D · Potential for more than minimal harm, isolated | 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. · F-0676 |
| Oct 5, 2018 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Oct 5, 2018 | D · Potential for more than minimal harm, isolated | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. · F-0685 |
| Oct 5, 2018 | D · Potential for more than minimal harm, isolated | 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. · F-0687 |
| Oct 5, 2018 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Oct 5, 2018 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Oct 5, 2018 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Oct 5, 2018 | D · Potential for more than minimal harm, isolated | 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. · F-0756 |
| Oct 5, 2018 | D · Potential for more than minimal harm, isolated | 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. · F-0757 |
| Oct 5, 2018 | D · Potential for more than minimal harm, isolated | 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. · F-0758 |
| Oct 5, 2018 | D · Potential for more than minimal harm, isolated | The facility did not provide routine dental care and 24-hour emergency dental care for residents. · F-0790 |
| Oct 5, 2018 | D · Potential for more than minimal harm, isolated | 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. · F-0812 |
| Oct 5, 2018 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Oct 5, 2018 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 3).
All citationsSerious citations (G–L)
2018
All citations: 21
Serious citations (G–L): 0
2022
All citations: 5
Serious citations (G–L): 0
2025
All citations: 7
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 21 | 0 | E |
| 2022 | 5 | 0 | E |
| 2025 | 7 | 0 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityMaryland averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.89
Maryland average: 3.83
U.S. average: 3.95
Registered Nurse hours
This facility: 0.60
Maryland average: 0.83
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.43
Maryland average: 3.43
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.92 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Lorien Bulle Rock. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 16 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Lorien Health Services — 8 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Lorien Health Systems - Columbia — Columbia, MD · overall 2/5
- Lorien Health Systems Mt Airy — Mount Airy, MD · overall 5/5
- Lorien Mays Chapel — Timonium, MD · overall 4/5
- Lorien Nsg & Rehab Ctr Belair — Bel Air, MD · overall 4/5
- Lorien Nursing & Rehab Ctr - Elkridge — Elkridge, MD · overall 3/5
- Lorien Taneytown, INC — Taneytown, MD · overall 3/5
- Encore at Turf Valley — Ellicott City, MD · overall 4/5
Listed by state, then facility name — not a ranking.
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?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 44% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 16 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
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 |
Facility data as of CMS processing date 2026-08-01. CCN 215359.
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