Federal inspection record · CMS data as of October 1, 2026

Frederick Living - Cedarwood

2849 Big Road, Frederick, PA · (610) 754-7878

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
61
Residents per day
31
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 1, 1984

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.

  2. Staffing

    no change (already 5)

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Pennsylvania homes

Frederick Living - Cedarwood carries 3 inspection points. That is fewer than 94% of Pennsylvania's 652 rated homes.

5★4★3★2★1★+20 homes above 288.505102550100200inspection points → fewer is better on the leftThis home · 3 pts · 5★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Pennsylvania: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–8 pts
  • 4★ 8–33 pts
  • 3★ 33–65 pts
  • 2★ 65–128 pts
  • 1★ over 128 pts

Bars show every rated home in Pennsylvania by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

1 health citations on record since 2026. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 1 4 pts
E 0 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Quality of Life and Care1D
  1. D

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    August 13, 2026 · Standard · F676 · Corrected September 14, 2026

Inspection history

  1. 2026-08-13

    1 health deficiencies · 3 fire-safety deficiencies

    Top issue: Quality of Life and Care (1 deficiency)

  2. 2025-08-27

    0 health deficiencies · 5 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

  3. 2024-09-04

    0 health deficiencies · 1 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

4

Nursing time per resident, per day

Each resident here gets about 4 h 51 min of nursing staff time a day, 1 h 41 min of it from a registered nurse.

This home

4 h 51 min

Pennsylvania average

3 h 54 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 46% of nursing staff and 19% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.1 pts worse1.61.51.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better0.91.11.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine10.4 pts better98.2%87.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better100.0%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts better1.8%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms13.8 pts better0.0%13.8%13.5%
Percentage of long-stay residents who lose too much weight1.4 pts better4.6%6.0%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication2.6 pts worse22.7%20.1%19.5%
Percentage of long-stay residents who received an antipsychotic medication5.5 pts worse23.1%17.6%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened10.3 pts worse25.7%15.4%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased7.5 pts worse23.9%16.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better0.0%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection6.9 pts worse8.3%1.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.8 pts worse31.8%25.0%18.3%
Percentage of long-stay residents with pressure ulcers0.1 pts better4.6%4.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine22.9 pts better93.7%70.8%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.1 pts worse9.6%9.5%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better0.0%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine46.9 pts worse24.0%70.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.3 pts worse24.3%22.0%23.4%

·

Who owns and runs it

26 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Garden Spot Communities5% Or Greater Direct Ownership Interest · Organization100%3 facilities
Covenant Alliance Rehab East LLCOperational/Managerial Control · Organization0%10 facilities
Covenant Alliance Rehab East LLCAdp Of The SNF · Organization0%10 facilities
Forsell, MichelleCorporate Director · Individual0%1 facilities
Forsell, MichelleCorporate Officer · Individual0%1 facilities
Friends Services For The AgingOperational/Managerial Control · Organization0%23 facilities
Friends Services For The AgingAdp Of The SNF · Organization0%23 facilities
Garden Spot CommunitiesOperational/Managerial Control · Organization0%3 facilities
Genuardi, JosephCorporate Director · Individual0%1 facilities
Hagarty, MichaelOperational/Managerial Control · Individual0%1 facilities
Hagarty, MichaelAdp Of The SNF · Individual0%1 facilities
Hohlfeld, SharonCorporate Director · Individual0%1 facilities
Hohlfeld, SharonCorporate Officer · Individual0%1 facilities
Landis, JamesCorporate Director · Individual0%1 facilities
Levengood, GregoryCorporate Director · Individual0%1 facilities
Levengood, GregoryCorporate Officer · Individual0%1 facilities
Lindsey, StephenCorporate Officer · Individual0%3 facilities
Lindsey, StephenOperational/Managerial Control · Individual0%3 facilities
Nase, RobertCorporate Director · Individual0%1 facilities
Pearlstein, RobertOperational/Managerial Control · Individual0%20 facilities
Pearlstein, RobertAdp Of The SNF · Individual0%20 facilities
Weber, NathanielCorporate Officer · Individual0%3 facilities
Weber, NathanielOperational/Managerial Control · Individual0%3 facilities
Weidner, StievenCorporate Director · Individual0%1 facilities
Yorgey, NathanCorporate Director · Individual0%1 facilities
Yorgey, NathanCorporate Officer · Individual0%1 facilities

·

Fire safety

9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke4F
  1. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    August 13, 2026 · K321 · Corrected September 11, 2026

  2. E

    Inspect, test, and maintain automatic sprinkler systems.

    August 13, 2026 · K353 · Corrected September 11, 2026

  3. F

    Inspect, test, and maintain automatic sprinkler systems.

    August 27, 2025 · K353 · Corrected December 16, 2025

  4. F

    Properly select, install, inspect, or maintain portable fire extinguishes.

    August 27, 2025 · K355 · Corrected December 16, 2025

Gas, Vacuum, and Electrical Systems2E
  1. E

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    August 27, 2025 · K914 · Corrected December 16, 2025

  2. C

    Have generator or other power source capable of supplying service within 10 seconds.

    September 4, 2024 · K918 · Corrected November 23, 2024

Services1E
  1. E

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    August 13, 2026 · K521 · Corrected September 11, 2026

Miscellaneous1E
  1. E

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    August 27, 2025 · K761 · Corrected December 16, 2025

Emergency Preparedness1C
  1. C

    Develop and maintain an Emergency Preparedness Program (EP).

    August 27, 2025 · E4 · Corrected December 16, 2025

·

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