Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 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 Future Care Capital Region during CMS and state inspections, most recent first.
Facility staff failed to provide reasonable accommodations for residents by not ensuring call lights were within reach. During a tour, surveyors observed six residents without accessible call lights, with some cords hanging on the wall or on the floor. The RCSM confirmed the expectation for call lights to be available, highlighting a deficiency in accommodating resident needs.
Surveyors found that the facility failed to properly label enteral feeding supplies for four residents. Observations revealed unlabeled 60-cc enteral feeding syringes and tube feeding bags, despite physician orders and facility protocols requiring daily changes and labeling. This deficiency highlights a lapse in adherence to established tube feeding management procedures.
The facility failed to maintain accurate MOLST documentation for two residents. One resident's MOLST was outdated and did not reflect their severely impaired mental capacity, while another resident's MOLST lacked documentation of a surrogate, despite indicating informed consent by one. Staff confirmed these deficiencies, highlighting lapses in ensuring accurate care preferences and decision-making authorities.
The facility failed to notify the Ombudsman of a resident's hospital transfers, as required. The deficiency was identified during a review of the resident's medical records, revealing that notifications were not completed for two hospital transfers. The Regional Clinical Services Manager confirmed the oversight, and the Nursing Home Administrator acknowledged that notifications had not been made since the previous Administrator's tenure.
The facility failed to provide appropriate respiratory care for two residents. One resident was receiving oxygen therapy without a current physician order, despite it being required by the facility's policy. This oversight occurred after the resident's recent hospitalization. Another resident with a tracheostomy lacked a manual resuscitator bag in their room, contrary to physician orders for emergency supplies. These deficiencies highlight lapses in following prescribed respiratory care protocols.
A facility failed to follow up on a psychiatric consult for a resident, which recommended discontinuing one of two antidepressants. Despite the consult's findings, there was no documentation of follow-up actions by the physician or nursing staff. The DON confirmed the consult was due to the resident's depressive symptoms but acknowledged the lack of follow-up notes.
A facility failed to administer medication as prescribed for a resident. A nurse changed the timing of a seizure medication without consulting the doctor, and no documentation was found regarding this change. The incident was confirmed by the Regional Clinical Services Manager, and the facility's administrator expected the nurse to contact the physician before altering medication times.
The facility was found deficient in sanitary and safe food handling practices during an annual survey. Observations revealed outdated and unlabeled food items in the kitchen and a refrigerator on the VS2 unit. The VS2 Unit Manager admitted that unlabeled food should be discarded, and the Administrator acknowledged the labeling and dating issues.
Facility staff failed to accurately document the Morse Fall Scale (MFS) assessments for a resident, leading to incorrect fall risk assessments due to the omission of past fall history. The DON acknowledged the documentation errors but was unaware of the reasons for the omissions.
Facility staff failed to follow infection control practices by not performing hand hygiene before donning PPE. Despite a visible reminder sign, a nurse and two other staff members were observed removing PPE without sanitizing their hands. A RN confirmed the protocol was to perform hand hygiene first, but this was not adhered to.
The facility failed to notify two residents or their representatives in writing about the bed hold policy during transfers to an acute care facility. In one case, the family was informed by phone, but no documentation of the bed hold policy was found. In another case, documentation provided did not include the bed hold policy, despite claims it was issued.
Two residents experienced deficiencies in care: one did not receive prescribed medication for nausea, and another faced a delay in scheduling an orthopedic consult for spinal stenosis. The medication was available but not documented as administered, and the appointment was scheduled 14 days after the order, contrary to facility expectations.
Failure to Ensure Call Light Accessibility for Residents
Penalty
Summary
The facility staff failed to ensure that residents were provided reasonable accommodations, specifically regarding the accessibility of call lights. During an initial tour of the PPCU-1 unit, surveyors observed that six residents did not have call lights within reach. One resident was in bed with the call light cord hanging on the oxygen gauge on the wall, while two other residents had their call lights on the floor. Additionally, three more residents were observed without an available call light. The Regional Clinical Services Manager (RCSM) confirmed that the expectation was for call lights to be available for residents. This deficiency was identified through observations and interviews, indicating a failure to accommodate the needs and preferences of the residents in terms of call light accessibility.
Failure to Label Enteral Feeding Supplies
Penalty
Summary
The facility failed to adhere to proper tube feeding care and services for four residents, as observed by surveyors. During an initial tour, surveyors noted that three residents had 60-cc enteral feeding syringes at their bedsides that were not labeled with a date. Additionally, the tube feeding bag and tubing in another resident's room were also found to be unlabeled. These observations were made despite existing physician orders that required specific management of enteral feeding supplies, including changing syringes daily and labeling them appropriately. A review of the facility's Nursing Practice Manual revealed that the protocol required gastric syringes to be changed every 24 hours and labeled with the resident's name, date, and room number. Furthermore, the enteral product label was supposed to include the resident's name, room number, date, time, and rate, with the tubing label also requiring a date and time. The facility's failure to comply with these protocols resulted in the deficiency noted by the surveyors.
Deficiencies in MOLST Documentation and Surrogate Identification
Penalty
Summary
The facility failed to ensure the accuracy of the Medical Orders for Life-Sustaining Treatment (MOLST) for two residents. For one resident, the MOLST form was outdated and did not reflect the resident's current mental capacity, which was severely impaired following a hospitalization. The facility did not update the MOLST upon the resident's return, nor did they obtain a proper advance directive to guide care. Interviews with staff confirmed the resident's incapacity to make informed decisions, yet the MOLST remained unchanged. For another resident, the MOLST indicated that a discussion and informed consent had occurred with a surrogate, as per the Health Care Decisions Act. However, the facility failed to identify or document the surrogate in the resident's medical record. When the surveyor requested the MOLST, it was confirmed that no surrogate was listed, and the Social Services Department was reportedly addressing the issue. These deficiencies highlight lapses in ensuring accurate and up-to-date documentation of residents' care preferences and decision-making authorities.
Failure to Notify Ombudsman of Resident Hospital Transfers
Penalty
Summary
The facility failed to provide timely notification to the Ombudsman regarding the transfer of a resident to the hospital. This deficiency was identified during a review of the medical records of a resident who was transferred to the hospital on two occasions. The surveyor discovered that the required notification to the Ombudsman had not been completed for these transfers. During interviews, the Regional Clinical Services Manager confirmed that the notifications had not been made. The Nursing Home Administrator later acknowledged that notifications had not been completed since November, as the former Administrator was responsible for this task.
Deficiencies in Respiratory Care for Two Residents
Penalty
Summary
The facility failed to provide appropriate respiratory care for two residents, leading to deficiencies in their care. For one resident, an oxygen humidifier bottle was observed in their room without a current physician order for oxygen therapy. The resident's care plan included an intervention for oxygen as needed, and the Minimum Data Set (MDS) assessment indicated oxygen therapy as a special respiratory treatment. However, the resident did not have a physician order for oxygen at the time of the survey, which is a requirement according to the facility's oxygen policy. The lack of a physician order was attributed to the resident's recent hospitalization and subsequent return to the facility without the order being renewed. Another resident with a tracheostomy was found to be without a manual resuscitator bag (ambu bag) in their room, which is part of the required emergency supplies. The resident's medical record included physician orders for respiratory therapy to ensure that emergency supplies, including a backup trach, syringe, and manual resuscitator bag, were available at the bedside. The absence of the ambu bag was noted during the initial tour of the unit, indicating a failure to comply with the physician's orders and ensure the resident's safety in case of an emergency.
Lack of Follow-Up After Psychiatric Consult
Penalty
Summary
The facility staff failed to provide follow-up after a psychiatric consult for a resident. A psychiatric consult was ordered and completed, which recommended that the resident did not require two antidepressants based on their current presentation. However, there was no follow-up documentation from the physician or nursing staff regarding the psychiatric consult's recommendations. The Director of Nursing (DON) confirmed that the consult was initiated due to the resident's depressive symptoms following a previous hospital visit, but acknowledged the absence of follow-up notes addressing the psychiatric consult's findings.
Medication Administration Deficiency
Penalty
Summary
The facility failed to ensure medications were administered as prescribed by the medical provider for one resident. During an interview, the resident's daughter reported that a night nurse changed the time of a seizure medication without consulting the doctor. There was no documentation found in the resident's record regarding the change in medication timing. A review of the Clinical Incident Report revealed that a registered nurse did not administer the medication as ordered and scheduled. The Regional Clinical Services Manager confirmed that the nurse did not document the reason for the time change. The facility's administrator stated that she would expect the nurse to contact the physician before making any changes to the ordered medication times.
Deficiency in Food Handling Practices
Penalty
Summary
The facility failed to ensure sanitary and safe food handling practices, which was identified during an annual survey. Observations in the kitchen revealed outdated food items, including a lemon pie with no open date or year and a container labeled with an open date but no discard date or year. Additionally, containers of teriyaki and soy sauce were not labeled or dated. In a separate refrigerator on the Vital Strong 2 (VS2) unit, an unlabeled and undated container of fruit, a bag with a resident's name and room number but no date, and a grey cooler bag with no name or date were found. The VS2 Unit Manager admitted that unlabeled food should be discarded and expressed uncertainty about how the food was placed there, as the refrigerator is kept locked to prevent unauthorized access. The Administrator acknowledged the labeling and dating issues.
Inaccurate Documentation of Morse Fall Scale Assessments
Penalty
Summary
The facility staff failed to accurately document the Morse Fall Scale (MFS) assessments for a resident, which was evident during a review of the resident's medical record. The resident had a history of falls on multiple occasions, but the MFS assessments did not accurately record this past history, leading to an incorrect assessment of the resident's fall risk. Specifically, the resident's fall risk was inaccurately assessed as moderate and low risk on different occasions due to the omission of past fall history in the MFS assessments. During an interview, the Director of Nursing (DON) acknowledged the incorrect documentation of the MFS post-fall assessments but was unaware of the reasons for the omission of the past history of falls. This deficiency was identified for one resident reviewed for falls, highlighting a lapse in maintaining accurate medical records in accordance with accepted professional standards.
Infection Control Breach: Hand Hygiene Omission
Penalty
Summary
The facility staff failed to adhere to infection control practices before donning personal protective equipment (PPE) during an annual survey. Observations revealed that a Licensed Practical Nurse and two other staff members removed PPE from a cart without performing hand hygiene, despite a visible sign reminding them to sanitize their hands before taking a gown. During an interview, a Registered Nurse confirmed that the protocol required staff to perform hand hygiene before removing PPE, yet the observed staff did not follow this procedure.
Failure to Provide Bed Hold Policy Notification
Penalty
Summary
The facility failed to notify residents or their representatives in writing about the bed hold policy when residents were transferred to an acute care facility. This deficiency was identified for two residents who were reviewed for hospitalization. In the case of the first resident, the family was informed of the transfer to the hospital via phone, but there was no documentation of the bed hold policy in the resident's chart or electronic system. The Unit Nurse Manager confirmed that the bed hold policy was not provided to the resident or the family, and this issue was raised as a concern by the Regional Clinical Services Manager. For the second resident, a closed record review revealed that the resident was transferred out with an order from a Nursing Practitioner, but there was no documented notification to the family, nor was there a bed hold policy in place. Although the Regional Clinical Services Manager provided hard copies of documents to support that the bed hold policy was issued, these documents only included an Emergency Department transfer form and a notice of facility-initiated transfer form, with no bed hold policy found. The lack of documentation of the bed hold policy was noted as a concern during further interviews.
Medication Administration and Appointment Scheduling Deficiencies
Penalty
Summary
The facility staff failed to administer medication to a resident who had been evaluated by a medical provider for nausea. Despite the medication being available in the facility's Pyxis MedStation, there was no documentation confirming that the medication was given. The Director of Nursing (DON) was unable to provide records showing the medication was administered and confirmed that staff could not recall if the medication was given. Additionally, the facility did not schedule an outside medical appointment in a timely manner for another resident diagnosed with spinal stenosis who complained of back pain. Although pain medications were administered, an orthopedic consult was ordered but not scheduled until 14 days later, with the appointment set for over a month after the order. The DON could not identify the reason for the delay, which was not in line with the facility's usual practice.
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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 Landover
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Largo Nursing And Rehabiliation Center | 2.5 mi | — | 37 | 0 |
| Villa Rosa Nursing And Rehabilitation, Llc | 3 mi | — | 6 | 0 |
| Forestville Rehabilitation And Wellness Center | 4.1 mi | — | 44 | 0 |
| Deanwood Rehabilitation And Wellness Center | 4.2 mi | — | 10 | 1 |
| Doctors Community Rehabilitation And Patient Care | 5.3 mi | — | 15 | 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.