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B
Good

CITIZENS CARE AND REHABILITATION CENTER OF FREDERI

1920 ROSEMONT AVENUE · FREDERICK, MD 21702

2407729200 · Government - County

170 beds155 residents169 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

CITIZENS CARE AND REHABILITATION CENTER OF FREDERI receives an overall staffing grade of B (Good). With 3.5039 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5851 HPRD, below the recommended 0.75. It is 0.39 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.55% compared to weekdays. The facility has low agency staff usage (4.1% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (1)

⚠️RN staffing (0.5851 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (4.1%) — mostly permanent, familiar staff
Total Nurse HPRD
3.5039hrs/resident/day▼ 0.39
CMS benchmark: 3.48
RN HPRD
0.5851hrs/resident/day▼ 0.10
Recommended: 0.75
Weekend Drop-off
16.55%
3.6759 weekday → 3.0675 weekend
Agency Staff
4.1%
0.19% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.802hrs/resident/day
Direct care aides
LPN HPRD
1.0491hrs/resident/day
Licensed practical nurses
Consistency
0.3165std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Frederick County Average-0.18 HPRD
3.69
03.50 HPRD
vs. Maryland State Average-0.42 HPRD
3.92
03.50 HPRD
vs. National Average-0.39 HPRD
3.90
03.50 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
CITIZENS CARE AND REHABILITATION CENTER OF FREDERI ★
FREDERICK · This facility
—
B
3.50390.5851★★★★☆
FREDERICK CROSSING OF JOURNEY
FREDERICK
1.5 mi
B
3.51720.5995★★★☆☆
NORTHAMPTON MANOR NURSING AND REHABILITATION CENTE
FREDERICK
1.8 mi
C
3.3690.5431★☆☆☆☆
HOMEWOOD LIVING FREDERICK
FREDERICK
3 mi
A
4.28421.0649★★★★★
AUTUMN LAKE HEALTHCARE AT BRADDOCK HEIGHTS
FREDERICK
4.6 mi
C
3.3050.8975★★★★★
AUTUMN LAKE HEALTHCARE AT GLADE VALLEY
WALKERSVILLE
5.2 mi
C
3.6130.5316★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
41
Total Deficiencies
$0
Fines Assessed
Oct 16, 2025Health
2 deficiencies cited
▼
Dec 23, 2024Health
8 deficiencies cited
▼
Jun 18, 2019Health
15 deficiencies cited· Includes actual harm
▼
Jan 12, 2018Health
16 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.