Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Chestnut Grn Hlth Ctr Blakehur during CMS and state inspections, most recent first.
The facility failed to maintain complete kitchen records and store food according to professional standards. Missing documentation for temperature and chemical levels was noted, and improper food storage was observed, including unlabeled and undated items. Condensation from ceiling vents and a leak under a PVC pipe were also identified, with maintenance requests delayed.
A resident was transferred to the hospital on three occasions without receiving a written notice explaining the reason for the transfers. The medical records lacked documentation of such notices, and the DON confirmed the absence of this documentation during an interview.
A facility failed to provide a resident and their representative with written notice of the bed hold policy during hospital transfers. The resident was transferred to the hospital multiple times, but the medical records lacked documentation of the policy being communicated. The DON confirmed the absence of such documentation, which is required by the facility's policy.
A facility failed to accurately document a resident's oral assessments, leading to a deficiency. The resident, with a history of muscle weakness, dysphagia, and other conditions, was observed to have no teeth, yet records indicated otherwise. The MDS assessments documented broken or loosely fitting dentures, while the admission assessment noted upper dentures. The DON confirmed the dentures did not fit well and were taken home by the family, highlighting a documentation inconsistency.
The facility failed to develop and implement person-centered care plans for three residents, leading to deficiencies in addressing their specific needs. A resident with communication deficits lacked a care plan for their impaired hearing and vision. Another resident on an insulin regimen did not have a care plan for insulin management, and a third resident on anticoagulation therapy lacked a care plan for associated risks. These omissions indicate a failure to adequately plan and manage the residents' care needs.
The facility failed to obtain accurately documented informed consent and did not update bed rail assessments for two residents. One resident had a history of mobility issues and dementia, but their care plan lacked bed rail interventions, and the consent form was incomplete. Another resident with a history of muscle weakness and dementia also had incomplete consent documentation and missing quarterly assessments. The facility's policy requires bed rail assessments and informed consent, which were not adhered to, leading to the deficiency.
The facility failed to maintain accurate medical records for two residents. One resident's Influenza Immunization Informed Consent form was incomplete, missing the resident's name. Another resident's records inaccurately documented an indwelling catheter, which was not present according to the electronic medical record.
Deficiencies in Kitchen Record-Keeping and Food Storage
Penalty
Summary
The facility failed to maintain complete kitchen records and store food according to professional standards, as observed during the annual survey. The surveyor noted missing documentation for temperature and chemical levels in the kitchen's three-compartment sink and dishwasher area from July 12 to July 15. The Dietary Manager was unaware of the oversight, which was attributed to the weekend staff being busy. The issue was addressed with the staff, and subsequent records were complete. During the kitchen tour, the surveyor found multiple instances of improper food storage. In several refrigerators, items were either unlabeled, undated, or incorrectly stored, such as applesauce containers being moved to a different tray, potentially leading to expired products remaining in storage. Additionally, condensation from ceiling vents was observed dripping onto the floor near food transportation carts, and a pan under a PVC pipe was filled with a tan odorous liquid due to a leak. Further observations in the upper-level kitchen revealed open and undated food items in both the refrigerator and dry storage areas. Items such as egg rolls, spanakopita, and various meats were found without labels or dates, and some foods were open to air. The surveyor also noted that maintenance requests for kitchen repairs had been delayed, contributing to the issues observed.
Failure to Provide Written Notice for Hospital Transfers
Penalty
Summary
The facility failed to provide written notice with the reason for the transfer of a resident, which was identified during a survey. Resident #45, who was admitted to the facility in early February 2024, was transferred to the hospital on three occasions: 3/28/24, 4/4/24, and 5/1/24. Upon reviewing the medical records, it was found that there was no documentation indicating that Resident #45 received a written notice explaining the reason for these transfers. During an interview, the Director of Nursing (DON) confirmed the absence of such documentation for the three hospital transfers.
Failure to Provide Bed Hold Policy Notice
Penalty
Summary
The facility failed to provide a resident and their representative with a written notice of the bed hold policy upon transfer to an acute care facility. This deficiency was identified during a review of the medical records and staff interviews, specifically for a resident who was transferred to the hospital on three separate occasions. The medical records for these transfers did not document that the bed hold policy was communicated to the resident or their representative. The Director of Nursing confirmed the absence of documentation regarding the provision of the bed hold policy during these transfers. According to the facility's policy, residents should receive written information about the bed hold policy at least twice: upon admission and at the time of transfer, or within 24 hours if the transfer was an emergency.
Inaccurate Documentation of Oral Assessments
Penalty
Summary
The facility failed to accurately document oral assessments in a resident's medical record, specifically for a resident with dental concerns. The surveyor observed that the resident appeared to have no teeth, yet the medical records indicated otherwise. The resident was admitted in November 2022 with a history of muscle weakness, dysphagia, malignant neoplasm of the tongue, partial glossectomy, restlessness, agitation, and dementia. The care plan for nutrition aimed to meet the resident's nutritional and hydration needs. However, discrepancies were found in the Minimum Data Set (MDS) assessments, which consistently documented the resident as having broken or loosely fitting dentures, while the admission assessment noted the presence of upper dentures. Upon further investigation, it was revealed that the resident's dentures did not fit well, and the family had taken them home. The Director of Nursing (DON) confirmed that the resident did have dentures, but they were not properly fitting, and the MDS should have been coded as edentulous, indicating no natural teeth or tooth fragments. This inconsistency in documentation between the nursing admission assessment and the MDS admission assessment led to the deficiency identified by the surveyor.
Deficiencies in Person-Centered Care Plans for Residents
Penalty
Summary
The facility failed to develop and implement person-centered care plans for three residents, leading to deficiencies in addressing their specific needs. One resident with communication deficits was observed to have impaired hearing and vision, yet their care plan did not address these communication needs. Despite the presence of a whiteboard and a telephone with large buttons in the resident's room, there were no eyeglasses or hearing aids available, and the resident relied on a magnifying glass to read. Interviews with staff confirmed the resident's communication challenges, but the care plan lacked specific strategies to address these issues. Another resident, who was on a routine insulin regimen with frequent blood sugar monitoring, did not have a care plan addressing insulin management on a sliding scale. This resident had been hospitalized due to a hyperglycemic event, highlighting the need for a comprehensive care plan. Additionally, a third resident receiving anticoagulation medication did not have a care plan addressing the risks and interventions associated with anticoagulation therapy. The absence of these care plans indicates a failure to adequately plan and manage the residents' care needs, as evidenced by the surveyor's findings.
Failure to Document Informed Consent and Update Bed Rail Assessments
Penalty
Summary
The facility failed to obtain accurately documented informed consent prior to the use of bed rails and did not update bed rail assessments for two residents during an annual survey. For Resident #14, the surveyor observed 1/4 length bed rails on both sides of the bed. The resident's medical record indicated a history of difficulty in walking, muscle weakness, joint replacement, and vascular dementia. However, the mobility care plan did not list any interventions for bed rails. The Director of Nursing (DON) confirmed that a bed rail assessment should have been completed following a recent change in the resident's condition, but no such assessment was found. Additionally, the consent form for bed rails was incomplete, with neither the consent nor non-consent box checked. Similarly, for Resident #16, the surveyor noted 1/4 length bed rails on both sides of the bed. The resident's medical record showed a history of muscle weakness, unsteadiness on feet, restlessness, agitation, and dementia. Despite having a fall care plan with multiple interventions, bed rails were not listed as an intervention. The DON provided bed rail assessments dated 11/10/22 and 8/20/23 but acknowledged that no quarterly assessments were completed, as expected. The consent form for bed rails was also incomplete, with neither the consent nor non-consent box checked. The facility's bed rail policy requires that bed rail assessments be completed prior to use, reviewed quarterly, and updated with significant changes in the resident's condition. The policy also mandates informed consent before using bed rails. The surveyor's findings indicate that these procedures were not followed for both residents, leading to the deficiency in accurately documenting informed consent and updating bed rail assessments.
Deficiencies in Medical Record Accuracy and Completeness
Penalty
Summary
The facility failed to maintain complete and accurate medical records for two residents during the annual survey. For one resident, the Influenza Immunization Informed Consent form was incomplete as it lacked the resident's name, although it was signed by the resident's representative and witnessed by a facility staff. This omission was identified during a review of the resident's medical record, which included multiple diagnoses such as Dementia, Depression, Hypertension, and Arthritis. For another resident, the Physician's Wound Evaluation and Management Summary notes inaccurately documented the presence of an indwelling catheter in the Review of Systems section for several months. However, further review of the resident's electronic medical record did not support this documentation, as there was no evidence that the resident had an indwelling catheter. This discrepancy was confirmed during an interview with the Director of Nursing.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Towson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pickersgill Retirement Community | 0.3 mi | — | 1 | 0 |
| Orchard Hill Rehabilitation And Healthcare Center | 0.5 mi | — | 16 | 0 |
| Autumn Lake Healthcare At Ruxton | 0.6 mi | — | 39 | 0 |
| Greater Baltimore Medical Center Sub Acute Unit | 1.1 mi | — | 0 | 0 |
| Edenwald | 1.4 mi | — | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.