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Nursing Home

Citizens Nursing Home

Nursing Home

Citizens Nursing Home

1920 Rosemont Ave, Frederick, MD 21702 View map
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.
3/5
Maryland average: 3.0/5
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.
3/5
Maryland average: 2.8/5
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.
3/5
Maryland average: 3.0/5
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.
4/5
Maryland average: 3.7/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 18m per day

This home provides 12% less nursing time per resident than the Maryland average.

Maryland average: 3h 46m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 35m per day 50m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 1h 52m per day 2h 10m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 3h 4m per day 3h 29m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 4m per day 5m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 20m per day 37m per day 29m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 170

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Maryland average
Occupancy rate 94.2%
Residents per day (avg) 157
Occupancy rate
94.2%
Residents per day (avg)
157

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.

Might be optimal for
Short stays Recovery Medicare-covered care

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

Finances and operations

Governmental community
Operated by county authorities.
Home revenue
$30.4M
Surplus of revenue
$2.6M
Governmental community Operated by county authorities.
Home revenue
$30,378,749.00
Surplus of revenue
$2,649,132.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$11.6M
38.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$16.2M
Total costs $27.7M
Walk Score
Walk Score: 41 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Care Services

Accepts Medicaid
Doctor on Staff
Nursing Services
Rehabilitation Services
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab

All Levels of Care

Long-Term Care
Short-Term Rehabilitation
Memory Care
Ventilator Care

Programs & Activities

Specific Programs
Long-Term Care, Short-Term Rehabilitation, Memory Care Unit, Ventilator/Specialty Respiratory Care Unit, Social Services, Activities

What does this home offer?

Accepts Medicaid icon
Accepts Medicaid icon

Accept Medicaid: Yes

Total residents icon
Total residents icon

Total Residents: 170

Building type icon
Building type icon

Building Type: Two-story

Types of Care at Citizens Nursing Home

Nursing Home
Contact Citizens Nursing Home

Health Inspection History

Inspections
Total health inspections 4

Maryland average 3.9


Last Health inspection on Oct 2025

Total health citations 41

Maryland average 49.9

Citations per inspection
10.25

Maryland average 12.81


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

39 of 41 citations resulted from standard inspections; and 2 of 41 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Maryland average

Maryland average: 0.5


Serious Health citations More info 1
67% worse than Maryland average

Maryland average: 0.6

0 critical citations More info Maryland average: 0.5

1 serious citation More info Maryland average: 0.6

40 moderate citations More info Maryland average: 47.2

0 minor citations More info Maryland average: 1.7
Citations history (last 3 years)
Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Oct 16, 2025
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Oct 16, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Dec 23, 2024
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Dec 23, 2024
Corrected

Compare Nursing Homes around Frederick The information below is reported by the Maryland Department of Health, Office of Health Care Quality.

5 facilities compared · CMS & MD Dept. of Health data · Updated Apr 2026

Autumn Lake Healthcare at Braddock Heights
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Frederick
65
73.7%
-11%
3.10
+27%
-18%
0
54
0
57
0
As Family Vb Holdings Llc
$7,6M
$1,0M
13.8%
215199
Citizens Nursing Home
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Frederick
172
94.2%
+14%
3.31
-45%
-12%
0
41
1
157
41
Frederick County Maryland
$29,7M
$11,6M
38.9%
215105
Autumn Lake Healthcare at Ballenger Creek
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Frederick (Ballenger Creek Center)
130
87.8%
+7%
3.16
-18%
-16%
0
59
2
118
36
347 Ballenger Holdco Llc
$20,8M
$1,3M
6.1%
215001
Frederick Health & Rehabilitation Center
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Frederick
120
82.9%
+1%
3.56
-47%
-6%
1
109
3
98
55
-
$16,0M
$5,8M
36.2%
215184
National Lutheran Communities & Services
-
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Frederick
-
-
-
-
-
-
-
-
-
0
0
0
-
38
-
-
-
-
-

Places of interest near Citizens Nursing Home

Address 2.4 miles from city center — 15.24 miles to nearest hospital (Frederick Health Mt Airy)

Address 1920 Rosemont Ave, Frederick, MD 21702

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 178
Employees 126
Contractors 52
Staff to resident ratio 1.13:1
38% worse than Maryland average

Maryland average ratio: 1.81:1

Avg staff/day 80
Average shift 8.5 hours
6% better than Maryland average

Maryland average: 8 hours

Total staff hours (quarter) 61,949
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 31
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 69
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

10.4%

6,427 contractor hours this quarter

Certified Nursing Assistant: 17 Qualified Social Worker: 7 Speech Language Pathologist: 6 Respiratory Therapy Technician: 6 Physical Therapy Aide: 6 Physical Therapy Assistant: 5 Medical Director: 3 Licensed Practical Nurse: 1 Occupational Therapy Assistant: 1
Staff by category
Certified Nursing Assistant52176926,13591100%8.9
Licensed Practical Nurse3013113,55291100%9.1
Registered Nurse130135,97391100%9.1
Clinical Nurse Specialist130133,2897279%8.1
Speech Language Pathologist0661,64091100%7.2
Other Dietary Services Staff3031,4969099%8
RN Director of Nursing3031,4496774%8.5
Mental Health Service Worker3031,4006571%8
Physical Therapy Aide0661,38791100%6.3
Respiratory Therapy Technician0661,0137582%6.5
Physical Therapy Assistant0551,0108290%6.6
Qualified Social Worker0778506976%6.2
Medication Aide/Technician5057365965%8.8
Dietitian1014966268%8
Administrator1014886167%8
Nurse Practitioner1014645864%8
Occupational Therapy Aide1014645864%8
Occupational Therapy Assistant01160910%6.7
Medical Director033492022%2.4
69 Certified Nursing Assistant
% of Days 100%
31 Licensed Practical Nurse
% of Days 100%
13 Registered Nurse
% of Days 100%
13 Clinical Nurse Specialist
% of Days 79%
6 Speech Language Pathologist
% of Days 100%
3 Other Dietary Services Staff
% of Days 99%
3 RN Director of Nursing
% of Days 74%
3 Mental Health Service Worker
% of Days 71%
6 Physical Therapy Aide
% of Days 100%
6 Respiratory Therapy Technician
% of Days 82%
5 Physical Therapy Assistant
% of Days 90%
7 Qualified Social Worker
% of Days 76%
5 Medication Aide/Technician
% of Days 65%
1 Dietitian
% of Days 68%
1 Administrator
% of Days 67%
1 Nurse Practitioner
% of Days 64%
1 Occupational Therapy Aide
% of Days 64%
1 Occupational Therapy Assistant
% of Days 10%
3 Medical Director
% of Days 22%

Facility Characteristics

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

Total census
158 residents
Residents by payment source
Medicare
22 residents (13.9%)
Medicaid
96 residents (60.8%)
Private pay or other
40 residents (25.3%)
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.

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
Above average Maryland avg: 3.8 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%

Guides for Better Senior Living

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Financial Aid for Maryland Seniors

Get financial aid guidance

Community Options Waiver

Maryland Medicaid Community Options Waiver

Age 65+ or disabled, Maryland resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple) (excludes home, car).

High urban demand; rural outreach efforts.

Senior Care Program

Maryland Senior Care

Age 65+, Maryland resident, at risk of nursing home placement.

~$2,000/month (individual, varies by county).

$11,000 (individual).

Limited funding; waitlists common in high-demand areas.

Maryland Nursing Home Medicaid

Maryland Medical Assistance (Medicaid) Nursing Home Program

Age 65+, Maryland resident, Medicaid-eligible, requires nursing home-level care.

$943/month (individual); most income applied to care costs.

$2,500 (individual), $3,000 (couple); spousal protections up to $155,356.

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

Senior Assisted Living Subsidy Program

Maryland Senior Assisted Living Group Home Subsidy

Age 62+, Maryland resident, in or moving to approved assisted living, low/moderate income.

~$34,000/year (individual, varies by county).

Not strict; prioritizes low-income.

Not available statewide; facility must be licensed by MDH.

Veterans Aid and Attendance (A&A) Benefit

Maryland VA Aid and Attendance

Wartime veteran/spouse, age 65+ or disabled, needs ADL help, Maryland resident.

Net income minus medical expenses < $1,984/month (individual with A&A).

$155,356 (net worth limit).

High veteran population in suburban/rural areas.

Senior Prescription Drug Assistance Program (SPDAP)

Maryland Senior Prescription Drug Assistance Program

Age 65+, Maryland resident (6+ months), Medicare Part D enrolled.

$48,560/year (individual, 300% FPL).

None specified.

Supplements Medicare Part D; annual enrollment required.

Medicare Savings Programs (MSP)

Maryland Medicare Savings Programs

Age 65+, Maryland resident, Medicare Part A/B enrollee.

$2,014/month (QMB), $2,706/month (SLMB/QI, individual).

$9,090 (individual), $13,630 (couple).

Includes QMB, SLMB, QI categories.

Community Personal Assistance Services (CPAS)

Maryland Medicaid Community Personal Assistance Services

Age 65+, Maryland resident, Medicaid-eligible, needs ADL assistance.

$943/month (individual); spend-down available.

$2,500 (individual), $3,000 (couple).

Consumer-directed option allows hiring family caregivers.

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