| Carroll Park Healthcare | |
| 3330 Wilkens Avenue, Baltimore, Maryland 21229 | |
| (410) 525-1544 | |
| Not rated: CMS does not rate Special Focus Facilities |
| Name | Carroll Park Healthcare |
|---|---|
| Location | 3330 Wilkens Avenue, Baltimore, Maryland |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 140 |
| Occupancy Rate | 68.43% |
| Medicare ID (CCN) | 215085 |
| Legal Business Name | Gwynnfalls MD Opco |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Engage Healthcare (5 nursing homes) |
| Chain Average Overall Rating | 1.5 out of 5 |
| NPI Number | 1013615681 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Gwynnfalls MD Opco |
| Doing Business As | Carroll Park Healthcare |
| Address | 3330 Wilkens Ave, Baltimore, MD 21229 |
| Phone Number | 410-525-1544 |
| NPI Number | 1487600466 |
| Match | Possible same name, address or phone number |
| Organization Name | Caton Manor Center LLC |
| Doing Business As | Caton Manor |
| Address | 3330 Wilkens Ave, Baltimore, MD 21229 |
| Phone Number | 410-525-1544 |
| NPI Number | 1881232734 |
| Match | Possible same name, address or phone number |
| Organization Name | Wilkens Ave Baltimore MD Opco LLC |
| Doing Business As | Wilkins Health and Rehabilitation Center |
| Address | 3330 Wilkens Ave, Baltimore, MD 21229 |
| Phone Number | 410-525-1544 |
| Ratings from Surveys (Inspections): | Not rated: CMS does not rate Special Focus Facilities |
| Ratings from Quality Measures: | Not rated: CMS does not rate Special Focus Facilities |
| Ratings from Staffing Data: | Not rated: CMS does not rate Special Focus Facilities |
| Overall Rating: | Not rated: CMS does not rate Special Focus Facilities |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.32 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.57 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.92 | 0.86 |
| Nurse aide hours per resident per day | 1.83 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.05 | 3.42 |
| RN hours per resident per day on the weekend | 0.49 | 0.48 |
| Physical therapist hours per resident per day | 0.05 | 0.07 |
| Total nursing staff turnover | 49.4% | 45.8% |
| Registered nurse turnover | 53.8% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | Yes |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $306,550 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 30, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, isolated | No plan of correction |
| Jun 30, 2026 | Provide routine and 24-hour emergency dental care for each resident. F0790, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | No plan of correction |
| Jun 30, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | No plan of correction |
| Jun 24, 2026 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. F0563, Resident Rights, Complaint inspection | Potential for harm, isolated | No plan of correction |
| Jun 24, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | No plan of correction |
| Jun 24, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | No plan of correction |
| Jun 24, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | No plan of correction |
| Jun 24, 2026 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. F0711, Nursing and Physician Services, Complaint inspection | Potential for harm, isolated | No plan of correction |
| Jun 24, 2026 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919, Environmental, Complaint inspection | Potential for harm, isolated | No plan of correction |
| May 15, 2026 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. F0635, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 8, 2026 |
| May 15, 2026 | Assess the resident when there is a significant change in condition F0637, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 8, 2026 |
| May 15, 2026 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jun 8, 2026 |
| May 15, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 8, 2026 |
| May 15, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jun 8, 2026 |
| May 15, 2026 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jun 8, 2026 |
| May 15, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jun 8, 2026 |
| Mar 4, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Apr 8, 2026 |
| Nov 26, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Dec 22, 2025 |
| Nov 26, 2025 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 22, 2025 |
| Nov 26, 2025 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 22, 2025 |
| Nov 26, 2025 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 22, 2025 |
| Nov 26, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 22, 2025 |
| Nov 26, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 22, 2025 |
| Nov 26, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 22, 2025 |
| Nov 26, 2025 | Assist a resident in gaining access to vision and hearing services. F0685, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 22, 2025 |
| May 14, 2025 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925, Environmental, Complaint inspection | Potential for harm, widespread | Corrected by Jun 20, 2025 |
| May 14, 2025 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, pattern | Corrected by Jun 20, 2025 |
| May 14, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jun 20, 2025 |
| May 14, 2025 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jun 20, 2025 |
| May 14, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jun 20, 2025 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 37.5 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 0.34 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.26 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 44.65 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.63 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 84.87 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 34.35 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 38 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.94 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 87.01 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 43.75 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 8.84 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.85 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 7.61 | 15.38 |
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