Citizens Nursing Home
Nursing Home, Hospice Care, Memory Care, Respite Care & Skilled Nursing · Frederick, MD
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Citizens Nursing Home

Nursing Home, Hospice Care, Memory Care, Respite Care & Skilled Nursing · Frederick, MD
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Citizens Nursing Home accepts Medicare, Medicaid, and private pay.

Overview of Citizens Nursing Home

Citizens Nursing Home offers a cozy, home-like environment for its residents. Their areas of specialization include rehabilitation, skilled nursing, and long-term care. Residents live their best lives because of excellent services that help a speedy recovery. Essential services include housekeeping, restaurant-style dining, social activities, and scheduled transportation.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▲ 64.4% Above MD avg. ▲ 64.4% Above MD avg.MD average: 3.0Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▲ 42.0% Above MD avg. ▲ 42.0% Above MD avg.MD average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▲ 31.3% Above MD avg. ▲ 31.3% Above MD avg.MD average: 3.0Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▲ 35.3% Above MD avg. ▲ 35.3% Above MD avg.MD average: 3.7Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs Maryland averages

Rank #45 / 120Nurse hours — State benchmarkedThis home is ranked 45th out of 120 homes we track in Maryland for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Maryland average, with a ranking across 120 Maryland facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Maryland that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 45th out of 120 homes we track in Maryland for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

3h 48m

At state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
44m
−12% State avg: 50m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
58m
+8% State avg: 54m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
2h 6m
−3% State avg: 2h 10m per day · National avg: 2h 21m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
3h 23m
−3% State avg: 3h 29m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
4m
−27% State avg: 5m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
33m
−11% State avg: 37m per day · National avg: 29m per day

5 of 6 metrics below state avg

Capacity and availability

This home usually has limited availability

Higher occupancy than the Maryland average: 82.2%
Occupancy rate
93.5% Rank #22 / 91Occupancy rate — State benchmarkedThis home is ranked 22nd out of 91 homes we track in Maryland for occupancy. Shows this facility's occupancy rate versus the Maryland average, with its Statewide rank out of 91. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Maryland that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Residents per day (avg)
159
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
147 days
Bed community size
170-bed community Rank #22 / 684Bed count — State benchmarkedThis home is ranked 22nd out of 684 homes we track in Maryland for bed count. Shows this facility's certified or reported bed count compared to other Maryland facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Maryland that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Walk Score
Walk Score: 41 / 100 Rank #508 / 953Walk Score — State benchmarkedThis home is ranked 508th out of 953 homes we track in Maryland for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Maryland facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Maryland that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

Payment & Insurance

1 service
Accept Medicaid

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Staffing & Medical

2 services
Doctor on Staff
24-Hour Staffing

Additional Services

2 services
Short-Term Rehabilitation
Ventilator Care

Amenities & Lifestyle

Specific ProgramsMemory Care Unit, Ventilator/Specialty Respiratory Care Unit

Contact Citizens Nursing Home

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 183
Employees 132
Contractors 51
Staff to resident ratio 1.16 : 1
36% fewer staff per resident than Maryland average
Maryland average ratio: 1.81 : 1 Maryland average ratio: 1.81 : 1See full Maryland ranking
Avg staff/day 86
Average shift 8.4 hours
5% better than Maryland average
Maryland average: 8 hours Maryland average shift: 8 hoursSee full Maryland ranking
Total staff hours (quarter) 66,233

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 20 RN Staff are full-time employees. No contractors work on this role. 20
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 35 total: 33 full-time employees and 2 contractors. 35
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 68 total: 49 full-time employees and 19 contractors. 68
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

14.1%

9,347 contractor hours this quarter

Certified Nursing Assistant: 19 Respiratory Therapy Technician: 6 Physical Therapy Aide: 6 Physical Therapy Assistant: 5 Qualified Social Worker: 5 Speech Language Pathologist: 5 Licensed Practical Nurse: 2 Occupational Therapy Assistant: 2 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant49196828,03292100%8.9
Licensed Practical Nurse3323514,60692100%8.4
Registered Nurse200206,86492100%8.4
Clinical Nurse Specialist9092,9606571%8
RN Director of Nursing5051,9986672%8.9
Other Dietary Services Staff5051,86892100%8.2
Speech Language Pathologist0551,6779098%7.2
Physical Therapy Aide0661,5068693%6.2
Mental Health Service Worker3031,3926571%8
Qualified Social Worker0559687379%6.8
Respiratory Therapy Technician0668997480%6.5
Physical Therapy Assistant0558817885%6.5
Medication Aide/Technician3036637379%7
Nurse Practitioner1014986267%8
Administrator1014645863%8
Occupational Therapy Aide1014645863%8
Dietitian2024045054%8.1
Occupational Therapy Assistant022611011%6.1
Medical Director011301213%2.5
68 Certified Nursing Assistant
% of Days 100%
35 Licensed Practical Nurse
% of Days 100%
20 Registered Nurse
% of Days 100%
9 Clinical Nurse Specialist
% of Days 71%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 12.7
In line with Maryland average

Maryland average: 12.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 24.3
5% better than Maryland average

Maryland average: 25.7

Long-stay resident measures
Significantly above average Maryland avg: 3.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 23.6%
In line with Maryland average

Maryland average: 23.7%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 25.8%
7% better than Maryland average

Maryland average: 27.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 23.5%
9% better than Maryland average

Maryland average: 25.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.0%
74% worse than Maryland average

Maryland average: 2.3%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.6%
30% better than Maryland average

Maryland average: 6.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.8%
51% better than Maryland average

Maryland average: 1.6%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.7%
In line with Maryland average

Maryland average: 5.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.7%
96% better than Maryland average

Maryland average: 20.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 9.1%
30% better than Maryland average

Maryland average: 12.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.4%
5% better than Maryland average

Maryland average: 92.0%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Maryland average

Maryland average: 96.6%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.96
27% better than Maryland average

Maryland average: 1.32

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.17
In line with Maryland average

Maryland average: 1.21

Short-stay resident measures
Significantly above average Maryland avg: 3.7 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.2%
21% better than Maryland average

Maryland average: 78.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.5%
67% better than Maryland average

Maryland average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
24% better than Maryland average

Maryland average: 80.6%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 18.1%
15% better than Maryland average

Maryland average: 21.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 6.8%
31% better than Maryland average

Maryland average: 9.9%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.8%
136% worse than Maryland average

Maryland average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 52.0%
In line with Maryland average

Maryland average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 64.5%
28% better than Maryland average

Maryland average: 50.6%

Breakdown by payment type

Medicare

92% of new residents, usually for short-term rehab.

Typical stay 30 days

Private pay

7% of new residents, often for short stays.

Typical stay 1 - 2 years

Medicaid

1% of new residents, often for long-term daily care.

Typical stay 23 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 158
Medicare
22
13.9% of residents
Medicaid
96
60.8% of residents
Private pay or other
40
25.3% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Government
Operated by federal authorities.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$25.8M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$2.0M
Government Operated by federal authorities.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$25.8M Rank #15 / 105Net patient revenue — State benchmarkedThis home is ranked 15th out of 105 homes we track in Maryland. Shows this facility's net patient revenue compared to the Maryland average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Maryland that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$2.0M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$672.9K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #14 / 105Payroll costs — State benchmarkedThis home is ranked 14th out of 105 homes we track in Maryland. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Maryland average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Maryland that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$14.1M 54.6% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #22 / 105Payroll % of net patient revenue — State benchmarkedThis home is ranked 22nd out of 105 homes we track in Maryland. Shows payroll as a percentage of net patient revenue versus the Maryland average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Maryland that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$9.7M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$23.8M

What does this home offer?

Pets allowed icon
Pets allowed icon

No pets allowed

Building type icon
Building type icon

Building Type: Two-story

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (92% of admissions), and a typical Medicare stay runs around 30 days.

Admissions
403 total

Coverage residents most often arrive under.

Medicare 92%
Private pay 7%
Medicaid 1%
Discharges
396 total

Coverage residents most often leave under.

Medicare 81%
Private pay 12%
Medicaid 7%

Places of interest near Citizens Nursing Home

Address 2.4 miles from city center Info Estimated distance in miles from Frederick's city center to Citizens Nursing Home's address, calculated via Google Maps. — 15.24 miles to nearest hospital (Frederick Health Mt Airy)

Calculate Travel Distance to Citizens Nursing Home

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Address

Compare Nursing Homes around Frederick

Info below is compiled from CMS reports & the MD Dept. of Health (OHCQ), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Maryland average is: 50.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Citizens Nursing Home
NH
HOS
MC
RC
SNF
Frederick
170
Facility 170
MD AVG 42
Rank #22 / 684
93.5%
Facility 93.5%
MD AVG 82.2%
Rank #22 / 91
+14%
3.80
Facility 3.80
MD AVG 3.77
Rank #45 / 120
-21%+1%
$0
Facility $0
MD AVG $65.0k
Rank #1 / 123
41
Facility 41
MD AVG 49.9
Rank #60 / 123
10.3
Facility 10.3
MD AVG 12.8
Rank #50 / 123
1159-
41
Facility 41
MD AVG 45
Rank #508 / 953
Frederick County Maryland
$25.8MFiscal year ending 06/2024
Facility $25.8MFiscal year ending 06/2024
MD AVG $18.4M
Rank #15 / 105
$14.1MFiscal year ending 06/2024
Facility $14.1MFiscal year ending 06/2024
MD AVG $8.4M
Rank #14 / 105
54.6%Fiscal year ending 06/2024
Facility 54.6%Fiscal year ending 06/2024
MD AVG 50.3%
Rank #22 / 105
215105
Homewood Living Frederick
NH
AL
IL
MC
SNF
Frederick
120
Facility 120
MD AVG 42
Rank #72 / 684
68.4%
Facility 68.4%
MD AVG 82.2%
Rank #76 / 91
-17%
4.83
Facility 4.83
MD AVG 3.77
Rank #19 / 120
+3%+28%
$0
Facility $0
MD AVG $65.0k
Rank #1 / 123
19
Facility 19
MD AVG 49.9
Rank #12 / 123
6.3
Facility 6.3
MD AVG 12.8
Rank #12 / 123
-82-
14
Facility 14
MD AVG 45
Rank #788 / 953
Phillip Bowers
$21.8MFiscal year ending 12/2023
Facility $21.8MFiscal year ending 12/2023
MD AVG $18.4M
Rank #29 / 105
$15.3MFiscal year ending 12/2023
Facility $15.3MFiscal year ending 12/2023
MD AVG $8.4M
Rank #10 / 105
70.1%Fiscal year ending 12/2023
Facility 70.1%Fiscal year ending 12/2023
MD AVG 50.3%
Rank #11 / 105
215245
Buckingham‘s Choice
NH
AL
MC
RC
SNF
Adamstown
42
Facility 42
MD AVG 42
Rank #222 / 684
59.0%
Facility 59.0%
MD AVG 82.2%
Rank #82 / 91
-28%
5.05
Facility 5.05
MD AVG 3.77
Rank #16 / 120
+64%+34%
$0
Facility $0
MD AVG $65.0k
Rank #1 / 123
29
Facility 29
MD AVG 49.9
Rank #27 / 123
9.7
Facility 9.7
MD AVG 12.8
Rank #46 / 123
-25-
3
Facility 3
MD AVG 45
Rank #930 / 953
-
$19.9MFiscal year ending 12/2023
Facility $19.9MFiscal year ending 12/2023
MD AVG $18.4M
Rank #34 / 105
$9.9MFiscal year ending 12/2023
Facility $9.9MFiscal year ending 12/2023
MD AVG $8.4M
Rank #28 / 105
49.5%Fiscal year ending 12/2023
Facility 49.5%Fiscal year ending 12/2023
MD AVG 50.3%
Rank #34 / 105
215329
Frederick Health & Rehabilitation Center
NH
HOS
MC
RC
SNF
Frederick (Wyngate)
120
Facility 120
MD AVG 42
Rank #72 / 684
94.0%
Facility 94.0%
MD AVG 82.2%
Rank #18 / 91
+14%
3.29
Facility 3.29
MD AVG 3.77
Rank #77 / 120
-50%-13%
$13.5k
Facility $13.5k
MD AVG $65.0k
Rank #90 / 123
109
Facility 109
MD AVG 49.9
Rank #119 / 123
27.3
Facility 27.3
MD AVG 12.8
Rank #119 / 123
3113-
55
Facility 55
MD AVG 45
Rank #367 / 953
-
$13.4MFiscal year ending 12/2023
Facility $13.4MFiscal year ending 12/2023
MD AVG $18.4M
Rank #77 / 105
$6.6MFiscal year ending 12/2023
Facility $6.6MFiscal year ending 12/2023
MD AVG $8.4M
Rank #52 / 105
49.7%Fiscal year ending 12/2023
Facility 49.7%Fiscal year ending 12/2023
MD AVG 50.3%
Rank #32 / 105
215184
Autumn Lake Healthcare at Braddock Heights
NH
HOS
RC
SNF
Frederick (Braddock Estates)
65
Facility 65
MD AVG 42
Rank #189 / 684
87.8%
Facility 87.8%
MD AVG 82.2%
Rank #46 / 91
+7%
3.36
Facility 3.36
MD AVG 3.77
Rank #65 / 120
-24%-11%
$0
Facility $0
MD AVG $65.0k
Rank #1 / 123
54
Facility 54
MD AVG 49.9
Rank #81 / 123
18.0
Facility 18.0
MD AVG 12.8
Rank #103 / 123
-57--As Family Vb Holdings LLC
$7.1MFiscal year ending 12/2023
Facility $7.1MFiscal year ending 12/2023
MD AVG $18.4M
Rank #98 / 105
$1.2MFiscal year ending 12/2023
Facility $1.2MFiscal year ending 12/2023
MD AVG $8.4M
Rank #100 / 105
16.8%Fiscal year ending 12/2023
Facility 16.8%Fiscal year ending 12/2023
MD AVG 50.3%
Rank #73 / 105
215199

Financial Assistance for
Nursing Home in Maryland

Citizens Nursing Home is located in Frederick, Maryland.
Here are the financial assistance programs available to residents in Maryland.

Get Financial aid guidance

Community Options Waiver

Maryland Medicaid Community Options Waiver

Age 65+ or disabled
General Maryland resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple) (excludes home, car).
MD

High urban demand; rural outreach efforts.

Benefits
Personal care (5-7 hours/day, e.g., bathing, dressing) Respite care (up to 240 hours/year) Adult day care ($70/day) Home modifications ($1,500 avg.)

Senior Care Program

Maryland Senior Care

Age 65+
General Maryland resident, at risk of nursing home placement.
Income Limits ~$2,000/month individual, varies by county
Asset Limits $11,000 individual
MD

Limited funding; waitlists common in high-demand areas.

Benefits
In-home care (3-5 hours/week) Respite care (up to 10 days/year) Meals (~$6/meal) Transportation (~5 trips/month) Case management

Maryland Nursing Home Medicaid

Maryland Medical Assistance (Medicaid) Nursing Home Program

Age 65+
General Maryland resident, Medicaid-eligible, requires nursing home-level care.
Income Limits (2025) $943/month (individual); most income applied to care costs.
Asset Limits $2,500 (individual), $3,000 (couple); spousal protections up to $155,356.
MD

Home equity limit $636,000; estate recovery applies post-55.

Benefits
24/7 nursing care Meals Therapy Medications (unlimited per medical need)

Senior Assisted Living Subsidy Program

Maryland Senior Assisted Living Group Home Subsidy

Age 62+
General Maryland resident, in or moving to approved assisted living, low/moderate income.
Income Limits (2025) ~$34,000/year individual, varies by county
Asset Limits Not strict; prioritizes low-income.
MD

Not available statewide; facility must be licensed by MDH.

Benefits
Personal care Meals 24-hour supervision (up to $1,500/month subsidy typical)

Veterans Aid and Attendance (A&A) Benefit

Maryland VA Aid and Attendance

Age
General Wartime veteran/spouse, age 65+ or disabled, needs ADL help, Maryland resident.
Income Limits (2025) Net income minus medical expenses < $1,984/month individual with A&A
Asset Limits $155,356 net worth limit
MD

High veteran population in suburban/rural areas.

Benefits
Cash benefit ($1,478-$2,471/month, varies by status) for care costs

Senior Prescription Drug Assistance Program (SPDAP)

Maryland Senior Prescription Drug Assistance Program

Age 65+
General Maryland resident (6+ months), Medicare Part D enrolled.
Income Limits (2025) $48,560/year individual, 300% FPL
Asset Limits None specified.
MD

Supplements Medicare Part D; annual enrollment required.

Benefits
Up to $40/month premium subsidy Reducing drug costs

Medicare Savings Programs (MSP)

Maryland Medicare Savings Programs

Age 65+
General Maryland resident, Medicare Part A/B enrollee.
Income Limits (2025) $2,014/month (QMB), $2,706/month (SLMB/QI, individual).
Asset Limits $9,090 (individual), $13,630 (couple).
MD

Includes QMB, SLMB, QI categories.

Benefits
Covers premiums (up to $174.70/month Part B) Co-pays Deductibles

Community Personal Assistance Services (CPAS)

Maryland Medicaid Community Personal Assistance Services

Age 65+
General Maryland resident, Medicaid-eligible, needs ADL assistance.
Income Limits (2025) $943/month (individual); spend-down available.
Asset Limits $2,500 (individual), $3,000 (couple).
MD

Consumer-directed option allows hiring family caregivers.

Benefits
Personal care (hours vary, typically 20-30/week) Chores Nurse supervision

Frequently Asked Questions about Citizens Nursing Home

Is Citizens Nursing Home in a walkable area?

Citizens Nursing Home has a walk score of 41. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Citizens Nursing Home?

Citizens Nursing Home's occupancy is 94.2%.

Are pets allowed at Citizens Nursing Home?

No, Citizens Nursing Home has a no-pet policy.

Is Citizens Nursing Home a government-operated facility?

Citizens Nursing Home is a government-operated nursing facility.

Are there photos of Citizens Nursing Home?

Yes — there are 9 photos of Citizens Nursing Home in the photo gallery on this page.

What is the address of Citizens Nursing Home?

Citizens Nursing Home is located at 1920 Rosemont Ave, Frederick, MD 21702.

What is the phone number of Citizens Nursing Home?

(240) 772-9200 will put you in contact with the team at Citizens Nursing Home.

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