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

FREDERICK CROSSING OF JOURNEY

FREDERICK, MD · 120 certified beds · Last Life Safety survey February 23, 2026

CMS Certification Number 215184 · first certified January 1989

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

  • Ownership changed September 1, 2024 (change of ownership)to FREDERICK CROSSING OF JOURNEY LLC from FREDERICK HEALTH AND REHABILITATION LLC
41
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
13
Tags cited more than once
Across separate surveys
19
Inspection & testing records
Of the citations on file

Position within MD

41 citations — more than 96% 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 15 citations; the earlier surveys in the window averaged 13. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens August 2027 — about 10 months from now. This facility’s last Life Safety survey was February 2026. 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

7 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

8 of the 41 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)

7 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 41 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • 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.

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 facility41MD median22National median11
Citations on file over three years, compared
MeasureCitations
This facility41
Median facility in MD22
Median facility nationally11

Survey history

Citations at each Life Safety survey
102023-05162024-10152026-02
Citations at each Life Safety survey
Survey dateCitations
May 17, 202310
October 30, 202416
February 23, 202615

Most-cited tags

Most-cited tags at this facility
K-03243K-07613K-09183E-00043K-03532E-00062E-00392K-03452
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0324Provide properly protected cooking facilities.32026-02-23
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.32026-02-23
K-0918Have generator or other power source capable of supplying service within 10 seconds.32026-02-23
E-0004Develop and maintain an Emergency Preparedness Program (EP).32026-02-23
K-0353Inspect, test, and maintain automatic sprinkler systems.22026-02-23
E-0006Conduct risk assessment and an All-Hazards approach.22024-10-30
E-0039Conduct testing and exercise requirements.22026-02-23
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22026-02-23

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 14
  • Gas, Vacuum, and Electrical Systems Deficiencies 10
  • Emergency Preparedness Deficiencies 8
  • Miscellaneous Deficiencies 5
  • Other 4
Citations by CMS category
CategoryCitations
Smoke Deficiencies14
Gas, Vacuum, and Electrical Systems Deficiencies10
Emergency Preparedness Deficiencies8
Miscellaneous Deficiencies5
Egress Deficiencies3
Services Deficiencies1

Every citation on file

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

February 23, 2026 — 15 citations

Citations issued on February 23, 2026
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (April 15, 2026)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (April 15, 2026)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (April 15, 2026)
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 (April 15, 2026)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (April 15, 2026)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (April 15, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 15, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 15, 2026)
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (April 15, 2026)
K-0500Meet other general requirements that are deficient.Deficient, Provider has date of correction (April 15, 2026)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (April 15, 2026)
K-0909Ensure gas and vacuum piping is labeled.Deficient, Provider has date of correction (April 15, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 15, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 15, 2026)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (April 15, 2026)

October 30, 2024 — 16 citations

Citations issued on October 30, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (December 19, 2024)
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (December 19, 2024)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (December 19, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (December 19, 2024)
K-0331Construct fire resistant interior walls.Deficient, Provider has date of correction (December 19, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (December 19, 2024)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (December 19, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 19, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (December 19, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (December 19, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (December 19, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (December 19, 2024)
K-0914Ensure 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 (December 19, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 19, 2024)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (December 19, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (December 19, 2024)

May 17, 2023 — 10 citations

Citations issued on May 17, 2023
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (July 10, 2023)
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (July 10, 2023)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (July 10, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (July 10, 2023)
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (July 10, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (July 10, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (July 10, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (July 10, 2023)
K-0914Ensure 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 (July 10, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 10, 2023)

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