Romaine's Paradise Assisted Living
State licensed4709 Elsrode Avenue, Baltimore, MD 21214
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Future Care Cold Spring provides skilled nursing and rehabilitation services to Baltimore residents who need comprehensive medical care during recovery. Our Baltimore, Maryland team combines therapeutic expertise with compassionate support to help patients regain independence and return home whenever possible.
Capacity
137 residents
Location
Baltimore, MD
Status
Listed in a public registry
4700 HARFORD ROAD, Baltimore, Maryland 21214
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on October 7, 2025, state inspectors cited 20 health deficiencies (the Maryland average is 17.0).
Nurses and nurse aides spend 3 hours 29 minutes with each resident a day, below the Maryland average of 3 hours 52 minutes.
Medicare fined Future Care Cold Spring once in the last three years, $16,042 in total.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 29 minutesBelow the Maryland average |
| Registered nurse time per resident, per day | 1 hour 15 minutesAbove the Maryland average |
| Nursing staff who left in the past year | 59%Above the Maryland average |
59 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
October 7, 2025 · Standard inspection · 17 citations
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Keep all essential equipment working safely.
Provide and implement an infection prevention and control program.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Observe each nurse aide's job performance and give regular training.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Provide timely, quality laboratory services/tests to meet the needs of residents.
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Reasonably accommodate the needs and preferences of each resident.
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Provide enough food/fluids to maintain a resident's health.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
October 7, 2025 · Complaint investigation · 3 citations
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Assure the security of all personal funds of residents deposited with the facility.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Provide and implement an infection prevention and control program.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Ensure each resident receives an accurate assessment.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Provide routine and 24-hour emergency dental care for each resident.
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Provide safe and appropriate respiratory care for a resident when needed.
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Keep all essential equipment working safely.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Honor the resident's right to organize and participate in resident/family groups in the facility.
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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.
Post nurse staffing information every day.
Respond appropriately to all alleged violations.
Protect each resident from the wrongful use of the resident's belongings or money.
Reasonably accommodate the needs and preferences of each resident.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
1 fine totaling $16,042 in the last three years.
4700 HARFORD ROADBaltimore, MD 21214
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State inspectors visited on October 7, 2025 and cited 20 health deficiencies, 4 of them from complaint investigations. The Maryland average is 17.0.
Nurses and aides spend 3 hours 29 minutes with each resident per day, including 1 hour 15 minutes from registered nurses. 59% of nursing staff left over the past year.
Yes. Medicare fined Future Care Cold Spring once in the last three years, totaling $16,042.
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.