The Lutheran Village At Miller's Grant
9120 Fathers Legacy, Ellicott City, MD 21042
The Lutheran Village At Miller's Grant is a nursing home in Ellicott City, Maryland. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating5 of 5
- Last standard health inspectionJune 26, 2026 (4 months ago)
- Health citations since September 2, 202217 (Maryland average 52)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
Health inspection on June 26, 2026
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation F0628. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS lists it as corrected on July 22, 2026.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on July 22, 2026.
CMS has cited this home for F0641 2 times since 2022.
Citation F0881. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Implement a program that monitors antibiotic use.
CMS lists it as corrected on July 22, 2026.
Fire safety inspection on June 26, 2026
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on August 26, 2026.
CMS has cited this home for K0345 2 times since 2025.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on August 26, 2026.
CMS has cited this home for K0712 2 times since 2022.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on August 26, 2026.
CMS has cited this home for K0918 3 times since 2022.
Citation E0024. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Establish policies and procedures for volunteers.
CMS lists it as corrected on August 26, 2026.
Citation K0362. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
CMS lists it as corrected on August 26, 2026.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
CMS update of February 25, 2026
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5.
Staffing
Total nurse staffing reported to CMS went from 7.4 to 5.4 hours per resident per day.
CMS update of November 20, 2025
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of July 30, 2025
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
Health inspection on June 26, 2025
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on July 25, 2025.
CMS has cited this home for F0812 2 times since 2022.
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on July 25, 2025.
Citation F0947. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
CMS lists it as corrected on July 25, 2025.
CMS has cited this home for F0947 2 times since 2022.
Fire safety inspection on June 26, 2025
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation E0004. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Develop and maintain an Emergency Preparedness Program (EP).
CMS lists it as corrected on August 25, 2025.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on August 25, 2025.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on August 25, 2025.
Citation K0920. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on August 25, 2025.
Citation K0923. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on August 25, 2025.
Citation K0200. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet other general requirements.
CMS lists it as corrected on August 25, 2025.
CMS update of February 26, 2025
Staffing
Total nurse staffing reported to CMS went from 6.7 to 5.9 hours per resident per day.
CMS update of October 30, 2024
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of January 31, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Staffing
Total nurse staffing reported to CMS went from 6.9 to 5.7 hours per resident per day.
Health inspection on September 2, 2022
11 citationsCMS lists this as a standard inspection.
Show the 11 citations
Citation F0756. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS lists it as corrected on October 31, 2022.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on October 31, 2022.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on October 31, 2022.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on October 31, 2022.
Citation F0655. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on October 31, 2022.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on October 31, 2022.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on October 31, 2022.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on October 31, 2022.
Citation F0887. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
CMS lists it as corrected on October 31, 2022.
Citation F0947. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
CMS lists it as corrected on October 31, 2022.
Citation F0732. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Post nurse staffing information every day.
CMS lists it as corrected on October 31, 2022.
Fire safety inspection on September 2, 2022
9 citationsCMS lists this as a standard inspection.
Show the 9 citations
Citation K0712. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on December 14, 2022.
Citation K0224. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion.
CMS lists it as corrected on December 14, 2022.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on December 14, 2022.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on December 14, 2022.
Citation K0355. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on December 14, 2022.
Citation K0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on January 11, 2023.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on January 11, 2023.
Citation E0013. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Develop Emergency Preparedness policies and procedures.
CMS lists it as corrected on December 14, 2022.
Citation K0711. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Provide a written emergency evacuation plan.
CMS lists it as corrected on December 14, 2022.
CMS star ratings
- 5 of 5CMS overall star rating
- 5 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (410) 696-6700
- Last standard health inspection
- June 26, 2026 (4 months ago)
- Certified beds
- 16
- Residents per day, on average
- 12.6
- Ownership type
- Non profit - Corporation
- Legal business name
- The Lutheran Village at Miller's Grant INC
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Maryland average (17 vs 52).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- CARROLL LUTHERAN VILLAGE INCIndirect ownership interest · not applicable · since 12/01/2016
- BRANCH, JEFFREYIndirect ownership interest · not applicable · since 07/08/2019
- FRIENDS SERVICES FOR THE AGINGOperational/managerial control · not applicable · since 07/01/2018
- SODEXHO INCOperational/managerial control · not applicable · since 05/01/2024
- BRANCH, JEFFREYOperational/managerial control · not applicable · since 07/08/2019
Show 2 more
- ROSENHEIM, MICHELLEOperational/managerial control · not applicable · since 06/24/2025
- SCHERR, NICOLEOperational/managerial control · not applicable · since 05/28/2021
Questions
When was The Lutheran Village At Miller's Grant last inspected?
CMS lists June 26, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does The Lutheran Village At Miller's Grant have?
CMS lists 17 health citations since September 2, 2022. CMS also calls these deficiencies.
Has The Lutheran Village At Miller's Grant been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of The Lutheran Village At Miller's Grant?
Its CMS overall star rating is 5 of 5.
Is The Lutheran Village At Miller's Grant a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.