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

VILLA ROSA NURSING AND REHABILITATION, LLC

MITCHELLVILLE, MD · 107 certified beds · Last Life Safety survey January 14, 2026

CMS Certification Number 215350 · first certified November 2006

Ownership

Operated by FUNDAMENTAL HEALTHCARE · For profit - Limited Liability company

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

50
Citations on file
Rolling three-year window
4
Life Safety surveys
In the same window
14
Tags cited more than once
Across separate surveys
20
Inspection & testing records
Of the citations on file

Position within MD

50 citations — more than 99% 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 11.7. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens June 2027 — about 9 months from now. This facility’s last Life Safety survey was January 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

4 of the 50 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)

11 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 50 Life Safety citations above. The Physical Environment Index

  • 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-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • 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-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
  • F-0924 Put firmly secured handrails on each side of hallways.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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 facility50MD median22National median11
Citations on file over three years, compared
MeasureCitations
This facility50
Median facility in MD22
Median facility nationally11

Survey history

Citations at each Life Safety survey
42019-05212024-05102025-02152026-01
Citations at each Life Safety survey
Survey dateCitations
May 10, 20194
May 31, 202421
February 4, 202510
January 14, 202615

Most-cited tags

Most-cited tags at this facility
K-03534K-02234K-03633K-07123K-07612K-02112K-03212K-02712
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.42026-01-14
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.42026-01-14
K-0363Install corridor and hallway doors that block smoke.32026-01-14
K-0712Have simulated fire drills held at unexpected times.32026-01-14
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.22026-01-14
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.22025-02-04
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22026-01-14
K-0271Have exits that are accessible at all times.22024-05-31

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 17
  • Egress Deficiencies 12
  • Miscellaneous Deficiencies 7
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Other 9
Citations by CMS category
CategoryCitations
Smoke Deficiencies17
Egress Deficiencies12
Miscellaneous Deficiencies7
Gas, Vacuum, and Electrical Systems Deficiencies5
Services Deficiencies4
Emergency Preparedness Deficiencies4
Construction Deficiencies1

Every citation on file

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

January 14, 2026 — 15 citations

Citations issued on January 14, 2026
TagWhat the surveyor checksStatus
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 (June 29, 2026)
K-0255Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction.Deficient, Provider has date of correction (June 29, 2026)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (May 28, 2026)
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 (June 29, 2026)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (March 30, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 29, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 29, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (May 28, 2026)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (June 29, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (May 28, 2026)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (June 29, 2026)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (March 30, 2026)
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 (June 29, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 29, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (March 30, 2026)

February 4, 2025 — 10 citations

Citations issued on February 4, 2025
TagWhat the surveyor checksStatus
E-0001Establish an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (March 13, 2025)
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (March 13, 2025)
K-0100Meet other general requirements.Deficient, Provider has date of correction (March 13, 2025)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (March 13, 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 (May 29, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 21, 2025)
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (March 13, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 13, 2025)
K-0500Meet other general requirements that are deficient.Deficient, Provider has date of correction (May 29, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (March 13, 2025)

May 31, 2024 — 21 citations

Citations issued on May 31, 2024
TagWhat the surveyor checksStatus
E-0009Include a process for Emergency Preparedness collaboration.Deficient, Provider has date of correction (September 4, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (October 28, 2024)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (September 4, 2024)
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 (October 28, 2024)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (September 4, 2024)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (July 22, 2024)
K-0300Meet other general requirements that are deficient.Deficient, Provider has date of correction (July 22, 2024)
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 (July 22, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (October 28, 2024)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (July 22, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (October 28, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Waiver has been granted (October 28, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (July 22, 2024)
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (October 28, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (July 22, 2024)
K-0500Meet other general requirements that are deficient.Deficient, Provider has date of correction (October 28, 2024)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (July 22, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (July 22, 2024)
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 (July 22, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (October 28, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (October 28, 2024)

May 10, 2019 — 4 citations

Citations issued on May 10, 2019
TagWhat the surveyor checksStatus
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 (July 15, 2019)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (July 15, 2019)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 15, 2019)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (July 15, 2019)

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