Nursing homes › Maryland › Baltimore › Carroll Park Healthcare
3330 Wilkens Avenue, Baltimore, MD 21229 · (410) 525-1544 · 140 certified beds
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Per CMS filings, this facility is affiliated with Engage Healthcare, a group operating 5 facilities in 1 state. Group record: average rating 1.5/5, 2 abuse citation icons, 1 facility on the Special Focus list, $336,404 in federal fines.
Total nurse staffing: 3.32 (Maryland median: 3.60). RN hours: 0.57. Weekend total: 3.05. Nursing staff turnover: 49%.
In the downloaded CMS dataset: 81 deficiency citations, including 4 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-06-30 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-06-30 | Provide routine and 24-hour emergency dental care for each resident. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-06-30 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-06-24 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-06-24 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-06-24 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-06-24 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-06-24 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-06-24 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-05-15 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Health | corrected 2026-06-08 |
| 2026-05-15 | Assess the resident when there is a significant change in condition | D | Health | corrected 2026-06-08 |
| 2026-05-15 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2026-06-08 |
| 2026-05-15 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2026-06-08 |
| 2026-05-15 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-06-08 |
| 2026-05-15 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2026-06-08 |
| 2026-05-15 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-06-08 |
| 2026-03-04 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2026-04-08 |
| 2025-11-26 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-12-22 |
| 2025-11-26 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Health | corrected 2025-12-22 |
| 2025-11-26 | 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. | D | Health | corrected 2025-12-22 |
| 2025-11-26 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2025-12-22 |
| 2025-11-26 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-12-22 |
| 2025-11-26 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2025-12-22 |
| 2025-11-26 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2025-12-22 |
| 2025-11-26 | Assist a resident in gaining access to vision and hearing services. | D | Health | corrected 2025-12-22 |
| 2025-05-14 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | complaint | corrected 2025-06-20 |
| 2025-05-14 | Respond appropriately to all alleged violations. | E | complaint | corrected 2025-06-20 |
| 2025-05-14 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-06-20 |
| 2025-05-14 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2025-06-20 |
| 2025-05-14 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-06-20 |
| 2025-05-14 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-06-20 |
| 2025-05-14 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2025-06-20 |
| 2025-05-14 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | D | complaint | corrected 2025-06-20 |
| 2025-05-14 | Observe each nurse aide's job performance and give regular training. | D | complaint | corrected 2025-06-20 |
| 2025-05-14 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-06-20 |
| 2023-11-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | complaint | corrected 2024-05-13 |
| 2023-11-20 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | K | Health | corrected 2024-05-13 |
| 2023-11-20 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Health | corrected 2024-01-05 |
| 2023-11-20 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | J | complaint | corrected 2024-05-13 |
| 2023-11-20 | 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 | Health | corrected 2024-05-13 |
| Date | Type | Amount |
|---|---|---|
| 2023-11-20 | Fine | $306,550 |
| 2023-11-20 | Payment Denial | 83 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| GWYNNFALLS MD HOLDCO LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 08/01/2023 |
| LIGHTEN, JAKE | 5% Or Greater Indirect Ownership Interest | Individual | 50% | since 08/01/2023 |
| PANETH, JACK | 5% Or Greater Indirect Ownership Interest | Individual | 50% | since 08/01/2023 |
| LIGHTEN, JAKE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/01/2023 |
How to cite this page: CareRecords, “Carroll Park Healthcare — compliance, penalty and ownership record” (CCN 215085), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/carroll-park-healthcare-baltimore-md/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 215085. Corrections: data@carerecords.org.