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B
Good

CITIZENS CARE CENTER

415 SOUTH MARKET STREET · HAVRE DE GRACE, MD 21078

4109395500 · Non profit - Other

184 beds111.5 residents194 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very 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 CENTER receives an overall staffing grade of B (Good). With 4.1883 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.6828 HPRD, below the recommended 0.75. It is 0.29 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 13.2% compared to weekdays. The facility uses a moderate level of agency staff (11.88% of hours), suggesting some reliance on temporary workers.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.6828 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.1883hrs/resident/day▲ 0.29
CMS benchmark: 3.48
RN HPRD
0.6828hrs/resident/day▼ 0.00
Recommended: 0.75
Weekend Drop-off
13.2%
4.3505 weekday → 3.7764 weekend
Agency Staff
11.88%
13.03% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.035hrs/resident/day
Direct care aides
LPN HPRD
1.1436hrs/resident/day
Licensed practical nurses
Consistency
0.3272std 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. Harford County Average+0.17 HPRD
4.02
04.19 HPRD
vs. Maryland State Average+0.27 HPRD
3.92
04.19 HPRD
vs. National Average+0.29 HPRD
3.90
04.19 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 CENTER ★
HAVRE DE GRACE · This facility
—
B
4.18830.6828★★★★★
STERLING CARE RIVERSIDE
BELCAMP
9.4 mi
B
3.94490.576★★★★☆
LORIEN NSG & REHAB CTR BELAIR
BEL AIR
10.7 mi
A
4.14391.0458★★★☆☆
AUTUMN LAKE HEALTHCARE AT CALVERT MANOR
RISING SUN
12.3 mi
C
3.30240.6587★★★☆☆
LAURELWOOD HEALTHCARE CENTER
ELKTON
14.2 mi
B
3.63770.7233★☆☆☆☆
STERLING CARE BEL AIR
BEL AIR
14.3 mi
C
3.54320.4228★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
42
Total Deficiencies
$0
Fines Assessed
Nov 7, 2025Health
3 deficiencies cited
▼
May 7, 2024Health
12 deficiencies cited
▼
May 2, 2019Health
12 deficiencies cited
▼
Mar 7, 2018Health
15 deficiencies cited· Includes actual harm
▼
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.