Lorien Health Systems Mt Airy
705 Midway Avenue, Mount Airy, MD 21771 · Carroll County · 62 certified beds · avg 58 residents/day · certified since Sep 18, 2000
Part of chain: LORIEN HEALTH SERVICES (8 facilities, chain avg rating 3.8★)
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 (42)
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 |
|---|---|---|
| May 7, 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. · from a complaint |
| May 7, 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. · from a complaint |
| Aug 13, 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. |
| Aug 13, 2025 | 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. |
| Aug 13, 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. |
| Aug 13, 2025 | 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. · from a complaint |
| Aug 13, 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. |
| Aug 13, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Aug 13, 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. |
| Aug 13, 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. |
| Aug 13, 2025 | D · Potential for harm, one-off | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Feb 20, 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 |
| Feb 20, 2025 | 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. · from a complaint |
| Feb 20, 2025 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint |
| Feb 20, 2025 | 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. · from a complaint |
| Dec 14, 2022 | 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. |
| Dec 14, 2022 | E · Potential for harm, repeated | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Dec 14, 2022 | E · Potential for harm, repeated | 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. |
| Dec 14, 2022 | 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. |
| Dec 14, 2022 | 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. |
| Dec 14, 2022 | 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. |
| Dec 14, 2022 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Dec 14, 2022 | 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. |
| Dec 14, 2022 | 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. |
| Dec 14, 2022 | 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. |
| Dec 14, 2022 | 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. |
| Jun 3, 2019 | E · Potential for harm, repeated | 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 3, 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. |
| Jun 3, 2019 | D · Potential for harm, one-off | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. |
| Jun 3, 2019 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Jun 3, 2019 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jun 3, 2019 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Jun 3, 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 3, 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. |
| Jun 3, 2019 | D · Potential for harm, one-off | 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 3, 2019 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. |
| Jun 3, 2019 | 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. |
| Jun 3, 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. |
| Jun 3, 2019 | 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. |
| Jun 3, 2019 | 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. |
| Jun 3, 2019 | D · Potential for harm, one-off | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. |
| Jun 3, 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 decreased between the last two inspection cycles (11 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 16 | 0 | E |
| 2022 | 11 | 0 | E |
| 2025 | 13 | 0 | D |
| 2026 | 2 | 0 | 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 24% in the U.S. |
| Registered Nurse hours | 0.96 | 0.83 | 0.69 | top 21% in Maryland; top 18% in the U.S. |
| Weekend total nurse staffing | 3.93 | 3.43 | 3.50 | top 16% in Maryland; top 25% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.83 | 0.63 | 0.48 | top 17% in Maryland; top 10% in the U.S. |
| Total nursing staff turnover (%) | 34.8 | 40.2 | 45.8 | top 32% in Maryland; top 24% 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 5.01, RN 1.08, weekend 4.42. 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
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Collison, Michele | Individual | 5% or Greater Direct Ownership Interest | 10% | 10/18/2004 |
| Juras, Rosemary | Individual | 5% or Greater Direct Ownership Interest | 10% | 10/18/2014 |
| Licata, Linda | Individual | 5% or Greater Direct Ownership Interest | 10% | 10/18/2004 |
| Mangione, John | Individual | 5% or Greater Direct Ownership Interest | 10% | 10/18/2004 |
| Mangione, Nicholas | Individual | 5% or Greater Direct Ownership Interest | 10% | 10/18/2004 |
| Mangione, Peter | Individual | 5% or Greater Direct Ownership Interest | — | 10/18/2004 |
| Mangione, Samuel | Individual | 5% or Greater Direct Ownership Interest | 10% | 10/18/2004 |
| O'Keefe, Frances | Individual | 5% or Greater Direct Ownership Interest | 10% | 10/18/2004 |
| Grimmel, Louis | Individual | Corporate Director | NOT APPLICABLE | 10/18/2004 |
| Grimmel, Louis | Individual | Corporate Officer | NOT APPLICABLE | 10/18/2004 |
| Juras, Rosemary | Individual | Corporate Director | NOT APPLICABLE | 10/18/2004 |
| Juras, Rosemary | Individual | Corporate Officer | NOT APPLICABLE | 10/18/2004 |
| Licata, Linda | Individual | Corporate Director | NOT APPLICABLE | 10/18/2004 |
| Licata, Linda | Individual | Corporate Officer | NOT APPLICABLE | 10/18/2004 |
| Mangione, John | Individual | Corporate Director | NOT APPLICABLE | 10/18/2004 |
| Mangione, John | Individual | Corporate Officer | NOT APPLICABLE | 10/18/2004 |
| Mangione, Louis | Individual | W-2 Managing Employee | NOT APPLICABLE | 10/18/2004 |
| Mangione, Louis | Individual | Corporate Director | NOT APPLICABLE | 10/18/2004 |
| Mangione, Louis | Individual | Corporate Officer | NOT APPLICABLE | 10/18/2004 |
| Maryland Health Enterprises, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/09/1995 |
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?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "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?"
- "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?"
- "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 |
|---|---|---|---|---|---|
| Mount Airy Nursing and Rehab Center | 1.1 mi | Mount Airy, MD | ★★☆☆☆ | 2/5 | abuse |
| Copper Ridge Nursing and Assisted Living Center | 9.4 mi | Sykesville, MD | ★☆☆☆☆ | 1/5 | |
| Willowbrooke Court Skilled Care Center Fairhaven | 9.6 mi | Sykesville, MD | ★★★★☆ | 3/5 | |
| Autumn Lake Healthcare at Birch Manor | 9.7 mi | Sykesville, MD | ★★★★☆ | 3/5 | |
| Autumn Lake Healthcare at Ballenger Creek | 10.3 mi | Frederick, MD | ★★☆☆☆ | 1/5 | |
| Autumn Lake Healthcare at Glade Valley | 13.2 mi | Walkersville, MD | ★★☆☆☆ | 2/5 | |
| Northampton Manor Nursing and Rehabilitation Cente | 14.0 mi | Frederick, MD | ★☆☆☆☆ | 1/5 | |
| Montgomery Village Care Center | 14.3 mi | Gaithersburg, MD | ★★★★★ | 5/5 | |
| Encore at Turf Valley | 14.4 mi | Ellicott City, MD | ★★★★☆ | 4/5 | |
| Westminster Rehabilitation and Wellness Center | 14.5 mi | Westminster, MD | ★★☆☆☆ | 2/5 | abuse |
| Willowbrooke Ct Skilled Care Buckingham's Choice | 15.0 mi | Adamstown, MD | ★★★★★ | 5/5 | |
| Frederick Crossing of Journey | 15.3 mi | Frederick, MD | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 215335.