5/5
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.
5/5
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 Care Center is a nursing home in Havre de Grace, MD, offering memory care, hospice care, rehabilitation, respite care, and skilled nursing. Promoting a compassionate, home-like environment, the community ensures older adults are treated well throughout their stay. Exceptional services, including 24-hour care, nutritious meals, and social services, are also provided to improve residents’ quality of life. To meet residents’ needs and preferences, personalized care plans are also provided for their recovery and wellness.
Cooking classes, outings, and arts and crafts encourage residents to continue learning and have fun. Residents can also relax without hassles, as accessible amenities are also available. Situated near parks, restaurants, and public transportation in the quiet residential area of Havre de Grace, the community ensures quick access to leisure and necessities. As one of the trusted options for senior living in Maryland, this nursing home continuously provides exceptional care for older adults’ welfare.
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.
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.
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.
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.
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.
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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 47m per day | ▼ 5% State avg: 49m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 1h 7m per day | ▲ 22% State avg: 55m per day · National avg: 52m per day |
|
Nurse Aide
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 16m per day | ▲ 6% State avg: 2h 8m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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 54m per day | ▲ 11% State avg: 3h 31m per day · National avg: 3h 27m per day |
|
Physical Therapist
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.
| 7m per day | ▲ 23% State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
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.
| 39m per day | ▲ 6% State avg: 37m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Maryland average
0% compared with Maryland average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
34 total: 19 full-time employees and 15 contractors.
34
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursAssists with medical care and medications.
42 total: 28 full-time employees and 14 contractors.
42
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursHelps with daily care and mobility.
77 total: 50 full-time employees and 27 contractors.
77
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
11,317 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 50 | 27 | 77 | 23,638 | 92 | 100% | 8.2 |
| Licensed Practical Nurse | 28 | 14 | 42 | 11,767 | 92 | 100% | 8.4 |
| Registered Nurse | 19 | 15 | 34 | 5,844 | 92 | 100% | 8 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 2,253 | 70 | 76% | 8.2 |
| Physical Therapist | 9 | 0 | 9 | 2,030 | 92 | 100% | 6 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 1,318 | 89 | 97% | 7.3 |
| Speech Language Pathologist | 0 | 5 | 5 | 1,140 | 76 | 83% | 6.5 |
| Other Dietary Services Staff | 2 | 0 | 2 | 1,042 | 92 | 100% | 8.1 |
| Medication Aide/Technician | 5 | 0 | 5 | 1,008 | 81 | 88% | 7.6 |
| Physical Therapy Aide | 0 | 3 | 3 | 968 | 67 | 73% | 7.6 |
| Dietitian | 2 | 0 | 2 | 896 | 66 | 72% | 8 |
| Physical Therapy Assistant | 0 | 5 | 5 | 531 | 72 | 78% | 6 |
| Qualified Social Worker | 0 | 2 | 2 | 516 | 67 | 73% | 5.3 |
| Dental Services Staff | 1 | 0 | 1 | 499 | 63 | 68% | 7.9 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Occupational Therapy Aide | 0 | 3 | 3 | 399 | 50 | 54% | 7.8 |
| Nurse Aide in Training | 2 | 1 | 3 | 367 | 46 | 50% | 8 |
| Feeding Assistant | 0 | 1 | 1 | 268 | 40 | 43% | 6.7 |
| Medical Director | 1 | 0 | 1 | 93 | 40 | 43% | 2.3 |
| Other Physician | 1 | 0 | 1 | 92 | 40 | 43% | 2.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 74 | 10 | 11% | 7.4 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.4
11% worse than Maryland averageMaryland average: 12.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.7
8% worse than Maryland averageMaryland average: 25.7
Percent of long-stay residents whose need for help with daily activities has increased
22.3%
6% better than Maryland averageMaryland average: 23.7%
Percent of long-stay residents whose ability to move independently worsened
35.9%
30% worse than Maryland averageMaryland average: 27.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.8%
In line with Maryland averageMaryland average: 25.9%
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
26% better than Maryland averageMaryland average: 2.3%
Percent of long-stay high risk residents with pressure ulcers
6.3%
In line with Maryland averageMaryland average: 6.5%
Percent of long-stay residents with a urinary tract infection
6.4%
298% worse than Maryland averageMaryland average: 1.6%
Percent of long-stay residents who lose too much weight
5.6%
In line with Maryland averageMaryland average: 5.8%
Percent of long-stay residents who have depressive symptoms
5.1%
75% better than Maryland averageMaryland average: 20.2%
Percent of long-stay residents who received an antipsychotic medication
17.9%
38% worse than Maryland averageMaryland average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
7% better than Maryland averageMaryland average: 92.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.1%
In line with Maryland averageMaryland average: 96.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.5%
22% better than Maryland averageMaryland average: 78.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
In line with Maryland averageMaryland average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.2%
22% better than Maryland averageMaryland average: 80.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
55% of new residents, usually for short-term rehab.
20% of new residents, often for short stays.
25% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
113Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Citizens Care Center from 2012–2024, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
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."
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."
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."
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."
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.
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.
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 #36 / 148Payroll % — State benchmarkedThis home is ranked 36th out of 148 homes in Maryland. Shows payroll as a percentage of revenue versus the Maryland average. Well-run Maryland facilities typically land around 49–57% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Maryland that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Housing Options: Private/Semi-Private Rooms
Building Type: 2-story
On-site Medical Care and Health Services
Rehabilitative Support
Beauty Services
Social and Recreational Activities
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (55% of admissions), and a typical Medicare stay runs around 17 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.7 miles from city center
Estimated distance in miles from Havre De Grace's city center to Citizens Care Center's address, calculated via Google Maps.
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The information below is reported by the Maryland Department of Health, Office of Health Care Quality.
| Lorien Bulle Rock | NH AL MC RC | Havre De Grace | 78
Facility
78
MD AVG
43
Rank
#181 / 697 | 91.6% | +11% | 4.50 | -22% | +19% | $0 | 33
Facility
33
MD AVG
49.9
Rank
#47 / 149 | 11.0 | - | 69 | - |
36
Facility
36
MD AVG
43
Rank
#563 / 985 | - | $11.5M | $6.1M | 53%
Facility
53%
MD AVG
38.5%
Rank
#33 / 148 | 215359 | ||||
| Citizens Care Center | NH HC MC RC | Havre De Grace | 184
Facility
184
MD AVG
43
Rank
#15 / 697 | 61.5% | -25% | 4.61 | +17% | +22% | $0 | 42
Facility
42
MD AVG
49.9
Rank
#77 / 149 | 10.5 | 1 | 120 | - |
74
Facility
74
MD AVG
43
Rank
#147 / 985 | Peter Panos | $15.5M | $9.0M | 58%
Facility
58%
MD AVG
38.5%
Rank
#36 / 148 | 215039 | ||||
| Sterling Care | NH AL HC MC NC PC RC | Bel Air (East Macphail Road) | 155
Facility
155
MD AVG
43
Rank
#39 / 697 | 85.2% | +3% | 3.22 | -52% | -15% | $0 | 48
Facility
48
MD AVG
49.9
Rank
#92 / 149 | 9.6 | 4 | 128 | A+ |
27
Facility
27
MD AVG
43
Rank
#668 / 985 | - | $18.5M | $8.2M | 44.6%
Facility
44.6%
MD AVG
38.5%
Rank
#136 / 148 | 215312 |
Citizens Care Center is located in Havre De Grace, Maryland.
Here are the financial assistance programs available to residents in Maryland.
Citizens Care Center has a walk score of 74. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Citizens Care Center's occupancy is 61.5%.
Yes — there are 15 photos of Citizens Care Center in the photo gallery on this page.
Citizens Care Center is located at 415 Market St A, Havre De Grace, MD 21078.
(410) 939-5500 will put you in contact with the team at Citizens Care Center.
Yes — Citizens Care Center is a CMS-certified provider of Medicare and Medicaid.
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