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Nursing homesMaryland › Carroll Park Healthcare

Carroll Park Healthcare

3330 Wilkens Avenue, Baltimore, MD 21229 · 4105251544 · 140 certified beds

OverallNot rated
Health inspectionsNot rated
StaffingNot rated
Quality measuresNot rated
Special Focus: CMS lists this facility as SFF — among the facilities with the most serious ongoing compliance problems in the country.
Abuse icon: CMS flags this facility for an abuse citation in recent inspections.

Ownership group

Per CMS filings, this facility is affiliated with Engage Healthcare, a group operating 5 facilities in 1 states. Group record: average rating 1.5/5, 2 abuse citation icons, 1 facilities on the Special Focus list, $426,517 in federal fines.

See all 5 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 3.32 (Maryland median: 3.60). RN hours: 0.57. Weekend total: 3.05. Nursing staff turnover: 49%.

Inspection deficiencies

All-time on record: 117 deficiency citations, including 5 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-05-15Ensure each resident receives an accurate assessment. Dcomplaintcorrected 2026-06-08
2026-05-15Provide appropriate treatment and care according to orders, resident’s preferences and goals. Dcomplaintcorrected 2026-06-08
2026-03-04Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2026-04-08
2025-11-26Provide and implement an infection prevention and control program. EHealthcorrected 2025-12-22
2025-11-26Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. DHealthcorrected 2025-12-22
2025-11-26Honor 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. DHealthcorrected 2025-12-22
2025-11-26PASARR screening for Mental disorders or Intellectual Disabilities DHealthcorrected 2025-12-22
2025-11-26Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. DHealthcorrected 2025-12-22
2025-11-26Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. DHealthcorrected 2025-12-22
2025-11-26Ensure services provided by the nursing facility meet professional standards of quality. DHealthcorrected 2025-12-22
2025-11-26Assist a resident in gaining access to vision and hearing services. DHealthcorrected 2025-12-22
2025-05-14Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Fcomplaintcorrected 2025-06-20
2025-05-14Respond appropriately to all alleged violations. Ecomplaintcorrected 2025-06-20
2025-05-14Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2025-06-20
2025-05-14Develop and implement policies and procedures to prevent abuse, neglect, and theft. Dcomplaintcorrected 2025-06-20
2025-05-14Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2025-06-20
2025-05-14Ensure services provided by the nursing facility meet professional standards of quality. Dcomplaintcorrected 2025-06-20
2025-05-14Provide appropriate pressure ulcer care and prevent new ulcers from developing. Dcomplaintcorrected 2025-06-20
2025-05-14Ensure 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. Dcomplaintcorrected 2025-06-20
2025-05-14Observe each nurse aide's job performance and give regular training. Dcomplaintcorrected 2025-06-20
2025-05-14Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Dcomplaintcorrected 2025-06-20
2023-11-20Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. KHealthcorrected 2024-05-13
2023-11-20Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. JHealthcorrected 2024-01-05
2023-11-20Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Jcomplaintcorrected 2024-05-13
2023-11-20Honor 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. FHealthcorrected 2024-05-13
2023-11-20Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2024-05-13
2023-11-20Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Fcomplaintcorrected 2024-05-13
2023-11-20Allow resident to participate in the development and implementation of his or her person-centered plan of care. EHealthcorrected 2024-01-05
2023-11-20Honor 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. EHealthcorrected 2024-01-05
2023-11-20Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Ecomplaintcorrected 2024-01-05
2023-11-20Respond appropriately to all alleged violations. Ecomplaintcorrected 2024-01-05
2023-11-20Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Ecomplaintcorrected 2024-05-13
2023-11-20Ensure services provided by the nursing facility meet professional standards of quality. Ecomplaintcorrected 2024-04-08
2023-11-20Provide appropriate treatment and care according to orders, resident’s preferences and goals. Ecomplaintcorrected 2024-01-05
2023-11-20Provide safe, appropriate pain management for a resident who requires such services. Ecomplaintcorrected 2024-05-13
2023-11-20Ensure that residents are free from significant medication errors. Ecomplaintcorrected 2024-01-05
2023-11-20Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. EHealthcorrected 2024-01-05
2023-11-20Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Ecomplaintcorrected 2024-05-13
2023-11-20Hire a qualified full-time social worker in a facility with more than 120 beds. EHealthcorrected 2024-01-05
2023-11-20Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. EHealthcorrected 2024-01-05

Federal penalties

DateTypeAmount
2023-11-20Fine$306,550
2023-11-20Payment Denial83 days payment denial

Ownership & control records (CMS filings)

NameRoleType%Since
GWYNNFALLS MD HOLDCO LLC5% Or Greater Direct Ownership InterestOrganization100%since 08/01/2023
LIGHTEN, JAKE5% Or Greater Indirect Ownership InterestIndividual50%since 08/01/2023
PANETH, JACK5% Or Greater Indirect Ownership InterestIndividual50%since 08/01/2023
LIGHTEN, JAKEOperational/Managerial ControlIndividualNOT APPLICABLEsince 08/01/2023

Compare nearby (Baltimore City County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 215085. Corrections: data@carerecords.org.