Starfile / Maryland

WESTERN MD HOSPITAL CENTER

1500 PENNSYLVANIA AVENUE, HAGERSTOWN, MD 21742 · CCN 215110

Inspection history vs Maryland & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$24,060

Number of fines

2

Number of penalties

2

Payment denials

0

Inspection citations (35)1 immediate jeopardy1 actual harm

1. DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2024-06-04 · Health · corrected 2024-07-31

   Potential for more than minimal harm

2. GF0578Honor 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.2024-06-04 · Health · corrected 2024-07-26

   Actual harm

3. DF0584Honor 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.2024-06-04 · Health · corrected 2024-08-09

   Potential for more than minimal harm

4. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-06-04 · Health · corrected 2024-08-02

   Potential for more than minimal harm

5. DF0610Respond appropriately to all alleged violations.2024-06-04 · Health · corrected 2024-08-02

   Potential for more than minimal harm

6. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-06-04 · Health · corrected 2024-08-02

   Potential for more than minimal harm

7. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-06-04 · Health · corrected 2024-10-31

   Potential for more than minimal harm

8. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-06-04 · Health · corrected 2024-08-30

   Potential for more than minimal harm

9. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-06-04 · Health

   Potential for more than minimal harm

10. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-06-04 · Health · corrected 2024-08-02

    Potential for more than minimal harm

11. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-04 · Health · corrected 2024-10-31

    Potential for more than minimal harm

12. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-06-04 · Health · corrected 2024-08-09

    Potential for more than minimal harm

13. JF0695Provide safe and appropriate respiratory care for a resident when needed.2024-06-04 · Health · corrected 2024-05-24

    Immediate jeopardy

14. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-06-04 · Health · corrected 2024-08-30

    Potential for more than minimal harm

15. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-06-04 · Health · corrected 2024-09-11

    Potential for more than minimal harm

16. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-06-04 · Health · corrected 2024-09-11

    Potential for more than minimal harm

17. DF0758Implement 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.2024-06-04 · Health · corrected 2024-09-10

    Potential for more than minimal harm

18. DF0761Ensure 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.2024-06-04 · Health · corrected 2024-09-11

    Potential for more than minimal harm

19. DF0791Provide or obtain dental services for each resident.2024-06-04 · Health · corrected 2024-09-10

    Potential for more than minimal harm

20. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-04 · Health · corrected 2024-08-09

    Potential for more than minimal harm

21. FF0838Conduct 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.2024-06-04 · Health · corrected 2024-09-03

    Potential for more than minimal harm

22. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-06-04 · Health · corrected 2024-08-30

    Potential for more than minimal harm

23. FF0843Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.2024-06-04 · Health · corrected 2024-10-31

    Potential for more than minimal harm

24. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-06-04 · Health · corrected 2024-10-31

    Potential for more than minimal harm

25. EF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-06-04 · Health · corrected 2024-08-21

    Potential for more than minimal harm

26. FF0909Regularly 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.2024-06-04 · Health · corrected 2024-08-09

    Potential for more than minimal harm

27. BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2019-05-24 · Health · corrected 2019-07-29

    Potential for minimal harm

28. DF0624Prepare residents for a safe transfer or discharge from the nursing home.2019-05-24 · Health · corrected 2019-07-29

    Potential for more than minimal harm

29. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-05-24 · Health · corrected 2019-07-29

    Potential for more than minimal harm

30. FF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-05-24 · Health · corrected 2019-07-29

    Potential for more than minimal harm

31. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2018-02-14 · Health · corrected 2018-03-31

    Potential for more than minimal harm

32. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2018-02-14 · Health · corrected 2018-03-31

    Potential for more than minimal harm

33. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2018-02-14 · Health · corrected 2018-03-31

    Potential for more than minimal harm

34. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2018-02-14 · Health · corrected 2018-03-31

    Potential for more than minimal harm

35. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2018-02-14 · Health · corrected 2018-03-31

    Potential for more than minimal harm

Ownership

Other facilities in HAGERSTOWN

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.