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A+
Excellent

DEER'S HEAD CENTER

351 DEER'S HEAD HOSPITAL ROAD · SALISBURY, MD 21801

4105434000 · Government - State

80 beds30.7 residents103 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
A+
Excellent
RN Staff
A+
Excellent
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

DEER'S HEAD CENTER receives an overall staffing grade of A+ (Excellent). With 10.4963 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 6.60 HPRD above the national average.

Weekend staffing drops significantly — dropping 26.3% compared to weekdays. The facility relies heavily on temporary agency staff (19.95% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (3)

⚠️Weekend staffing drops 26.3% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.
⚠️19.95% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.
📊Staffing levels are highly variable day to day (consistency score: 1.6565). This means the care experience can be very different depending on the day.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
10.4963hrs/resident/day▲ 6.60
CMS benchmark: 3.48
RN HPRD
4.9284hrs/resident/day▲ 4.25
Recommended: 0.75
Weekend Drop-off
26.3%
11.3392 weekday → 8.3565 weekend
⚠ Significant weekend reduction
Agency Staff
19.95%
7.32% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
4.4773hrs/resident/day
Direct care aides
LPN HPRD
1.0906hrs/resident/day
Licensed practical nurses
Consistency
1.6565std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Wicomico County Average+5.19 HPRD
5.30
010.50 HPRD
vs. Maryland State Average+6.58 HPRD
3.92
010.50 HPRD
vs. National Average+6.60 HPRD
3.90
010.50 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
DEER'S HEAD CENTER ★
SALISBURY · This facility
—
A+
10.49634.9284★★★★★
WICOMICO NURSING HOME
SALISBURY
1.1 mi
B
3.92650.8936★★★☆☆
ANCHORAGE HEALTHCARE CENTER
SALISBURY
1.3 mi
C
3.3280.7689★★☆☆☆
BAY HARBOR POST ACUTE HEALTHCARE CENTER
SALISBURY
1.5 mi
C
3.46770.6094★☆☆☆☆
MANOKIN NURSING AND REHAB
PRINCESS ANNE
13.2 mi
C
3.42950.4494★☆☆☆☆
SNOW HILL REHABILITATION & HEALTHCARE CENTER
SNOW HILL
17.9 mi
B
3.64010.7638★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
15
Total Deficiencies
$41,265
Fines Assessed
Jul 12, 2024Health
8 deficiencies cited· Includes actual harm
▼
Sep 5, 2019Health
4 deficiencies cited
▼
Jul 12, 2018Health
3 deficiencies cited
▼

Penalty History

Jul 12, 2024Fine
$41,265
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.