4/5
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.
4/5
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 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.
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.
| 42m per day | ▼ 15% State avg: 50m 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 8m per day | ▲ 26% State avg: 54m 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.
| 1h 58m per day | ▼ 9% State avg: 2h 10m per day · National avg: 2h 21m 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 23m per day | ▼ 3% State avg: 3h 29m per day · National avg: 3h 26m 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.
| 4m per day | ▼ 26% State avg: 5m 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.
| 28m per day | ▼ 23% 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.
36% fewer staff per resident than Maryland average
5% better than Maryland average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 20 RN Staff are full-time employees. No contractors work on this role.
20
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursAssists with medical care and medications.
35 total: 33 full-time employees and 2 contractors.
35
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursHelps with daily care and mobility.
68 total: 49 full-time employees and 19 contractors.
68
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
9,347 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 49 | 19 | 68 | 28,032 | 92 | 100% | 8.9 |
| Licensed Practical Nurse | 33 | 2 | 35 | 14,606 | 92 | 100% | 8.4 |
| Registered Nurse | 20 | 0 | 20 | 6,864 | 92 | 100% | 8.4 |
| Clinical Nurse Specialist | 9 | 0 | 9 | 2,960 | 65 | 71% | 8 |
| RN Director of Nursing | 5 | 0 | 5 | 1,998 | 66 | 72% | 8.9 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,868 | 92 | 100% | 8.2 |
| Speech Language Pathologist | 0 | 5 | 5 | 1,677 | 90 | 98% | 7.2 |
| Physical Therapy Aide | 0 | 6 | 6 | 1,506 | 86 | 93% | 6.2 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,392 | 65 | 71% | 8 |
| Qualified Social Worker | 0 | 5 | 5 | 968 | 73 | 79% | 6.8 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 899 | 74 | 80% | 6.5 |
| Physical Therapy Assistant | 0 | 5 | 5 | 881 | 78 | 85% | 6.5 |
| Medication Aide/Technician | 3 | 0 | 3 | 663 | 73 | 79% | 7 |
| Nurse Practitioner | 1 | 0 | 1 | 498 | 62 | 67% | 8 |
| Administrator | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Dietitian | 2 | 0 | 2 | 404 | 50 | 54% | 8.1 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 61 | 10 | 11% | 6.1 |
| Medical Director | 0 | 1 | 1 | 30 | 12 | 13% | 2.5 |
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.
12.7
In line with Maryland averageMaryland average: 12.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.3
5% better than Maryland averageMaryland average: 25.7
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
23.6%
In line with Maryland averageMaryland average: 23.7%
Percent of long-stay residents whose ability to move independently worsened
25.8%
7% better than Maryland averageMaryland average: 27.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.5%
9% better than Maryland averageMaryland average: 25.9%
Percent of long-stay residents experiencing one or more falls with major injury
4.0%
74% worse than Maryland averageMaryland average: 2.3%
Percent of long-stay high risk residents with pressure ulcers
4.6%
30% better than Maryland averageMaryland average: 6.5%
Percent of long-stay residents with a urinary tract infection
0.8%
51% better than Maryland averageMaryland average: 1.6%
Percent of long-stay residents who lose too much weight
5.7%
In line with Maryland averageMaryland average: 5.8%
Percent of long-stay residents who have depressive symptoms
0.7%
96% better than Maryland averageMaryland average: 20.2%
Percent of long-stay residents who received an antipsychotic medication
9.1%
30% better than Maryland averageMaryland average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.4%
5% better than Maryland averageMaryland average: 92.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Maryland averageMaryland average: 96.6%
Number of hospitalizations per 1,000 long-stay resident days.
0.96
27% better than Maryland averageMaryland average: 1.32
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.17
In line with Maryland averageMaryland average: 1.21
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.2%
21% better than Maryland averageMaryland average: 78.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
67% better than Maryland averageMaryland average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
24% better than Maryland averageMaryland average: 80.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.1%
15% better than Maryland averageMaryland average: 21.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.8%
31% better than Maryland averageMaryland average: 9.9%
Percentage of SNF residents who experience falls with major injury during their stay.
1.8%
136% worse than Maryland averageMaryland average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
52.0%
In line with Maryland averageMaryland average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
64.5%
28% better than Maryland averageMaryland average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
92% of new residents, usually for short-term rehab.
7% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
158Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
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 Nursing Home 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.
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).
Building Type: Two-story
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.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.4 miles from city center
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)
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The information below is reported by the Maryland Department of Health, Office of Health Care Quality.
| Homewood Living Frederick | NH AL IL MC | Frederick | 120
Facility
120
MD AVG
43
Rank
#79 / 697 | 72.3% | -12% | 4.25 | +3% | +13% | $0 | 19
Facility
19
MD AVG
49.9
Rank
#12 / 149 | 6.3 | - | 83 | - |
14
Facility
14
MD AVG
43
Rank
#788 / 985 | Phillip Bowers | $21.8M | $15.3M | 70.1%
Facility
70.1%
MD AVG
38.5%
Rank
#124 / 148 | 215245 | ||||
| Buckingham‘s Choice | NH AL MC RC | Adamstown (Baker Circle) | 42
Facility
42
MD AVG
43
Rank
#237 / 697 | 56.8% | -31% | 4.73 | +64% | +25% | $0 | 29 | 9.7 | - | 25 | - |
3
Facility
3
MD AVG
43
Rank
#930 / 985 | - | $19.9M | $9.9M | 49.5% | 215329 | ||||
| Citizens Nursing Home | NH HC MC RC | Frederick (Rosemont Avenue) | 170
Facility
170
MD AVG
43
Rank
#24 / 697 | 94.2% | +14% | 3.31 | -21% | -12% | $0 | 41 | 10.3 | 1 | 159 | - |
41
Facility
41
MD AVG
43
Rank
#508 / 985 | Frederick County Maryland | $25.8M | $14.1M | 54.6% | 215105 | ||||
| Frederick Health & Rehabilitation Center | NH MC | Frederick (Wyngate) | 120
Facility
120
MD AVG
43
Rank
#79 / 697 | 82.9% | +1% | 3.56 | -50% | -6% | $13.5k | 109 | 27.3 | 3 | 112 | - |
55
Facility
55
MD AVG
43
Rank
#369 / 985 | - | $13.4M | $6.6M | 49.7% | 215184 | ||||
| Autumn Lake Healthcare at Ballenger Creek | NH | Frederick (Ballenger Creek Center) | 130
Facility
130
MD AVG
43
Rank
#66 / 697 | 87.8% | +7% | 3.16 | -43% | -16% | $0 | 59
Facility
59
MD AVG
49.9
Rank
#108 / 149 | 19.7 | 2 | 116 | - |
36
Facility
36
MD AVG
43
Rank
#563 / 985 | 347 Ballenger Holdco LLC | $19.4M | $1.4M | 7.4% | 215001 |
Citizens Nursing Home is located in Frederick, Maryland.
Here are the financial assistance programs available to residents in Maryland.
Citizens Nursing Home is in the Rosemont Avenue neighborhood.
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.
Citizens Nursing Home's occupancy is 94.2%.
Citizens Nursing Home is a government-operated nursing facility.
Yes — there are 11 photos of Citizens Nursing Home in the photo gallery on this page.
Citizens Nursing Home is located at 1920 Rosemont Ave, Frederick, MD 21702.
(240) 772-9200 will put you in contact with the team at Citizens Nursing Home.
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