Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

LITTLE SISTERS OF THE POOR

BALTIMORE, MD · 20 certified beds · Last Life Safety survey June 25, 2025

CMS Certification Number 215354 · first certified May 2010

Ownership

Independently operated (no chain recorded by CMS) · For profit - Individual

No change of ownership on CMS record since January 1, 2016, when the records begin.

13
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within MD

13 citations — more than 12% of the 221 certified nursing homes in MD. Compared within MD rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 4. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens December 2026 — about 2 months from now. This facility’s last Life Safety survey was June 2025. Facilities in MD are typically surveyed 17–59 months after the last one (median 30), measured over 283 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 13 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 13 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0908 Keep all essential equipment working safely.

How that compares

Citations on file over three years

Compared with the median facility in MD, and nationally. Surveyors differ markedly between states, so the MD figure is the meaningful one.

This facility13MD median22National median11
Citations on file over three years, compared
MeasureCitations
This facility13
Median facility in MD22
Median facility nationally11

Survey history

Citations at each Life Safety survey
32019-0152023-0352025-06
Citations at each Life Safety survey
Survey dateCitations
January 4, 20193
March 30, 20235
June 25, 20255

Most-cited tags

Most-cited tags at this facility
K-03532K-09182K-02001K-03241K-03451K-07411K-07611K-09191
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22023-03-30
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-06-25
K-0200Meet other general requirements.12019-01-04
K-0324Provide properly protected cooking facilities.12023-03-30
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12025-06-25
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12023-03-30
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12025-06-25
K-0919Meet requirements for the use of electrical equipment.12023-03-30

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Egress Deficiencies 2
  • Miscellaneous Deficiencies 2
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies3
Egress Deficiencies2
Miscellaneous Deficiencies2
Emergency Preparedness Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

June 25, 2025 — 5 citations

Citations issued on June 25, 2025
TagWhat the surveyor checksStatus
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (August 25, 2025)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (August 25, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 25, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (September 29, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 25, 2025)

March 30, 2023 — 5 citations

Citations issued on March 30, 2023
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (May 26, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (May 26, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 26, 2023)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (May 26, 2023)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (May 26, 2023)

January 4, 2019 — 3 citations

Citations issued on January 4, 2019
TagWhat the surveyor checksStatus
K-0200Meet other general requirements.Deficient, Provider has date of correction (April 23, 2019)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 23, 2019)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 23, 2019)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.