Williamsport, MD

Williamsport Health And Rehabilitation Center

1-star overall rating with 1-star inspections with abuse icon flag with 35 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

154 North Artizan Street, Williamsport, MD

(301) 223-7971

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

121

Certified beds

Average residents

115

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1989-07-01

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

0.67

Registered nurse staffing · state 0.81 · national 0.68

LPN hours / resident day

0.96

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

1.89

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

3.53

All reported nurse hours · state 3.87 · national 3.89

Licensed hours

1.64

RN + LPN hours · state 1.72 · national 1.54

Weekend hours

3.03

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

0.14

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.57

CMS adjusted RN staffing hours

Adjusted total hours

3.01

CMS adjusted total nurse staffing hours

Case-mix index

1.61

Higher values indicate more complex resident acuity

RN turnover

62%

Annual RN turnover · state 40% · national 45%

Total nurse turnover

57%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,502

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

Performance score

39.70

Composite VBP score used to determine payment impact.

Payment multiplier

0.9927

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.76

Baseline 19.66% · Performance 18.76% · Measure score 5.76 · Achievement 5.76 · Improvement 2.92

Healthcare-associated infections

5.24

Baseline 6.46% · Performance 6.27% · Measure score 5.24 · Achievement 5.24 · Improvement 0.83

Total nurse turnover

1.62

Baseline 46.62% · Performance 57.04% · Measure score 1.62 · Achievement 1.62 · Improvement 0

Adjusted total nurse staffing

3.25

Baseline 4.31 hours · Performance 4 hours · Measure score 3.25 · Achievement 3.25 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.79%
10.72%
0.9 pts better
No Different than the National Rate · Eligible stays 419 · Observed rate 8.83% · Lower 95% interval 7.71%
Discharge to community 58.74%
50.57%
8.2 pts better
Better than the National Rate · Eligible stays 416 · Observed rate 52.64% · Lower 95% interval 54.37%
Medicare spending per beneficiary 0.96
1.02
0.1 pts better
Drug regimen review with follow-up 50.61%
95.27%
44.7 pts worse
Numerator 165 · Denominator 326
Falls with major injury 0.92%
0.77%
0.2 pts worse
Numerator 3 · Denominator 326
Discharge self-care score 42.59%
53.69%
11.1 pts worse
Numerator 92 · Denominator 216
Discharge mobility score 48.61%
50.94%
2.3 pts worse
Numerator 105 · Denominator 216
Pressure ulcers or injuries, new or worsened 4.62%
2.29%
2.3 pts worse
Numerator 15 · Denominator 325 · Adjusted rate 4.3%
Healthcare-associated infections requiring hospitalization 6.27%
7.12%
0.9 pts better
No Different than the National Rate · Eligible stays 270 · Observed rate 5.56% · Lower 95% interval 4.32%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 164
Staff flu vaccination coverage 46.45%
42%
4.5 pts better
Numerator 85 · Denominator 183
Discharge function score 43.98%
56.45%
12.5 pts worse
Numerator 95 · Denominator 216
Transfer of health information to provider 74.31%
95.95%
21.6 pts worse
Numerator 162 · Denominator 218
Transfer of health information to patient 85.42%
96.28%
10.9 pts worse
Numerator 41 · Denominator 48
Resident COVID-19 vaccinations up to date 8.24%
25.2%
17 pts worse
Numerator 15 · Denominator 182

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.9
1.3
0.6 pts worse
1.9
About the same
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.4 · Expected 2.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.0
1.2
0.2 pts better
1.8
0.8 pts better
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.0 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.0%
91.9%
2.1 pts better
93.4%
0.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 86.7% · Q2 90.2% · Q3 100.0% · Q4 100.0% · 4Q avg 94.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.9%
96.6%
0.3 pts better
95.5%
1.4 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.9%
Percentage of long-stay residents experiencing one or more falls with major injury 0.6%
2.3%
1.7 pts better
3.3%
2.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 68.7%
21.4%
47.3 pts worse
11.4%
57.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 44.7% · Q2 80.2% · Q3 67.1% · Q4 80.8% · 4Q avg 68.7%
Percentage of long-stay residents who lose too much weight 10.0%
5.7%
4.3 pts worse
5.4%
4.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 13.5% · Q3 14.1% · Q4 4.8% · 4Q avg 10.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 34.2%
16.1%
18.1 pts worse
19.6%
14.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 32.4% · Q2 38.8% · Q3 35.6% · Q4 29.4% · 4Q avg 34.2%
Percentage of long-stay residents who received an antipsychotic medication 11.7%
15.3%
3.6 pts better
16.7%
5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 11.1% · Q3 12.7% · Q4 8.9% · 4Q avg 11.7% · 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 27.5%
26.6%
0.9 pts worse
16.3%
11.2 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 27.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 22.4%
22.9%
0.5 pts better
14.9%
7.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 28.4% · Q3 15.6% · Q4 21.7% · 4Q avg 22.4% · 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 0.7% · Q2 0.7% · Q3 1.4% · Q4 0.7% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 3.9%
1.5%
2.4 pts worse
1.7%
2.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 3.5% · Q3 0.0% · Q4 5.1% · 4Q avg 3.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 25.6%
25.4%
0.2 pts worse
19.8%
5.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 31.1% · Q2 25.5% · Q3 24.8% · Q4 20.1% · 4Q avg 25.6%
Percentage of long-stay residents with pressure ulcers 7.4%
6.3%
1.1 pts worse
5.1%
2.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 8.1% · Q3 7.2% · Q4 7.0% · 4Q avg 7.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 76.5%
78.4%
1.9 pts worse
81.7%
5.2 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 63.8% · Q2 80.1% · Q3 90.3% · Q4 70.5% · 4Q avg 76.5%
Percentage of short-stay residents who had an outpatient emergency department visit 9.6%
9.9%
0.3 pts better
12.0%
2.4 pts better
Short Stay · 20240701-20250630 · Adjusted 9.6% · Observed 10.0% · Expected 11.7% · 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 2.4% · Q2 0.8% · Q3 0.0% · Q4 0.6% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 81.5%
80.6%
0.9 pts better
79.7%
1.8 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 23.1%
21.2%
1.9 pts worse
23.9%
0.8 pts better
Short Stay · 20240701-20250630 · Adjusted 23.1% · Observed 24.8% · Expected 25.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-24 · Fire 2025-07-24

35 health deficiencies

Top issue: Quality of Life and Care (10 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2022-06-24 · Fire 2022-06-24

36 health deficiencies

Top issue: Resident Rights (8 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2018-10-19 · Fire 2018-10-19

29 health deficiencies

Top issue: Resident Rights (8 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 2025-07-24

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-11-05

D · Potential for more than minimal harm 2022-06-24

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2022-08-27

D · Potential for more than minimal harm 2022-06-24

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-08-27

D · Potential for more than minimal harm 2022-06-24

K900 · Miscellaneous Deficiencies

Fire Safety

Meet Health Care Facilities Code mechanical requirements.

Corrected 2022-08-27

D · Potential for more than minimal harm 2022-06-24

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 2022-08-27

D · Potential for more than minimal harm 2022-06-24

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-08-27

C · Minimal harm 2018-10-19

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2018-11-16

Inspection history

Recent health citations

J · Immediate jeopardy 2025-12-10

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2026-01-26

D · Potential for more than minimal harm 2025-12-10

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2026-01-26

D · Potential for more than minimal harm 2025-12-10

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.

Not marked corrected

D · Potential for more than minimal harm 2025-12-10

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2026-01-26

D · Potential for more than minimal harm 2025-12-10

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Not marked corrected

D · Potential for more than minimal harm 2025-12-10

F867 · Administration Deficiencies

Health

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

Not marked corrected

F · Potential for more than minimal harm 2025-07-24

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2025-09-20

F · Potential for more than minimal harm 2025-07-24

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2025-09-20

E · Potential for more than minimal harm 2025-07-24

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 2025-09-20

E · Potential for more than minimal harm 2025-07-24

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 2025-09-20

D · Potential for more than minimal harm 2025-07-24

F573 · Resident Rights Deficiencies

Health

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Corrected 2025-09-20

D · Potential for more than minimal harm 2025-07-24

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 2025-09-20

D · Potential for more than minimal harm 2025-07-24

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 2025-09-20

D · Potential for more than minimal harm 2025-07-24

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-09-20

D · Potential for more than minimal harm 2025-07-24

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-09-20

D · Potential for more than minimal harm 2025-07-24

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2025-09-20

D · Potential for more than minimal harm 2025-07-24

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-20

D · Potential for more than minimal harm 2025-07-24

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-09-20

D · Potential for more than minimal harm 2025-07-24

F693 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2025-09-20

D · Potential for more than minimal harm 2025-07-24

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-20

D · Potential for more than minimal harm 2025-07-24

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-20

D · Potential for more than minimal harm 2025-07-24

F730 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2025-09-20

D · Potential for more than minimal harm 2025-07-24

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 2025-09-20

D · Potential for more than minimal harm 2025-07-24

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 2025-09-20

D · Potential for more than minimal harm 2025-07-24

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-09-20

D · Potential for more than minimal harm 2025-07-24

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2025-09-20

D · Potential for more than minimal harm 2025-07-24

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 2025-09-20

D · Potential for more than minimal harm 2025-07-24

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2025-09-20

D · Potential for more than minimal harm 2025-07-24

F919 · Environmental Deficiencies

Health

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

Corrected 2025-09-20

C · Minimal harm 2025-07-24

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-09-20

D · Potential for more than minimal harm 2025-04-03

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2025-05-14

D · Potential for more than minimal harm 2025-04-03

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-05-14

D · Potential for more than minimal harm 2025-04-03

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 2025-05-14

D · Potential for more than minimal harm 2025-04-03

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-05-14

D · Potential for more than minimal harm 2025-04-03

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-05-14

G · Actual harm 2022-06-24

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-12-21

F · Potential for more than minimal harm 2022-06-24

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2022-08-24

F · Potential for more than minimal harm 2022-06-24

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 2022-08-24

F · Potential for more than minimal harm 2022-06-24

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-12-21

F · Potential for more than minimal harm 2022-06-24

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2022-12-21

F · Potential for more than minimal harm 2022-06-24

F886 · Infection Control Deficiencies

Health

Perform COVID19 testing on residents and staff.

Corrected 2022-12-21

F · Potential for more than minimal harm 2022-06-24

F888 · Infection Control Deficiencies

Health

Ensure staff are vaccinated for COVID-19

Corrected 2022-08-24

E · Potential for more than minimal harm 2022-06-24

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 2022-12-21

E · Potential for more than minimal harm 2022-06-24

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 2022-08-24

E · Potential for more than minimal harm 2022-06-24

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 2022-08-24

E · Potential for more than minimal harm 2022-06-24

F867 · Administration Deficiencies

Health

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

Corrected 2022-12-21

E · Potential for more than minimal harm 2022-06-24

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2022-08-24

D · Potential for more than minimal harm 2022-06-24

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 2022-08-24

D · Potential for more than minimal harm 2022-06-24

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2022-08-24

D · Potential for more than minimal harm 2022-06-24

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 2022-08-24

D · Potential for more than minimal harm 2022-06-24

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 2022-08-24

D · Potential for more than minimal harm 2022-06-24

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2022-08-24

D · Potential for more than minimal harm 2022-06-24

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 2022-08-24

D · Potential for more than minimal harm 2022-06-24

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2022-08-24

D · Potential for more than minimal harm 2022-06-24

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 2022-12-21

D · Potential for more than minimal harm 2022-06-24

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2022-12-21

D · Potential for more than minimal harm 2022-06-24

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-08-24

D · Potential for more than minimal harm 2022-06-24

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 2022-08-24

D · Potential for more than minimal harm 2022-06-24

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 2022-12-21

D · Potential for more than minimal harm 2022-06-24

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-08-24

D · Potential for more than minimal harm 2022-06-24

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 2022-08-24

D · Potential for more than minimal harm 2022-06-24

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2022-08-24

D · Potential for more than minimal harm 2022-06-24

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2022-08-24

D · Potential for more than minimal harm 2022-06-24

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 2022-12-21

D · Potential for more than minimal harm 2022-06-24

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 2022-12-21

D · Potential for more than minimal harm 2022-06-24

F775 · Administration Deficiencies

Health

Keep complete, dated laboratory records in the resident's record.

Corrected 2022-12-21

D · Potential for more than minimal harm 2022-06-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-08-24

D · Potential for more than minimal harm 2022-06-24

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2022-12-21

D · Potential for more than minimal harm 2022-06-24

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2022-08-24

C · Minimal harm 2022-06-24

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 2022-08-24

B · Minimal harm 2022-06-24

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 2022-08-24

F · Potential for more than minimal harm 2018-10-19

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2018-12-13

F · Potential for more than minimal harm 2018-10-19

F730 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2018-12-13

F · Potential for more than minimal harm 2018-10-19

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2018-12-13

F · Potential for more than minimal harm 2018-10-19

F867 · Administration Deficiencies

Health

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

Corrected 2018-12-13

E · Potential for more than minimal harm 2018-10-19

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 2018-12-13

E · Potential for more than minimal harm 2018-10-19

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 2018-12-13

E · Potential for more than minimal harm 2018-10-19

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 2018-12-13

E · Potential for more than minimal harm 2018-10-19

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 2018-12-13

E · Potential for more than minimal harm 2018-10-19

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2018-12-13

E · Potential for more than minimal harm 2018-10-19

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2018-12-13

E · Potential for more than minimal harm 2018-10-19

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2018-12-13

E · Potential for more than minimal harm 2018-10-19

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 2018-12-13

E · Potential for more than minimal harm 2018-10-19

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 2018-12-13

E · Potential for more than minimal harm 2018-10-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2018-12-13

D · Potential for more than minimal harm 2018-10-19

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 2018-12-13

D · Potential for more than minimal harm 2018-10-19

F582 · Resident Rights Deficiencies

Health

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

Corrected 2018-12-13

D · Potential for more than minimal harm 2018-10-19

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2018-12-13

D · Potential for more than minimal harm 2018-10-19

F624 · Resident Rights Deficiencies

Health

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

Corrected 2018-12-13

D · Potential for more than minimal harm 2018-10-19

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2018-12-13

D · Potential for more than minimal harm 2018-10-19

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2018-12-13

D · Potential for more than minimal harm 2018-10-19

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2018-12-13

D · Potential for more than minimal harm 2018-10-19

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2018-12-13

D · Potential for more than minimal harm 2018-10-19

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 2018-12-13

D · Potential for more than minimal harm 2018-10-19

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2018-12-13

C · Minimal harm 2018-10-19

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2018-12-13

C · Minimal harm 2018-10-19

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 2018-12-13

C · Minimal harm 2018-10-19

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 2018-12-13

C · Minimal harm 2018-10-19

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 2018-12-13

C · Minimal harm 2018-10-19

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2018-12-13

Penalties and ownership

What sits behind the stars

Ownership

Nearby options

Other facilities in reach

#1

Homewood Living Williamsport

Williamsport, MD

2-star overall rating with 2-star inspections with abuse icon flag with $42,266 in total fines with 11 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
4 / 5
Fines
$42,266
#2

Creekside Center For Rehabilitation And Nursing

Hagerstown, MD

1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $101,178 in total fines with 43 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
2 / 5
Fines
$101,178
#3

Julia Manor Nursing And Rehabilitation Center

Hagerstown, MD

1-star overall rating with 1-star inspections with $211,009 in total fines with 15 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
3 / 5
Fines
$211,009

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