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

FAIRFIELD NURSING & REHABILITATION CENTER

CROWNSVILLE, MD · 96 certified beds · Last Life Safety survey November 21, 2025

CMS Certification Number 215236 · first certified November 1991

Ownership

Operated by FUNDAMENTAL HEALTHCARE · For profit - Corporation

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

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within MD

47 citations — more than 97% 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

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

The latest survey found 10 citations; the earlier surveys in the window averaged 18.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens April 2027 — about 7 months from now. This facility’s last Life Safety survey was November 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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5 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

2 of the 47 citations on file are 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)

14 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 47 Life Safety citations above. The Physical Environment Index

F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F-0880 Provide and implement an infection prevention and control program.
F-0909 Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F-0924 Put firmly secured handrails on each side of hallways.
F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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.

Citations on file over three years, compared
Measure	Citations
This facility	47
Median facility in MD	22
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
May 3, 2019	6
May 3, 2024	31
November 21, 2025	10

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	3	2025-11-21
K-0712	Have simulated fire drills held at unexpected times.	3	2025-11-21
K-0293	Have properly located and lighted "Exit" signs.	2	2024-05-03
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	2	2024-05-03
K-0324	Provide properly protected cooking facilities.	2	2025-11-21
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	2	2025-11-21
K-0362	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.	2	2025-11-21
K-0100	Meet other general requirements.	2	2025-11-21

What the citations cover

Citations by CMS category

Smoke Deficiencies 14
Egress Deficiencies 11
Gas, Vacuum, and Electrical Systems Deficiencies 8
Services Deficiencies 5
Other 9

Citations by CMS category
Category	Citations
Smoke Deficiencies	14
Egress Deficiencies	11
Gas, Vacuum, and Electrical Systems Deficiencies	8
Services Deficiencies	5
Miscellaneous Deficiencies	5
Emergency Preparedness Deficiencies	2
Construction Deficiencies	2

Every citation on file

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

November 21, 2025 — 10 citations

Citations issued on November 21, 2025
Tag	What the surveyor checks	Status
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (May 29, 2026)
K-0100	Meet other general requirements.	Deficient, Provider has date of correction (May 29, 2026)
K-0223	Provide 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 (June 5, 2026)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (May 29, 2026)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (May 29, 2026)
K-0362	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.	Deficient, Provider has date of correction (May 29, 2026)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (May 29, 2026)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (May 29, 2026)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (June 5, 2026)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (May 29, 2026)

May 3, 2024 — 31 citations

Citations issued on May 3, 2024
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (August 1, 2024)
K-0100	Meet other general requirements.	Deficient, Provider has date of correction (August 1, 2024)
K-0200	Meet other general requirements.	Deficient, Provider has date of correction (August 1, 2024)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (August 1, 2024)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (August 1, 2024)
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Waiver has been granted (August 28, 2024)
K-0251	Conform to length requirements for dead end corridors.	Deficient, Provider has date of correction (August 1, 2024)
K-0261	Have properly spaced exits within rooms.	Waiver has been granted (August 28, 2024)
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (August 1, 2024)
K-0293	Have properly located and lighted "Exit" signs.	Waiver has been granted (August 28, 2024)
K-0321	Ensure 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 (August 1, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (August 9, 2024)
K-0341	Install a fire alarm system that can be heard throughout the facility.	Deficient, Provider has date of correction (August 1, 2024)
K-0342	Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.	Deficient, Provider has date of correction (August 1, 2024)
K-0344	Have an alternate power supply for its alarm system.	Waiver has been granted (August 28, 2024)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (August 28, 2024)
K-0347	Properly provide smoke detection systems in areas open to corridors.	Deficient, Provider has date of correction (August 9, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Waiver has been granted (August 28, 2024)
K-0362	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.	Deficient, Provider has date of correction (August 1, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (August 1, 2024)
K-0500	Meet other general requirements that are deficient.	Deficient, Provider has date of correction (August 1, 2024)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (August 1, 2024)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Waiver has been granted (August 28, 2024)
K-0525	Enure that solid fuel-burning fireplaces are not in patient sleeping areas.	Deficient, Provider has date of correction (August 1, 2024)
K-0711	Provide a written emergency evacuation plan.	Deficient, Provider has date of correction (August 1, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (August 1, 2024)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (August 9, 2024)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (August 1, 2024)
K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel.	Waiver has been granted (August 28, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Waiver has been granted (August 28, 2024)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (August 1, 2024)

May 3, 2019 — 6 citations

Citations issued on May 3, 2019
Tag	What the surveyor checks	Status
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (June 10, 2019)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (June 10, 2019)
K-0522	Have an externally vented heating system.	Deficient, Provider has date of correction (June 10, 2019)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (June 10, 2019)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (June 10, 2019)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (June 10, 2019)

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