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.
Lorien Bulle Rock is a highly regarded nursing home in Havre de Grace, MD, offering long-term care and rehabilitation. Promoting a nurturing and welcoming environment, the community ensures older adults are treated well throughout their stay. Residents also experience maintenance-free living with 24-hour care, well-balanced meals, and recreational activities. Through personalized care plans, residents receive the utmost attention and care for their unique needs and habits.
Light exercises, fun gatherings, and games provide residents with more opportunities to interact with friends and explore interests. Spacious common areas and thoughtfully furnished rooms also ensure residents’ relaxation and wellness. Set along Pulaski Highway, near bus stops and restaurants, the community guarantees accessibility and convenience. This nursing home is a good option for senior living in Maryland, especially with high standards of care and well-maintained amenities.
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.
| 49m per day | ■ Avg 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 4m per day | ▲ 17% 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 10m per day | ■ Avg 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 42m per day | ▲ 5% 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.
| 5m per day | ▼ 19% 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.
| 45m 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.
48% more staff per resident than Maryland average
6% worse 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.
19 total: 15 full-time employees and 4 contractors.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursAssists with medical care and medications.
40 total: 13 full-time employees and 27 contractors.
40
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: 38 full-time employees and 30 contractors.
68
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
6,592 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 38 | 30 | 68 | 12,225 | 92 | 100% | 7.3 |
| Licensed Practical Nurse | 13 | 27 | 40 | 5,521 | 92 | 100% | 8.4 |
| Registered Nurse | 15 | 4 | 19 | 3,342 | 92 | 100% | 7.6 |
| Clinical Nurse Specialist | 3 | 1 | 4 | 1,373 | 74 | 80% | 7.6 |
| Medication Aide/Technician | 7 | 0 | 7 | 1,294 | 89 | 97% | 9.4 |
| RN Director of Nursing | 2 | 1 | 3 | 1,224 | 89 | 97% | 9.5 |
| Other Dietary Services Staff | 2 | 0 | 2 | 1,075 | 90 | 98% | 8.1 |
| Speech Language Pathologist | 0 | 5 | 5 | 1,003 | 78 | 85% | 7.2 |
| Dental Services Staff | 2 | 1 | 3 | 894 | 65 | 71% | 7.8 |
| Physical Therapy Aide | 0 | 4 | 4 | 641 | 69 | 75% | 5.8 |
| Physical Therapy Assistant | 0 | 5 | 5 | 559 | 75 | 82% | 6.6 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 498 | 67 | 73% | 7.1 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Dietitian | 1 | 0 | 1 | 444 | 57 | 62% | 7.8 |
| Nurse Practitioner | 2 | 0 | 2 | 424 | 53 | 58% | 8 |
| Qualified Social Worker | 0 | 3 | 3 | 379 | 67 | 73% | 5.5 |
| Nurse Aide in Training | 2 | 0 | 2 | 266 | 34 | 37% | 5.5 |
| Occupational Therapy Aide | 1 | 1 | 2 | 252 | 38 | 41% | 6.6 |
| Medical Director | 0 | 1 | 1 | 25 | 10 | 11% | 2.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 21 | 3 | 3% | 7 |
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.
25.0
In line with Maryland averageMaryland average: 25.7
Percent of long-stay residents whose need for help with daily activities has increased
21.9%
8% better than Maryland averageMaryland average: 23.7%
Percent of long-stay residents whose ability to move independently worsened
27.6%
In line with Maryland averageMaryland average: 27.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.6%
In line with Maryland averageMaryland average: 25.9%
Percent of long-stay residents experiencing one or more falls with major injury
1.8%
21% better than Maryland averageMaryland average: 2.3%
Percent of long-stay high risk residents with pressure ulcers
7.8%
20% worse than Maryland averageMaryland average: 6.5%
Percent of long-stay residents with a urinary tract infection
3.2%
99% worse than Maryland averageMaryland average: 1.6%
Percent of long-stay residents who lose too much weight
4.4%
24% better than Maryland averageMaryland average: 5.8%
Percent of long-stay residents who have depressive symptoms
0.5%
97% better than Maryland averageMaryland average: 20.2%
Percent of long-stay residents who received an antipsychotic medication
7.2%
44% better than Maryland averageMaryland average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
7% 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%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.8%
22% better than Maryland averageMaryland average: 78.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
68% better than Maryland averageMaryland average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.0%
21% 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.
66% of new residents, usually for short-term rehab.
31% of new residents, often for short stays.
3% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
66Residents 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 Lorien Bulle Rock from 2013–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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 #33 / 148Payroll % — State benchmarkedThis home is ranked 33rd 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
Transportation Services
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (66% of admissions), and a typical Medicare stay runs around 25 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.6 miles from city center
Estimated distance in miles from Havre De Grace's city center to Lorien Bulle Rock'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 |
Lorien Bulle Rock is located in Havre De Grace, Maryland.
Here are the financial assistance programs available to residents in Maryland.
Lorien Bulle Rock has a walk score of 36. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Lorien Bulle Rock's occupancy is 91.6%.
Yes — see the floorplan options available at Lorien Bulle Rock on this page.
Yes — there are 32 photos of Lorien Bulle Rock in the photo gallery on this page.
Lorien Bulle Rock is located at 1501 Blenheim Farm Lane, Havre De Grace, MD 21078.
(410) 939-9300 will put you in contact with the team at Lorien Bulle Rock.
Yes — Lorien Bulle Rock is a CMS-certified provider of Medicare and Medicaid.
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