Frostburg, MD

Mountain City Rehab Center

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

48 Tarn Terrace, Frostburg, MD

(301) 689-1391

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

88

Certified beds

Average residents

85

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1995-08-17

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

0.65

Registered nurse staffing · state 0.81 · national 0.68

LPN hours / resident day

0.67

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.02

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.33

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

3.06

Weekend nurse staffing · state 3.46 · national 3.43

Weekend RN hours

0.45

Weekend registered nurse coverage · state 0.61 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.65

CMS adjusted RN staffing hours

Adjusted total hours

3.33

CMS adjusted total nurse staffing hours

Case-mix index

1.37

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

12,034

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

Performance score

14.24

Composite VBP score used to determine payment impact.

Payment multiplier

0.9813

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.27

Baseline 19.16% · Performance 19.45% · Measure score 4.27 · Achievement 4.27 · Improvement 0

Healthcare-associated infections

0

Baseline 7.39% · Performance 8.37% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Adjusted total nurse staffing

0

Baseline 2.93 hours · Performance 2.90 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.75%
10.72%
1 pts worse
No Different than the National Rate · Eligible stays 163 · Observed rate 12.88% · Lower 95% interval 8.99%
Discharge to community 54.21%
50.57%
3.6 pts better
No Different than the National Rate · Eligible stays 159 · Observed rate 45.28% · Lower 95% interval 46.63%
Medicare spending per beneficiary 1.27
1.02
0.2 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 103 · Denominator 103
Falls with major injury 2.91%
0.77%
2.1 pts worse
Numerator 3 · Denominator 103
Discharge self-care score 33.33%
53.69%
20.4 pts worse
Numerator 26 · Denominator 78
Discharge mobility score 52.56%
50.94%
1.6 pts better
Numerator 41 · Denominator 78
Pressure ulcers or injuries, new or worsened 1.96%
2.29%
0.3 pts better
Numerator 2 · Denominator 102 · Adjusted rate 1.98%
Healthcare-associated infections requiring hospitalization 8.37%
7.12%
1.2 pts worse
No Different than the National Rate · Eligible stays 113 · Observed rate 9.73% · Lower 95% interval 4.96%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 81
Staff flu vaccination coverage 38.68%
42%
3.3 pts worse
Numerator 41 · Denominator 106
Discharge function score 42.31%
56.45%
14.1 pts worse
Numerator 33 · Denominator 78
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 38 · Denominator 38
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 39 · Denominator 39
Resident COVID-19 vaccinations up to date 11.48%
25.2%
13.7 pts worse
Numerator 7 · Denominator 61

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.6
1.3
0.7 pts better
1.9
1.3 pts better
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.7
1.2
0.5 pts better
1.8
1.1 pts better
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.0%
91.9%
5.1 pts better
93.4%
3.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 97.3% · Q2 98.6% · Q3 94.8% · Q4 97.5% · 4Q avg 97.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.4%
96.6%
0.8 pts better
95.5%
1.9 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.4%
Percentage of long-stay residents experiencing one or more falls with major injury 4.3%
2.3%
2 pts worse
3.3%
1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 4.2% · Q3 3.9% · Q4 5.1% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 3.3%
21.4%
18.1 pts better
11.4%
8.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.8% · Q3 6.6% · Q4 3.1% · 4Q avg 3.3%
Percentage of long-stay residents who lose too much weight 3.1%
5.7%
2.6 pts better
5.4%
2.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 0.0% · Q3 3.9% · Q4 5.2% · 4Q avg 3.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 29.6%
16.1%
13.5 pts worse
19.6%
10 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 26.0% · Q2 30.6% · Q3 28.6% · Q4 32.9% · 4Q avg 29.6%
Percentage of long-stay residents who received an antipsychotic medication 26.7%
15.3%
11.4 pts worse
16.7%
10 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 26.2% · Q2 30.6% · Q3 22.1% · Q4 28.4% · 4Q avg 26.7% · 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 39.8%
26.6%
13.2 pts worse
16.3%
23.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 36.0% · Q2 43.6% · Q3 50.1% · Q4 28.3% · 4Q avg 39.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 31.0%
22.9%
8.1 pts worse
14.9%
16.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 38.2% · Q3 44.7% · Q4 26.3% · 4Q avg 31.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.5%
0.7%
0.2 pts better
1.0%
0.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 3.1%
1.5%
1.6 pts worse
1.7%
1.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 4.3% · Q3 2.6% · Q4 3.9% · 4Q avg 3.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 29.6%
25.4%
4.2 pts worse
19.8%
9.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 34.4% · Q2 28.1% · Q3 28.1% · Q4 28.0% · 4Q avg 29.6%
Percentage of long-stay residents with pressure ulcers 5.9%
6.3%
0.4 pts better
5.1%
0.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 7.6% · Q3 5.6% · Q4 5.6% · 4Q avg 5.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 58.9%
78.4%
19.5 pts worse
81.7%
22.8 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 50.8% · Q2 53.7% · Q3 66.1% · Q4 68.1% · 4Q avg 58.9%
Percentage of short-stay residents who had an outpatient emergency department visit 11.3%
9.9%
1.4 pts worse
12.0%
0.7 pts better
Short Stay · 20240701-20250630 · Adjusted 11.3% · Observed 11.4% · Expected 11.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.3%
1.3 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 51.4%
80.6%
29.2 pts worse
79.7%
28.3 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 51.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 16.7%
21.2%
4.5 pts better
23.9%
7.2 pts better
Short Stay · 20240701-20250630 · Adjusted 16.7% · Observed 17.0% · Expected 24.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-26 · Fire 2024-11-26

46 health deficiencies

Top issue: Quality of Life and Care (13 deficiencies)

6 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 2 Health 2019-09-20 · Fire 2019-09-20

6 health deficiencies

Top issue: Resident Rights (2 deficiencies)

2 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 3 Health 2018-03-09 · Fire 2018-03-09

19 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-11-26

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-01-14

F · Potential for more than minimal harm 2024-11-26

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2025-01-14

F · Potential for more than minimal harm 2024-11-26

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-01-14

F · Potential for more than minimal harm 2024-11-26

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-01-14

F · Potential for more than minimal harm 2024-11-26

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2025-01-14

D · Potential for more than minimal harm 2024-11-26

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-01-14

D · Potential for more than minimal harm 2019-09-20

K522 · Services Deficiencies

Fire Safety

Have an externally vented heating system.

Corrected 2019-11-15

B · Minimal harm 2019-09-20

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-11-15

C · Minimal harm 2018-03-09

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2018-03-28

Inspection history

Recent health citations

G · Actual harm 2025-11-07

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 2026-01-07

E · Potential for more than minimal harm 2025-11-07

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 2026-01-07

E · Potential for more than minimal harm 2025-11-07

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2026-01-07

E · Potential for more than minimal harm 2025-11-07

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2026-01-07

D · Potential for more than minimal harm 2025-11-07

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 2026-01-07

D · Potential for more than minimal harm 2025-11-07

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 2026-01-07

D · Potential for more than minimal harm 2025-11-07

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2026-01-07

D · Potential for more than minimal harm 2025-11-07

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2026-01-07

D · Potential for more than minimal harm 2025-11-07

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-01-07

J · Immediate jeopardy 2024-11-26

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 2022-12-06

G · Actual harm 2024-11-26

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-31

F · Potential for more than minimal harm 2024-11-26

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2024-12-20

E · Potential for more than minimal harm 2024-11-26

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 2024-12-20

E · Potential for more than minimal harm 2024-11-26

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 2024-12-20

E · Potential for more than minimal harm 2024-11-26

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 2024-12-20

E · Potential for more than minimal harm 2024-11-26

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-12-20

E · Potential for more than minimal harm 2024-11-26

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 2024-12-20

E · Potential for more than minimal harm 2024-11-26

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 2024-12-20

E · Potential for more than minimal harm 2024-11-26

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-20

E · Potential for more than minimal harm 2024-11-26

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 2025-01-31

D · Potential for more than minimal harm 2024-11-26

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-11-26

F582 · Resident Rights Deficiencies

Health

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

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-11-26

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 2024-12-20

D · Potential for more than minimal harm 2024-11-26

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-11-26

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 2024-12-20

D · Potential for more than minimal harm 2024-11-26

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-11-26

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 2024-12-20

D · Potential for more than minimal harm 2024-11-26

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-11-26

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-11-26

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2025-01-31

D · Potential for more than minimal harm 2024-11-26

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-11-26

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-01-31

D · Potential for more than minimal harm 2024-11-26

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 2025-01-31

D · Potential for more than minimal harm 2024-11-26

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2025-01-31

D · Potential for more than minimal harm 2024-11-26

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 2025-01-31

D · Potential for more than minimal harm 2024-11-26

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-01-31

D · Potential for more than minimal harm 2024-11-26

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-01-31

D · Potential for more than minimal harm 2024-11-26

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-11-26

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-01-31

D · Potential for more than minimal harm 2024-11-26

F776 · Administration Deficiencies

Health

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Corrected 2025-01-31

D · Potential for more than minimal harm 2024-11-26

F836 · Administration Deficiencies

Health

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-11-26

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 2024-12-20

D · Potential for more than minimal harm 2024-11-26

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 2025-01-31

D · Potential for more than minimal harm 2024-11-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-31

D · Potential for more than minimal harm 2024-11-26

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-11-26

F919 · Environmental Deficiencies

Health

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

Corrected 2025-01-31

E · Potential for more than minimal harm 2019-09-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-11-30

D · Potential for more than minimal harm 2019-09-20

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 2019-11-30

D · Potential for more than minimal harm 2019-09-20

F624 · Resident Rights Deficiencies

Health

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

Corrected 2019-11-30

D · Potential for more than minimal harm 2019-09-20

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2019-11-30

D · Potential for more than minimal harm 2019-09-20

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2019-11-30

C · Minimal harm 2019-09-20

F576 · Resident Rights Deficiencies

Health

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2019-11-30

E · Potential for more than minimal harm 2018-03-09

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2018-05-18

E · Potential for more than minimal harm 2018-03-09

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2018-05-18

E · Potential for more than minimal harm 2018-03-09

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 2018-05-18

E · Potential for more than minimal harm 2018-03-09

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 2018-05-18

E · Potential for more than minimal harm 2018-03-09

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2018-06-08

E · Potential for more than minimal harm 2018-03-09

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 2018-05-18

E · Potential for more than minimal harm 2018-03-09

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2018-05-18

E · Potential for more than minimal harm 2018-03-09

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 2018-06-08

E · Potential for more than minimal harm 2018-03-09

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 2018-05-18

E · Potential for more than minimal harm 2018-03-09

F867 · Administration Deficiencies

Health

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

Corrected 2018-05-18

E · Potential for more than minimal harm 2018-03-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2018-05-18

D · Potential for more than minimal harm 2018-03-09

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2018-05-18

D · Potential for more than minimal harm 2018-03-09

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2018-05-18

D · Potential for more than minimal harm 2018-03-09

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 2018-05-18

D · Potential for more than minimal harm 2018-03-09

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 2018-05-18

D · Potential for more than minimal harm 2018-03-09

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2018-05-18

C · Minimal harm 2018-03-09

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 2018-05-18

C · Minimal harm 2018-03-09

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 2018-05-18

C · Minimal harm 2018-03-09

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2018-05-18

Penalties and ownership

What sits behind the stars

$15,106 2025-11-07

Fine

Fine · fine $15,106

Fine

$16,559 2024-11-26

Fine

Fine · fine $16,559

Fine

$16,562 2024-11-26

Fine

Fine · fine $16,562

Fine

Ownership

Nearby options

Other facilities in reach

#1

Frostburg Rehab Center

Frostburg, MD

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

Overall
1 / 5
Health
1 / 5
Staffing
1 / 5
Fines
$16,559
#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

Egle Nursing Home

Lonaconing, MD

3-star overall rating with 3-star inspections with 18 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
3 / 5
Staffing
4 / 5
Fines
$0

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