Northwest Healthcare Center
4601 Pall Mall Road, Baltimore, MD 21215 · Baltimore City County · 91 certified beds · avg 83 residents/day · certified since Sep 14, 2004
Part of chain: COMMUNICARE HEALTH (110 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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 (30)
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 |
|---|---|---|
| Jun 17, 2026 | 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. · from a complaint |
| Jun 17, 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. · from a complaint |
| Jan 23, 2026 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Jan 23, 2026 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jan 23, 2026 | D · Potential for harm, one-off | The facility required residents to give up Medicare or Medicaid benefits or pay privately as a condition of moving in, or failed to tell residents which types of care it does not provide. Both practices are against the rules. |
| Jan 23, 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. |
| Jan 23, 2026 | 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. |
| Jan 23, 2026 | D · Potential for harm, one-off | The facility did not bring in qualified outside professionals to provide a required service when it didn't have a qualified professional on staff. |
| Jan 23, 2026 | 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. |
| Aug 26, 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. |
| Aug 26, 2024 | 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 26, 2024 | 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 |
| Aug 26, 2024 | 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. |
| Aug 26, 2024 | 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. |
| Aug 26, 2024 | 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. |
| Aug 26, 2024 | 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. · from a complaint |
| Aug 26, 2024 | D · Potential for harm, one-off | The facility did not properly prepare residents for a safe transfer or discharge. Before a resident leaves, the facility must get them ready and make sure the move is safe and orderly. · from a complaint |
| Aug 26, 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. · from a complaint |
| Aug 26, 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. · from a complaint |
| Aug 26, 2024 | D · Potential for harm, one-off | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · from a complaint |
| Aug 26, 2024 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · from a complaint |
| Aug 26, 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. · from a complaint |
| Jun 26, 2019 | 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. |
| Jun 26, 2019 | 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. |
| Jun 26, 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 26, 2019 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Jun 26, 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 26, 2019 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Jun 26, 2019 | 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. |
| Jun 26, 2019 | C · Minimal risk, facility-wide | The facility did not have enough fresh-air ventilation, whether through windows, mechanical systems, or both. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 8 | 0 | E |
| 2024 | 13 | 0 | F |
| 2026 | 9 | 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)
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) | 4.51 | 3.83 | 3.95 | top 14% in Maryland; top 23% in the U.S. |
| Registered Nurse hours | 0.86 | 0.83 | 0.69 | top 27% in Maryland; top 23% in the U.S. |
| Weekend total nurse staffing | 3.89 | 3.43 | 3.50 | top 17% in Maryland; top 26% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.46 | 0.63 | 0.48 | bottom 42% in Maryland; top 37% in the U.S. |
| Total nursing staff turnover (%) | 32.9 | 40.2 | 45.8 | top 28% in Maryland; top 20% in the U.S. |
| RN turnover (%) | 46.7 | 38.7 | 42.9 | bottom 31% in Maryland; bottom 41% 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 3.39, RN 0.65, weekend 2.92. 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: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| S.l.rosedale Irrevocable Trust | Organization | 5% or Greater Indirect Ownership Interest | 31% | 01/01/2016 |
| Groves, Donna | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2016 |
| Hill, Stephanie | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2016 |
| Hill, Stephanie | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2016 |
| Pall Mall Mgmt Co., LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2016 |
| Pall Mall Mgmt Co., LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/22/2025 |
| Romeo, Dominic | Individual | Corporate Director | NOT APPLICABLE | 04/01/2023 |
| Romeo, Dominic | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2023 |
| Stoltz, Charles | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2016 |
| Temesgen, Addisu | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2016 |
| Temesgen, Addisu | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2016 |
| Wilheim, Ronald | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2016 |
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?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Do you accept Medicaid from day one, and will you put in writing that no private payment is required as a condition of admission?"
- "How do residents get dental care here — is there a dentist who visits, and how are appointments arranged?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "For services you don't staff in-house, which outside professionals do you contract with?"
- "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 |
|---|---|---|---|---|---|
| Blue Point Healthcare Center | 0.8 mi | Baltimore, MD | ★★★☆☆ | 2/5 | |
| Levindale Hebrew Ger Ctr & HSP | 0.8 mi | Baltimore, MD | ★★☆☆☆ | 2/5 | |
| Autumn Lake Healthcare at Arlington West | 1.0 mi | Baltimore, MD | ★★☆☆☆ | 2/5 | abuse |
| Autumn Lake Healthcare at Alice Manor | 1.0 mi | Baltimore, MD | ★★★☆☆ | 3/5 | |
| Roland Park Rehabilitation and Healthcare Center | 1.3 mi | Baltimore, MD | ★★★☆☆ | 2/5 | |
| Autumn Lake Healthcare at Bridgepark | 1.5 mi | Baltimore, MD | ★★☆☆☆ | 2/5 | |
| Keswick Multi-Care Center | 2.0 mi | Baltimore, MD | ★★★★☆ | 3/5 | |
| Lochearn Nursing Home, LLC | 2.4 mi | Baltimore, MD | ★★★★★ | 4/5 | |
| Future Care Sandtown-Winchester | 2.8 mi | Baltimore, MD | ★★★★☆ | 3/5 | |
| Future Care Homewood | 3.0 mi | Baltimore, MD | ★★★★☆ | 4/5 | |
| Autumn Lake Healthcare at Long Green | 3.0 mi | Baltimore, MD | ★☆☆☆☆ | 1/5 | |
| Autumn Lake Healthcare at Homewood | 3.0 mi | Baltimore, MD | ★☆☆☆☆ | 2/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 215346.