Facility WatchInspection records for every certified US nursing home
Hidden Waters Rehabilitation and Wellness Center
9211 Stuart Lane Clinton, MD 20735 (301) 868-3600
Abuse icon
CCN
215231
Certified beds
267
Ownership
For profit - Corporation
Chain
Communicare Health
Nurse staffing
4.34
Total nurse staffing hours per resident per day, case-mix adjusted
Registered nurses: 0.95 hours per resident per day
Nursing staff turnover: 32% a year
Derived by CMS from the Payroll-Based Journal and refreshed quarterly.
Inspection history
Inspected November 4, 2025
3 citations · from a complaint investigation · Health
D
F0577No actual harm with potential for more than minimal harm · Isolated
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Deficient, Provider has date of correction · corrected December 29, 2025
D
F0583No actual harm with potential for more than minimal harm · Isolated
Keep residents' personal and medical records private and confidential.
Deficient, Provider has date of correction · corrected December 29, 2025
D
F0627No actual harm with potential for more than minimal harm · Isolated
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Deficient, Provider has date of correction · corrected December 29, 2025
Inspected June 5, 2025
9 citations · from a complaint investigation · Health
D
F0585No actual harm with potential for more than minimal harm · Isolated
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Deficient, Provider has date of correction · corrected August 12, 2025
D
F0600No actual harm with potential for more than minimal harm · Isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has date of correction · corrected August 12, 2025
D
F0609No actual harm with potential for more than minimal harm · Isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Deficient, Provider has date of correction · corrected August 12, 2025
D
F0610No actual harm with potential for more than minimal harm · Isolated
Respond appropriately to all alleged violations.
Deficient, Provider has date of correction · corrected September 19, 2025
D
F0628No actual harm with potential for more than minimal harm · Isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Deficient, Provider has date of correction · corrected September 19, 2025
D
F0656No actual harm with potential for more than minimal harm · Isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Deficient, Provider has date of correction · corrected August 12, 2025
D
F0761No actual harm with potential for more than minimal harm · Isolated
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Deficient, Provider has plan of correction · corrected August 12, 2025
D
F0842No actual harm with potential for more than minimal harm · Isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Deficient, Provider has date of correction · corrected September 19, 2025
G
F0689Actual harm · Isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected August 12, 2025
Inspected December 6, 2024
5 citations · from a complaint investigation · Health
D
F0580No actual harm with potential for more than minimal harm · Isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Deficient, Provider has date of correction · corrected February 19, 2025
E
F0838No actual harm with potential for more than minimal harm · Pattern
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Deficient, Provider has date of correction · corrected February 6, 2025
F
F0835No actual harm with potential for more than minimal harm · Widespread
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Deficient, Provider has date of correction · corrected February 6, 2025
F
F0843No actual harm with potential for more than minimal harm · Widespread
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
Deficient, Provider has date of correction · corrected February 6, 2025
L
F0584Immediate jeopardy to resident health or safety · Widespread
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Deficient, Provider has date of correction · corrected February 6, 2025
Inspected May 16, 2023
35 citations · Health
D
F0551No actual harm with potential for more than minimal harm · Isolated
Give the resident's representative the ability to exercise the resident's rights.
Deficient, Provider has date of correction · corrected June 30, 2023
D
F0552No actual harm with potential for more than minimal harm · Isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Deficient, Provider has date of correction · corrected June 30, 2023
D
F0558No actual harm with potential for more than minimal harm · Isolated
Reasonably accommodate the needs and preferences of each resident.
Deficient, Provider has date of correction · corrected June 30, 2023
D
F0577No actual harm with potential for more than minimal harm · Isolated
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Deficient, Provider has date of correction · corrected June 30, 2023
D
F0578No actual harm with potential for more than minimal harm · Isolated
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Deficient, Provider has date of correction · corrected June 30, 2023
D
F0583No actual harm with potential for more than minimal harm · Isolated
Keep residents' personal and medical records private and confidential.
Deficient, Provider has date of correction · corrected June 30, 2023
D
F0636No actual harm with potential for more than minimal harm · Isolated
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Deficient, Provider has date of correction · corrected June 30, 2023
D
F0656No actual harm with potential for more than minimal harm · Isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Deficient, Provider has date of correction · corrected June 30, 2023
D
F0679No actual harm with potential for more than minimal harm · Isolated
Provide activities to meet all resident's needs.
Deficient, Provider has date of correction · corrected June 30, 2023
D
F0685No actual harm with potential for more than minimal harm · Isolated
Assist a resident in gaining access to vision and hearing services.
Deficient, Provider has date of correction · corrected June 30, 2023
D
F0695No actual harm with potential for more than minimal harm · Isolated
Provide safe and appropriate respiratory care for a resident when needed.
Deficient, Provider has date of correction · corrected June 30, 2023
D
F0698No actual harm with potential for more than minimal harm · Isolated
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Deficient, Provider has date of correction · corrected June 30, 2023
D
F0710No actual harm with potential for more than minimal harm · Isolated
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Deficient, Provider has date of correction · corrected June 30, 2023
D
F0732No actual harm with potential for more than minimal harm · Isolated
Post nurse staffing information every day.
Deficient, Provider has date of correction · corrected June 30, 2023
D
F0760No actual harm with potential for more than minimal harm · Isolated
Ensure that residents are free from significant medication errors.
Deficient, Provider has date of correction · corrected June 30, 2023
D
F0761No actual harm with potential for more than minimal harm · Isolated
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Deficient, Provider has date of correction · corrected June 30, 2023
D
F0791No actual harm with potential for more than minimal harm · Isolated
Provide or obtain dental services for each resident.
Deficient, Provider has date of correction · corrected June 30, 2023
D
F0803No actual harm with potential for more than minimal harm · Isolated
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Deficient, Provider has date of correction · corrected June 30, 2023
D
F0814No actual harm with potential for more than minimal harm · Isolated
Dispose of garbage and refuse properly.
Deficient, Provider has date of correction · corrected June 30, 2023
D
F0842No actual harm with potential for more than minimal harm · Isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Deficient, Provider has date of correction · corrected June 30, 2023
D
F0908No actual harm with potential for more than minimal harm · Isolated
Keep all essential equipment working safely.
Deficient, Provider has date of correction · corrected June 30, 2023
D
F0917No actual harm with potential for more than minimal harm · Isolated
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
Deficient, Provider has date of correction · corrected June 30, 2023
E
F0585No actual harm with potential for more than minimal harm · Pattern
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Deficient, Provider has date of correction · corrected June 30, 2023
E
F0641No actual harm with potential for more than minimal harm · Pattern
Ensure each resident receives an accurate assessment.
Deficient, Provider has date of correction · corrected June 30, 2023
E
F0657No actual harm with potential for more than minimal harm · Pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Deficient, Provider has date of correction · corrected June 30, 2023
E
F0684No actual harm with potential for more than minimal harm · Pattern
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has date of correction · corrected June 30, 2023
E
F0692No actual harm with potential for more than minimal harm · Pattern
Provide enough food/fluids to maintain a resident's health.
Deficient, Provider has date of correction · corrected June 30, 2023
E
F0805No actual harm with potential for more than minimal harm · Pattern
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Deficient, Provider has date of correction · corrected June 30, 2023
E
F0812No actual harm with potential for more than minimal harm · Pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Deficient, Provider has date of correction · corrected June 30, 2023
E
F0912No actual harm with potential for more than minimal harm · Pattern
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Deficient, Provider has date of correction · corrected July 30, 2023
E
F0924No actual harm with potential for more than minimal harm · Pattern
Put firmly secured handrails on each side of hallways.
Deficient, Provider has date of correction · corrected June 30, 2023
E
F0925No actual harm with potential for more than minimal harm · Pattern
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Deficient, Provider has date of correction · corrected June 30, 2023
F
F0584No actual harm with potential for more than minimal harm · Widespread
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Deficient, Provider has date of correction · corrected June 30, 2023
F
F0921No actual harm with potential for more than minimal harm · Widespread
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Deficient, Provider has date of correction · corrected August 28, 2023
F
F0923No actual harm with potential for more than minimal harm · Widespread
Have enough outside ventilation via a window or mechanical ventilation, or both.
Deficient, Provider has date of correction · corrected June 30, 2023
Inspected March 14, 2019
8 citations · Health
D
F0623No actual harm with potential for more than minimal harm · Isolated
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Deficient, Provider has date of correction · corrected April 27, 2019
D
F0624No actual harm with potential for more than minimal harm · Isolated
Prepare residents for a safe transfer or discharge from the nursing home.
Deficient, Provider has date of correction · corrected April 27, 2019
D
F0675No actual harm with potential for more than minimal harm · Isolated
Honor each resident's preferences, choices, values and beliefs.
Deficient, Provider has date of correction · corrected April 27, 2019
D
F0690No actual harm with potential for more than minimal harm · Isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Deficient, Provider has date of correction · corrected April 27, 2019
D
F0761No actual harm with potential for more than minimal harm · Isolated
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Deficient, Provider has date of correction · corrected April 27, 2019
D
F0912No actual harm with potential for more than minimal harm · Isolated
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Deficient, Provider has date of correction · corrected April 27, 2019
E
F0602No actual harm with potential for more than minimal harm · Pattern
Protect each resident from the wrongful use of the resident's belongings or money.
Deficient, Provider has date of correction · corrected April 27, 2019
E
F0842No actual harm with potential for more than minimal harm · Pattern
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Deficient, Provider has date of correction · corrected April 27, 2019
Inspected November 1, 2017
14 citations · Health
D
F0241No actual harm with potential for more than minimal harm · Isolated
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Deficient, Provider has date of correction · corrected December 16, 2017
D
F0246No actual harm with potential for more than minimal harm · Isolated
Reasonably accommodate the needs and preferences of each resident.
Deficient, Provider has date of correction · corrected December 16, 2017
D
F0272No actual harm with potential for more than minimal harm · Isolated
Conduct initial and periodic assessments of each resident's functional capacity.
Deficient, Provider has date of correction · corrected December 16, 2017
D
F0279No actual harm with potential for more than minimal harm · Isolated
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Deficient, Provider has date of correction · corrected December 16, 2017
D
F0280No actual harm with potential for more than minimal harm · Isolated
Allow residents the right to participate in the planning or revision of care and treatment.
Deficient, Provider has date of correction · corrected December 16, 2017
D
F0311No actual harm with potential for more than minimal harm · Isolated
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
Deficient, Provider has date of correction · corrected December 16, 2017
D
F0428No actual harm with potential for more than minimal harm · Isolated
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
Deficient, Provider has date of correction · corrected December 16, 2017
D
F0431No actual harm with potential for more than minimal harm · Isolated
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Deficient, Provider has date of correction · corrected December 16, 2017
D
F0458No actual harm with potential for more than minimal harm · Isolated
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Deficient, Provider has date of correction · corrected December 16, 2017
E
F0253No actual harm with potential for more than minimal harm · Pattern
Provide housekeeping and maintenance services.
Deficient, Provider has date of correction · corrected December 16, 2017
E
F0332No actual harm with potential for more than minimal harm · Pattern
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
Deficient, Provider has date of correction · corrected December 16, 2017
E
F0371No actual harm with potential for more than minimal harm · Pattern
Store, cook, and serve food in a safe and clean way.
Deficient, Provider has date of correction · corrected December 16, 2017
E
F0441No actual harm with potential for more than minimal harm · Pattern
Have a program that investigates, controls and keeps infection from spreading.
Deficient, Provider has date of correction · corrected December 16, 2017
E
F0514No actual harm with potential for more than minimal harm · Pattern
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Deficient, Provider has date of correction · corrected December 16, 2017