Frostburg, MD

Frostburg Rehab Center

1-star overall rating with 1-star inspections with $16,559 in total fines with 26 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle

1 Kaylor Circle, Frostburg, MD

(301) 689-7500

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

122

Certified beds

Average residents

106

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1978-12-04

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.42

Registered nurse staffing · state 0.81 · national 0.68

LPN hours / resident day

0.89

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.13

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.44

All reported nurse hours · state 3.87 · national 3.89

Licensed hours

1.31

RN + LPN hours · state 1.72 · national 1.54

Weekend hours

3.17

Weekend nurse staffing · state 3.46 · national 3.43

Weekend RN hours

0.26

Weekend registered nurse coverage · state 0.61 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.41

CMS adjusted RN staffing hours

Adjusted total hours

3.36

CMS adjusted total nurse staffing hours

Case-mix index

1.40

Higher values indicate more complex resident acuity

RN turnover

71%

Annual RN turnover · state 40% · national 45%

Total nurse turnover

65%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,455

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

36.13

Composite VBP score used to determine payment impact.

Payment multiplier

0.9896

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

8.84

Baseline 17.97% · Performance 17.33% · Measure score 8.84 · Achievement 8.84 · Improvement 6.26

Healthcare-associated infections

4.81

Baseline 6.06% · Performance 6.40% · Measure score 4.81 · Achievement 4.81 · Improvement 0

Total nurse turnover

0

Baseline 54.37% · Performance 62.07% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

0.80

Baseline 3.31 hours · Performance 3.31 hours · Measure score 0.80 · Achievement 0.80 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.53%
10.72%
0.2 pts better
No Different than the National Rate · Eligible stays 242 · Observed rate 10.33% · Lower 95% interval 8.11%
Discharge to community 51.25%
50.57%
0.7 pts better
No Different than the National Rate · Eligible stays 224 · Observed rate 45.54% · Lower 95% interval 43.89%
Medicare spending per beneficiary 1.32
1.02
0.3 pts worse
Drug regimen review with follow-up 68.36%
95.27%
26.9 pts worse
Numerator 121 · Denominator 177
Falls with major injury 0.56%
0.77%
0.2 pts better
Numerator 1 · Denominator 177
Discharge self-care score 45.65%
53.69%
8 pts worse
Numerator 42 · Denominator 92
Discharge mobility score 45.65%
50.94%
5.3 pts worse
Numerator 42 · Denominator 92
Pressure ulcers or injuries, new or worsened 4.05%
2.29%
1.8 pts worse
Numerator 7 · Denominator 173 · Adjusted rate 3.72%
Healthcare-associated infections requiring hospitalization 6.4%
7.12%
0.7 pts better
No Different than the National Rate · Eligible stays 164 · Observed rate 6.1% · Lower 95% interval 3.85%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 97
Staff flu vaccination coverage 16.22%
42%
25.8 pts worse
Numerator 24 · Denominator 148
Discharge function score 54.35%
56.45%
2.1 pts worse
Numerator 50 · Denominator 92
Transfer of health information to provider 65.38%
95.95%
30.6 pts worse
Numerator 34 · Denominator 52
Transfer of health information to patient 96.05%
96.28%
0.2 pts worse
Numerator 73 · Denominator 76
Resident COVID-19 vaccinations up to date 24.75%
25.2%
0.4 pts worse
Numerator 25 · Denominator 101

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.3
1.3
About the same
1.9
0.6 pts better
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.3
1.2
0.1 pts worse
1.8
0.5 pts better
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.2 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 95.6%
91.9%
3.7 pts better
93.4%
2.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 88.6% · Q2 96.9% · Q3 98.9% · Q4 97.7% · 4Q avg 95.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.0%
96.6%
1.4 pts better
95.5%
2.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.0%
Percentage of long-stay residents experiencing one or more falls with major injury 6.4%
2.3%
4.1 pts worse
3.3%
3.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 6.2% · Q3 5.6% · Q4 8.0% · 4Q avg 6.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 7.3%
21.4%
14.1 pts better
11.4%
4.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 10.6% · Q3 10.2% · Q4 5.6% · 4Q avg 7.3%
Percentage of long-stay residents who lose too much weight 4.9%
5.7%
0.8 pts better
5.4%
0.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 7.6% · Q3 3.4% · Q4 5.7% · 4Q avg 4.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 23.0%
16.1%
6.9 pts worse
19.6%
3.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 24.2% · Q3 22.7% · Q4 24.1% · 4Q avg 23.0%
Percentage of long-stay residents who received an antipsychotic medication 12.9%
15.3%
2.4 pts better
16.7%
3.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 12.0% · Q3 13.8% · Q4 15.6% · 4Q avg 12.9% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 32.8%
26.6%
6.2 pts worse
16.3%
16.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 29.1% · Q2 35.0% · 4Q avg 32.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 16.8%
22.9%
6.1 pts better
14.9%
1.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 20.9% · Q3 16.0% · Q4 15.0% · 4Q avg 16.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.9%
0.7%
0.2 pts worse
1.0%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 3.4%
1.5%
1.9 pts worse
1.7%
1.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 6.4% · Q3 3.4% · Q4 1.1% · 4Q avg 3.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 31.7%
25.4%
6.3 pts worse
19.8%
11.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 37.2% · Q3 33.2% · Q4 32.9% · 4Q avg 31.7%
Percentage of long-stay residents with pressure ulcers 5.4%
6.3%
0.9 pts better
5.1%
0.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 6.4% · Q3 6.5% · Q4 4.6% · 4Q avg 5.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 69.3%
78.4%
9.1 pts worse
81.7%
12.4 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 61.4% · Q2 78.7% · Q3 84.8% · Q4 56.9% · 4Q avg 69.3%
Percentage of short-stay residents who had an outpatient emergency department visit 12.5%
9.9%
2.6 pts worse
12.0%
0.5 pts worse
Short Stay · 20240701-20250630 · Adjusted 12.5% · Observed 11.3% · Expected 10.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.9%
1.3%
0.4 pts better
1.6%
0.7 pts better
Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 84.4%
80.6%
3.8 pts better
79.7%
4.7 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 84.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 22.0%
21.2%
0.8 pts worse
23.9%
1.9 pts better
Short Stay · 20240701-20250630 · Adjusted 22.0% · Observed 21.5% · Expected 23.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-13 · Fire 2025-08-13

26 health deficiencies

Top issue: Nursing and Physician Services (4 deficiencies)

14 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)

Cycle 2 Health 2022-09-27 · Fire 2022-09-27

25 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2019-10-30 · Fire 2019-10-30

0 health deficiencies

No concentrated health issue counts in this cycle.

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-13

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2025-10-17

F · Potential for more than minimal harm 2025-08-13

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-10-17

F · Potential for more than minimal harm 2025-08-13

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-10-17

F · Potential for more than minimal harm 2025-08-13

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-10-17

F · Potential for more than minimal harm 2025-08-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-10-17

F · Potential for more than minimal harm 2025-08-13

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-10-17

F · Potential for more than minimal harm 2025-08-13

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-10-17

F · Potential for more than minimal harm 2025-08-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-10-17

E · Potential for more than minimal harm 2025-08-13

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-10-17

E · Potential for more than minimal harm 2025-08-13

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2025-10-17

E · Potential for more than minimal harm 2025-08-13

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2025-10-17

E · Potential for more than minimal harm 2025-08-13

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2025-10-17

E · Potential for more than minimal harm 2025-08-13

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-10-17

E · Potential for more than minimal harm 2025-08-13

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-10-17

D · Potential for more than minimal harm 2022-09-27

K200 · Egress Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2022-12-14

D · Potential for more than minimal harm 2022-09-27

K233 · Egress Deficiencies

Fire Safety

Install resident room doors of proper design and width.

Corrected 2022-12-14

D · Potential for more than minimal harm 2022-09-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-12-14

D · Potential for more than minimal harm 2022-09-27

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-12-14

D · Potential for more than minimal harm 2022-09-27

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-12-14

D · Potential for more than minimal harm 2022-09-27

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-12-14

C · Minimal harm 2022-09-27

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-12-14

F · Potential for more than minimal harm 2019-10-30

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2019-10-24

E · Potential for more than minimal harm 2019-10-30

K321 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-10-24

C · Minimal harm 2019-10-30

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2019-10-24

B · Minimal harm 2019-10-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-10-24

B · Minimal harm 2019-10-30

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2019-10-24

Inspection history

Recent health citations

G · Actual harm 2025-08-13

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-09-30

F · Potential for more than minimal harm 2025-08-13

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2025-09-30

F · Potential for more than minimal harm 2025-08-13

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2025-09-30

F · Potential for more than minimal harm 2025-08-13

F838 · Administration Deficiencies

Health

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.

Corrected 2025-09-30

E · Potential for more than minimal harm 2025-08-13

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-09-30

E · Potential for more than minimal harm 2025-08-13

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-09-30

E · Potential for more than minimal harm 2025-08-13

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2025-09-30

E · Potential for more than minimal harm 2025-08-13

F807 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Corrected 2025-09-30

E · Potential for more than minimal harm 2025-08-13

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-13

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-13

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-13

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-13

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-13

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-13

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-13

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-13

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-13

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-13

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-13

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-13

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-13

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-13

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-08-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-11-13

D · Potential for more than minimal harm 2025-08-13

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2025-09-30

C · Minimal harm 2025-08-13

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-09-30

E · Potential for more than minimal harm 2022-09-27

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-12-02

E · Potential for more than minimal harm 2022-09-27

F711 · Nursing and Physician Services Deficiencies

Health

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Corrected 2022-12-02

E · Potential for more than minimal harm 2022-09-27

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-09-27

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-09-27

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-09-27

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-09-27

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-09-27

F624 · Resident Rights Deficiencies

Health

Prepare residents for a safe transfer or discharge from the nursing home.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-09-27

F625 · Resident Rights Deficiencies

Health

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.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-09-27

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-09-27

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-09-27

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-09-27

F676 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-09-27

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-09-27

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-09-27

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-09-27

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-09-27

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-09-27

F710 · Nursing and Physician Services Deficiencies

Health

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-09-27

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-09-27

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-09-27

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-09-27

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-09-27

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-09-27

F909 · Environmental Deficiencies

Health

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Corrected 2022-12-02

Penalties and ownership

What sits behind the stars

$16,559 2025-08-13

Fine

Fine · fine $16,559

Fine

Ownership

Glen Echo Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 3 facilities 2025-03-01
Cibc Bank Usa

Operational/Managerial Control · Organization

0% 121 facilities 2025-03-01
Cibc Bank Usa

5% Or Greater Security Interest · Organization

0% 121 facilities 2025-03-01
Cline, Carrie

Operational/Managerial Control · Individual

0% 3 facilities 2025-03-01
Collins, Elizabeth

Operational/Managerial Control · Individual

0% 1 facilities 2025-03-01
Glen Echo Holdings LLC

5% Or Greater Security Interest · Organization

0% 3 facilities 2025-03-01
Healthcare Services Group Inc

Operational/Managerial Control · Organization

0% 11 facilities 2025-03-01
Hornung, Steven

5% Or Greater Security Interest · Individual

0% 8 facilities 2025-03-01
Kaminer, Aaron

5% Or Greater Security Interest · Individual

0% 12 facilities 2025-03-01
Md Sans Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2025-03-01
Md Sans Mars 2024 Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2025-03-01
Md Sans Venus 2024 Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2025-03-01
Oberon Core Holdings

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2025-03-01
Zambry Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2025-03-01
Zambry Mars 2024 Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2025-03-01
Zambry Venus 2024 Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2025-03-01

Nearby options

Other facilities in reach

#1

Mountain City Rehab Center

Frostburg, MD

1-star overall rating with 1-star inspections with abuse icon flag with $48,227 in total fines with 46 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
2 / 5
Fines
$48,227
#2

Lions Rehab Center

Cumberland, MD

1-star overall rating with 1-star inspections with $98,631 in total fines with 40 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
2 / 5
Fines
$98,631
#3

Devlin Manor Nursing And Rehabilitation Center

Cumberland, MD

5-star overall rating with 5-star inspections with 3 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
5 / 5
Staffing
2 / 5
Fines
$0

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