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Cumberland Healthcare Center

512 Winifred Road, Cumberland, MD 21502 · Allegany County · (301) 724-6066

130 certified beds, about 100 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1978

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 215055 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on October 9, 2025, inspectors cited 15 health deficiencies (the Maryland average is 17, the national average 9.2).

Of 59 health citations since February 2019, 3 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $97,777 in the last three years; the largest was $97,777, and the latest is dated September 25, 2023.

Nurses and nurse aides worked 3.29 hours per resident per day, against 3.87 across Maryland and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.

23.2% of nursing staff left within the year CMS measured (Maryland average 40.2%).

CMS links it to Communicare Health, an affiliated group of 110 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 59 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
41D
12E
3F
Potential for minimal harm
0A
0B
0C
May 28, 2026Complaint inspection · 5 citations
  1. J
    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
    F627 · Resident Rights · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 10, 2026
    Inspectors wroteBased on record review and interview, it was determined that the facility failed to implement an effective discharge planning process. This was evident for 4 (#4, #8, #9, and #10) of 5 residents reviewed for discharges. On 5/21/26 at 2:05 PM, an immediate jeopardy (IJ) was declared for the facility's failure to ensure that post-discharge services were set up for Resident #4 prior to their discharge date . An IJ summary tool was provided to the facility. The facility submitted a plan for removal at 2:10 pm that was not accepted, the second draft submitted at 3:09 pm, the third submitted at 4:05 pm and fourth submitted at 4:44 pm were not accepted. On 5/21/26 at 5:55 PM, the facility staff submitted an IJ removal plan to the Office of Health Care Quality (OHCQ) which was accepted, The IJ was removed on 5/22/26 at 3:30 PM after confirmation that the accepted plan had been fully executed. [...]
  2. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 10, 2026
    Inspectors wroteBased on record review and interview, it was determined that facility staff failed to ensure that their resident's were treated with dignity and respect. This was evident for 1 (#2) of 4 residents reviewed for abuse.
  3. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 10, 2026
    Inspectors wroteBased on observation, record review and interview, it was determined that staff failed to provide nursing services for residents that met the standards of professional practice. This was evident during 1 random observation of nursing unit 1.
  4. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 10, 2026
    Inspectors wroteBased on record review and interview, it was determined that facility staff failed to provide appropriate pain management for their residents. This was evident for 1 (#2) of 1 resident reviewed for pain management.
  5. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 10, 2026
    Inspectors wroteBased on observation and interview, it was determined that facility staff failed to implement an effective infection control policy and procedures. This was evident during 1 of 1 random observation during the complaint survey.
October 9, 2025Standard inspection, Complaint inspection · 15 citations
  1. E
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 15, 2025
    Inspectors wroteBased on observation and interviews it was determined that the facility failed to ensure a sanitary and homelike environment. This was found to be evident on two out of two nursing units in the facility.
  2. E
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 15, 2025
    Inspectors wroteBased on interview and pertinent document review it was determined that the facility failed to have a process in place to ensure that residents received the items listed on the meal ticket or specific items that were requested by the residents. This was found to be evident for 2 residents (Resident #70 and #15) during random dining observations and one (Resident #2) during an interview with the resident council.
  3. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 15, 2025
    Inspectors wroteBased on observation and interview, it was determined that the facility failed to ensure proper hand hygiene; and maintain a sanitary environment in a manner that minimizes the potential development and transmission of communicable diseases and infections. This was found to be evident for three (Resident # 2, #17 and #115) out of 53 residents reviewed; and two of three medication storage rooms observed during the survey.
  4. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2025
    Inspectors wroteDuring observation and interview, it was determined that the facility failed to ensure that each resident had the right to a dignified existence and communication. This was found to be evident during one (Resident #7) out of two investigations regarding resident dignity conducted during the survey.
  5. D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    F557 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2025
    Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure residents' personal possessions were treated with respect and safeguarded from interference by other residents. This was evident for one (Resident #37) of two residents reviewed for wandering behavior during the annual recertification survey.
  6. D
    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.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2025
    Inspectors wroteBased on resident and staff interviews, observation and record review, it was determined that the facility failed to make grievance information and the process of how to file a grievance readily available to staff and residents. This was evident for 1 (Resident #77) out of 1 resident reviewed for personal property during the survey.
  7. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2025
    Inspectors wroteBased on medical record review and interviews, it was determined that the facility staff failed to code the resident's status accurately on the Minimum Data Set (MDS) assessment. This was evident for one (Resident #22) of two residents reviewed for positioning and mobility during the survey.
  8. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2025
    Inspectors wroteBased on record review and interview, it was determined that the facility failed to provide quality of care for their residents. This was evident for one (Resident #125) of three residents reviewed for nutrition and one (Resident #3) out of five residents reviewed for unnecessary medication.
  9. D
    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.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2025
    Inspectors wroteBased on medical record review, observation and interview it was determined that the facility failed to ensure that prior to installation of bed rails appropriate alternatives were attempted, that residents were assessed for the risk of entrapment, and that informed consent was obtained, and failed to ensure re-evaluation for the continued use of the bed rails. This was found to be evident for two (Resident #41 and #88) out of two residents reviewed for bed rail usage.
  10. D
    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
    F711 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2025
    Inspectors wroteBased on record review and interview it was determined that the physician failed to review the hospital records for a resident who was newly admitted to the facility to ensure continuity of care. This was evident for 1 (Resident #125) of 3 residents reviewed for nutrition.
  11. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2025
    Inspectors wroteBased on medical record review and interview it was determined that the facility failed to ensure regularly scheduled medication was re-ordered and delivered in a timely manner; and failed to ensure staff accessed interim supply of medication when needed. This was found to be evident for one (Resident #3) out of five residents reviewed for unnecessary medications.
  12. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2025
    Inspectors wroteBased on observation and interview, it was determined that the facility failed to ensure resident treatment carts were locked when unattended; ensure insulin pens were dated upon opening and discarded according to manufacturer guidelines; and ensure that insulin pens were stored in a manner that prevented potential cross-contamination. This was evident during two random observation of treatment carts; 1 of 3 medication carts and 2 out of 3 medication storage rooms observed during the annual recertification survey.
  13. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2025
    Inspectors wroteBased on medical record review and interview it was determined that the facility failed to have a system in place to ensure only one active version of a resident's orders for life-sustaining treatment was located in the medical record. This was found to be evident for one (Resident #3) out of four residents reviewed for advance directives.
  14. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2025
    Inspectors wroteBased on record review and resident and staff interview, it was determined that the facility failed to document that the resident either received the pneumococcal and influenza vaccine(s) or did not receive the vaccine(s) due to medical contraindications, previous vaccination, or refusal. This was evident for 1 (Resident #117) out 5 residents reviewed for immunizations during the survey.
  15. D
    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.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 15, 2025
    Inspectors wroteBased on record review and resident and staff interview, it was determined that the facility failed to document that the resident either received the Covid vaccine or did not receive the vaccine due to medical contraindications, previous vaccination, or refusal. This was evident for 1 (Resident #117) out 5 residents reviewed for immunizations during the recertification survey.
September 25, 2023Standard inspection, Complaint inspection · 25 citations
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on record review and interview, it was determined that facility staff failed to provide an environment for residents which was free from abuse. The deficient practice resulted in a harm for Resident #74, #256, and #34. This was evident for 4 (Resident #74, #256, #7, and #34) of 16 residents investigated for abuse.
  2. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on record review and interview, it was determined that facility staff failed to provide the supervision needed to prevent resident to resident altercations which resulted in harm. This was evident for 1(#74) of 7 residents reviewed for accidents.
  3. E
    Prepare residents for a safe transfer or discharge from the nursing home.
    F624 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on medical record review and staff interview it was determined the facility failed to document what preparation and orientation was given to residents to ensure an orderly transfer to an acute care facility. This was evident for 4 (#87, #76, #73, and #80) ) of 5 residents reviewed for hospitalization.
  4. E
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on medical record review and staff interview, it was determined the facility staff failed to ensure that Minimum Data Set (MDS) assessments were accurately coded. This was evident for 5 (Resident #45, #74, #80, #52, and #56) of 45 residents reviewed during the survey.
  5. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on record review and interview, it was determined that the facility failed to implement a person-centered care plan. This was evident of 3 (Resident #41, #74, and #58) of 45 residents reviewed during the survey.
  6. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on record review and interview it was determined that the facility failed to have an effective system in place to ensure that interdisciplinary team care plan meetings were scheduled to review and revise care plans after each Minimum Data Set (MDS) assessment. This was evident for 3 (Resident #52, #56, and #70) out of 3 residents reviewed for care plan timing and revision.
  7. D
    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.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on review of pertinent documents and interviews, it was determined that the facility failed to document a grievance and investigate the loss of a hearing aid as reported by a resident's family. This was evident for 1 (Resident # 247) out of 8 Residents reviewed for abuse during a survey.
  8. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on pertinent document review and interviews, it was determined that the facility failed to develop a policy regarding the consent for sexual activity in residents with impaired cognition. This was evident for 1 (Resident # 16) out of 16 residents reviewed for abuse during a survey.
  9. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on record review and interview, it was determined that the facility failed to report an allegation of abuse within the mandated time frame. This was evident for 2 (Resident #251, #248) out of 16 residents investigated for abuse.
  10. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on interview and review of facility reported incident (FRI) investigation documentation, it was determined the facility failed to thoroughly investigate an allegation of abuse. This was evident for 1 (MD00189938) of 4 facility reported incidents reviewed for resident-to-resident altercations.
  11. D
    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
    F622 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on medical record review and staff interview, it was determined that the facility failed to document the information that was provided to the acute care facility to ensure a safe and effective transition of care when a resident was transferred there emergently. This was evident for 1 (#76) of 5 residents reviewed for hospitalization.
  12. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on interview and medical record review, it was determined that the facility staff failed to notify resident/resident representative in writing of a transfer/discharge of a resident along with the reason for the transfer. This was evident for 1 (#73) of 5 residents reviewed for hospitalization during the annual survey.
  13. D
    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.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on interview and medical record review, it was determined the facility staff failed to notify the resident/resident representative in writing of the bed hold policy upon transfer to an acute care facility. This was evident for 1 (#73) of 5 residents reviewed for hospitalization during the annual survey.
  14. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on medical record review and resident and staff interview, it was determined the facility failed to provide a resident and/or a resident's representative with a summary of the baseline care plan that included a summary of the resident's medications. This was evident for 2 (#87, #76) of 5 residents reviewed for hospitalization.
  15. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on record review, observation and interview, it was determined that the facility failed to provide an ongoing program to support the resident in their choice of activities. This was evident in 3 (Resident #45, #87, and #70) out of 4 residents reviewed for activities.
  16. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on record review and interviews, it was determined that the facility failed to report a resident's vital signs that were not within normal limits (WNL) to the resident's physician. This was evident for 1 (Resident #255) out of 5 residents reviewed for neglect during a survey.
  17. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on record review and staff interview, it was determined that facility staff failed to manage a resident's pain effectively. This was evident for 1 (#249) of 5 residents reviewed for neglect.
  18. D
    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
    F711 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on medical record review and staff Interview, it was determined that the facility failed to ensure that a physician reviewed the resident's total program of care at each visit. This was evident for 1 (#87) of 2 residents reviewed for pressure ulcers.
  19. D
    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.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on record review and interview, it was determined that the facility failed to ensure that a registered nurse (RN) was providing services for at least 8 consecutive hours a day during a 24 hour period. This was evident for 1 out of the 14 days reviewed for RN scheduling.
  20. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wrote2) On 9/08/23 at 12:10 PM, a medical record review for Resident #74 revealed an attending physician's order written on 5/7/23 for antihypertensive medication at bedtime for high blood pressure. The physician's order stated to check blood pressure and hold the medication for systolic blood pressure (SBP) less than or equal to 110 mmHg (millimeters of mercury). Systolic blood pressure is the top blood pressure and refers to the amount of pressure in the arteries during the heart muscle contraction. A review of Resident #74's medication administration records from 5/7/23 to 9/5/23 showed that Resident #74's SBP were not monitored daily. A review of the vital signs section of the facility's medical record documented blood pressure for Resident # 74; [...]
  21. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on observation and interview it was determined that the facility failed to ensure medications were kept in locked compartments. This was found to be evident on 1 (2nd floor unit) of 2 nursing units.
  22. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on observation, interview, and pertinent document review, it was determined that the facility failed to properly store food to prevent foodborne illness. This was evident in 1 Kitchen refrigerator out of 2, and 1 resident refreshment refrigerator out of 2, reviewed during a survey.
  23. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on record review and interviews, it was determined that the facility failed to maintain accurate medical records. This was evident for 1 (resident #16) out of 5 residents reviewed for unnecessary medications during a survey.
  24. D
    Hire a qualified full-time social worker in a facility with more than 120 beds.
    F850 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on medical record review and staff interview, it was determined that the facility failed to hire a qualified employee to provide social services for their residents. This was evident for 1 (Staff #7) of 1 staff reviewed in the Social Services Department.
  25. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 9, 2023
    Inspectors wroteBased on record review and interview, it was determined that the facility failed to ensure that residents were offered the pneumococcal vaccine. This was evident in 1 (Resident #87) out of 5 residents reviewed for immunizations during the survey process.
February 8, 2019Standard inspection · 14 citations
  1. F
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 25, 2019
    Inspectors wroteBased on medical record review and staff interview, it was determined the facility failed to notify the resident/resident representative in writing of a transfer/discharge of a resident, along with the reason for the transfer. This was evident for 6 (#95, 49, #46, #91, #20, #74) of 8 residents reviewed that were transferred to an acute care facility.
  2. F
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 25, 2019
    Inspectors wroteBased on observation and review of medical records, it was determined that the facility failed to evaluate, and revise care plans as resident care needs became apparent or changed over time. This was evident for 10 (#46, #49, #91, #8, #53, #74, #3, #96, #59, #84) of 23 residents in the final sample.
  3. F
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 25, 2019
    Inspectors wroteBased on review of facility documentation and interviews with the facility staff, it was determined the facility failed to ensure that effective quality assessment and assurance performance improvement interventions were implemented to address deficiencies from a previous survey. This was evident during review of the Quality Assurance program.
  4. E
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 25, 2019
    Inspectors wroteBased on surveyor observation and staff interview during facility environmental observations, it was determined that the facility staff failed to provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior, this was observed on both levels of the facility.
  5. E
    Prepare residents for a safe transfer or discharge from the nursing home.
    F624 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 25, 2019
    Inspectors wroteBased on medical record review and staff interview, it was determined the facility failed to document what preparation and orientation was given to residents to ensure an orderly transfer to an acute care facility. This was evident for 5 (#95, #49, #46, #91, #20) of 8 residents reviewed for hospitalization.
  6. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 25, 2019
    Inspectors wroteBased on resident and staff interview, observation and medical record review, it was determined that the facility failed to develop and implement comprehensive person-centered care plans with measurable goals. This was evident for 8 (#91, #95, #46, #74, #3, #53, #56, #6 ) of 23 residents in the final sample.
  7. E
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 25, 2019
    Inspectors wroteBased on medical record review and staff interview, It was determined that the facility failed to ensure a resident's medication regimen was free from an unnecessary psychotropic medication by 1) failing to adequately monitor a resident for behavior, side effects or adverse consequences related to psychotropic medication use and 2) failing to ensure that a psychotropic medication prescribed as needed was limited to 14 days. This was evident for 3 (#59, #56, #84) of 6 residents reviewed for unnecessary medications.
  8. E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 25, 2019
    Inspectors wroteBased on medical record review and staff interview, it was determined the facility failed to keep updated and accurate medical records. This was evident for 7 (#6, #51, #49, #91, #53, #13, #59) of 23 residents in the final sample.
  9. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 25, 2019
    Inspectors wroteBased on medical record review, resident and staff interview, it was determined that the facility staff failed to ensure that Minimum Data Set (MDS) assessments were accurately coded. This was evident for 2 (#17, #69) of 2 residents reviewed for Resident Assessment, 1 (#91) of 2 residents reviewed for communication/sensory, and for 1 (#59) of 6 residents reviewed for unnecessary medications.
  10. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 25, 2019
    Inspectors wroteBased on resident and staff interview and medical record review, it was determined the facility failed to follow up with the resident to ensure that the resident received the services necessary to maintain adequate hearing. This was evident for 1 (#91) of 2 residents reviewed for communication/sensory.
  11. D
    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.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 25, 2019
    Inspectors wroteBased on review of the medical record and interview with facility staff, it was determined that the facility staff failed to provide services or treatment to increase or prevent further decrease in Range of Motion (ROM). This was evident for 1 (#74) of 2 residents reviewed for Position, Mobility.
  12. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 25, 2019
    Inspectors wroteBased on observation, medical record review and staff interview, it was determined that the facility staff failed to 1) ensure that oxygen was administered at the rate ordered by the physician, 2) failed to accurately document the resident's oxygen rate in the treatment record, 3) failed to assess a resident's breath sounds before and after a breathing treatment and failed to develop a resident centered care plan for a resident with a diagnosis of Asthma and receiving oxygen. This was evident for 1 (#59) of 6 residents reviewed for unnecessary medications, and for 1 (#49) of 2 residents reviewed for respiratory care.
  13. D
    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
    F710 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 25, 2019
    Inspectors wroteBased on a medical record review and staff interview, it was determined that a physician failed to fully evaluate a resident as related to facility acquired pressure ulcers. This is evident for 1 (#75) of 3 residents reviewed for pressure ulcers.
  14. D
    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
    F711 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 25, 2019
    Inspectors wrote3) A review of the medical record for Resident #13 on 2/6/19 noted the last physician's visit in the paper medical record was dated for 3/5/18. The last physician's visit in the electronic medical record was dated 9/11/18, with a documented average of 1 month between physician visit and upload to electronic medical record. There were no other physician's progress notes found in either the paper or electronic medical record. Upon request monthly physician visits notes going back to 4/8/2018 was received on 2/7/19 for review. Based on medical record review and staff interview, it was determined the physician failed to write, sign and date medical visit progress notes in resident medical records on the day the resident was seen. [...]

Fire safety inspections

15 fire safety citations on file: 7 on October 9, 2025, 6 on September 25, 2023, 2 on February 8, 2019.

Every fire safety citation15 citations
  1. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · October 9, 2025 · Corrected (the home has a date of correction)
  2. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 9, 2025 · Corrected (the home has a date of correction)
  3. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 9, 2025 · Corrected (the home has a date of correction)
  4. E
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · October 9, 2025 · Corrected (the home has a date of correction)
  5. E
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · October 9, 2025 · Corrected (the home has a date of correction)
  6. E
    Install corridor and hallway doors that block smoke.
    K 363 · October 9, 2025 · Corrected (the home has a date of correction)
  7. E
    Ensure proper usage of power strips and extension cords.
    K 920 · October 9, 2025 · Corrected (the home has a date of correction)
  8. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · September 25, 2023 · Corrected (the home has a date of correction)
  9. F
    Install corridor and hallway doors that block smoke.
    K 363 · September 25, 2023 · Corrected (the home has a date of correction)
  10. D
    Meet other general requirements.
    K 100 · September 25, 2023 · Corrected (the home has a date of correction)
  11. D
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · September 25, 2023 · Corrected (the home has a date of correction)
  12. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · September 25, 2023 · Corrected (the home has a date of correction)
  13. D
    Have proper medical gas storage and administration areas.
    K 923 · September 25, 2023 · Corrected (the home has a date of correction)
  14. D
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · February 8, 2019 · Corrected (the home has a date of correction)
  15. C
    Have proper medical gas storage and administration areas.
    K 923 · February 8, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
September 25, 2023Fine $97,777

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeMarylandUnited States
All nursing staff (RN, LPN and aides)3.293.873.86
Registered nurses0.690.840.69
All nursing staff on weekends2.963.473.42
Nurse aides2.02
Licensed practical nurses0.58
Nursing staff turnover (share who left in a year)23.2%40.2%45.8%
Registered nurse turnover7.7%38.7%42.9%
Administrators who left0

CMS expects 3.35 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.42 on weekdays and 2.96 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.26 in April to June 2025 to 3.29 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.290.693.422.96 0.0%0 of 90100
Oct to Dec 20253.390.673.533.01 0.0%0 of 9299
Jul to Sep 20253.440.573.583.09 0.0%0 of 92105
Apr to Jun 20253.260.503.422.86 0.0%0 of 91108
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Maryland, Jan to Mar 20263.730.743.883.348.0%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Maryland

JobMedianMiddle halfEmployed
Maryland, all employers
CNAs (nursing assistants)$20.79$18.46 to $22.0027,720
LPNs and LVNs$35.89$31.40 to $38.309,560
Registered nurses$47.98$40.26 to $51.6152,910
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Cumberland Healthcare Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMarylandUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
21.620.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.31.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.22.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.81.11.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
31.122.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.15.94.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
18.113.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
23.421.023.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
13.39.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.31.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.81.21.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Cumberland Healthcare Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (53.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

53.8% this home

No different from the national rate

US median of homes 51.5% · Maryland: 90 better, 29 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 220 eligible stays.

Potentially preventable readmissions

12.6% this home

No different from the national rate

US median of homes 10.7% · Maryland: 0 better, 41 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 216 eligible stays.

Infections that led to a hospital stay

6.8% this home

No different from the national rate

US median of homes 7.1% · Maryland: 5 better, 6 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 130 eligible stays.

Self-care and mobility at discharge

52.1% this home

Median of homes: Maryland61.2% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 71 residents counted.

Falls with major injury

0.0% this home

Median of homes: Maryland0.4% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 109 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Maryland2.4% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 109 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: Maryland98.1% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 51 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: WINIFRED LEASING CO LLC. CMS links this home to Communicare Health, a group of 110 nursing homes averaging 3.2 stars overall.

NameRoleTypeShareSince
PC Mstr Lsco, LLC5% or greater direct ownership interestOrganization100%05/01/2017
Stoltz, CharlesManaging control - governing bodyIndividual05/01/2017
Romeo, DominicCorporate officerIndividual04/01/2023
Wilheim, RonaldCorporate officerIndividual05/01/2017
Winifred Mgt Co., LLCOperational/managerial controlOrganization05/01/2017
Blowe, NolaOperational/managerial controlIndividual05/01/2017
Groves, DonnaOperational/managerial controlIndividual04/14/2023
McEldowney, ThomasOperational/managerial controlIndividual12/09/2017
Romeo, DominicOperational/managerial controlIndividual04/01/2023
Stoltz, CharlesOperational/managerial controlIndividual05/01/2017
Odenthal, RichardIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/08/2025
Winifred Mgt Co., LLCAdp of the SNFOrganization04/16/2025
Blowe, NolaAdp of the SNFIndividual05/01/2017
McEldowney, ThomasAdp of the SNFIndividual12/09/2017

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 14 problems in this area, most recently on May 28, 2026: "Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 12 problems in this area, most recently on May 28, 2026: "Ensure services provided by the nursing facility meet professional standards of quality."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 10 problems in this area, most recently on May 28, 2026: "Provide safe, appropriate pain management for a resident who requires such services."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 5 problems in this area, most recently on May 28, 2026: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.96 hours per resident per day, below the Maryland average of 3.47.

Other nursing homes nearby

Maryland contacts for a concern about a nursing home

These are the official offices in Maryland. NursingHomeClear cannot take or act on complaints.

Common questions

What is Cumberland Healthcare Center's Medicare star rating?
CMS rates Cumberland Healthcare Center 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Cumberland Healthcare Center get at its last inspection?
15 health deficiencies at the standard inspection on October 9, 2025. The Maryland average is 17.
Has Cumberland Healthcare Center been fined?
Yes. CMS lists 1 fine totaling $97,777 in the last three years.
Does Cumberland Healthcare Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Cumberland Healthcare Center?
CMS lists 14 owners and managers, and links the home to Communicare Health. Legal business name: WINIFRED LEASING CO LLC.

Sources

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