Fahrney-Keedy Memorial Home
8507 Mapleville Road, Boonsboro, MD 21713 · Washington County · (301) 671-5013
106 certified beds, about 91 residents a day · Non profit - Corporation · Medicare and Medicaid since 2001
CMS Care Compare ratings, data as of September 1, 2026 · CCN 215337 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 26, 2026, inspectors cited 2 health deficiencies (the Maryland average is 17, the national average 9.2).
None of its 29 health citations since February 2020 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.07 hours per resident per day, against 3.87 across Maryland and 3.86 nationally. Registered nurses accounted for 0.76 of those hours.
44.0% of nursing staff left within the year CMS measured (Maryland average 40.2%).
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.
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 29 health citations on file.
March 26, 2026Standard inspection · 2 citations
- F 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.
Inspectors wroteBased on interviews and review of pertinent documentation, it was determined that the facility failed to ensure a full-time, qualified dietetic service supervisor to oversee food preparation and daily kitchen operations. This had the potential to affect all residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, record review, and staff interview, it was determined that the facility failed to ensure that residents received physician-ordered treatments and medications. This deficient practice was identified for 1 (Resident #44) of 1 resident reviewed for general skin conditions and 1(Resident #9) of 1 resident reviewed for pain management.
February 3, 2025Standard inspection, Complaint inspection · 10 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations and interviews, it was determined that the facility failed to store and prepare food in accordance with professional standards. This deficient practice has the potential to affect all residents.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, record reviews, and staff interviews, it was determined that the facility failed: to comply with isolation protocols, to have a prevention plan for Legionella, and staff failed to use appropriate personal protective equipment (PPE). This was evident for 3 (Resident #71, #85, #39) of 6 residents reviewed for infection control; and 1 of 1 plan reviewed for water management which has the potential to affect all residents.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, records review and interviews, it was determined that the facility failed to ensure resident's urine collection bag was kept in a privacy bag to maintain dignity. This was evident for 1 (Resident #11) of 3 residents reviewed for dignity.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on medical record review and interviews, it was determined that the facility failed to ensure that allegations of abuse were reported to the State Agency no later than 2 hours after the allegation was made. This was evident for 1 (#406) of 12 residents reviewed for abuse.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on record reviews and staff interviews, it was determined that the facility failed to ensure that thorough investigations were completed for allegations of abuse. This was evident for 3 (#59, #406, #47) out of 12 residents reviewed for abuse.
- 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.
Inspectors wroteBased on interviews and record review, it was determined that the facility failed to notify a resident and/or his/her representative in writing of the facility's bed hold policy upon transfer to an acute care facility. This was evident for one (#39) of 5 Residents reviewed for hospitalizations.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on records review, observations and interviews, it was determined that the facility failed to ensure that the resident's care plan was reviewed and revised to meet the resident's needs. This was evident for 1 (Resident #62) of 1 resident reviewed for tube feeding.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observations, medical record review, and interviews, it was determined that the facility failed to ensure that a resident who could not carry out activities of daily living (ADL). This was evident for one Resident (#82) who was reviewed for activities of daily living (ADL) during the survey.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observations, records review and interviews, it was determined that the facility failed to provide appropriate treatment and services for care of a resident with an indwelling catheter. This was evident for 1 (Resident #11) of 1 resident reviewed for urinary catheters.
- D 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.
Inspectors wroteBased on observation and interviews, it was determined that the facility failed to ensure that a resident was served a meal according to a predetermined menu that incorporated the resident's preferences. This was evident from one observation made during the survey.
February 5, 2020Standard inspection · 17 citations
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record review and interview with staff, it was determined that the facility staff failed to develop a comprehensive resident centered care plan, including measurable objectives and timeframes to meet the resident's identified needs in order to attain or maintain the highest practicable level of well-being. This was evident for 4 (#53, #88, #64 and #74) of 47 residents reviewed during the recertification survey. A care plan is a guide that addresses the unique needs of each resident. It is used to plan, assess and evaluate the effectiveness of the resident's care.
- E Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on medical record review and interviews with facility staff, it was determined the facility's clinical pharmacist failed to clearly indicate if irregularities were found or not found during the monthly drug regimen reviews. This was evident for 2 (#138 and #45) of 6 residents reviewed for unnecessary medication.
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on resident interview and surveyor observation, it was determined the facility failed to provide food at an appetizing temperature. This was evident for 1 (#19) of 47 residents in the sample.
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on medical record review and staff interview, it was determined that the facility failed to keep complete and accurate medical records. This was evident for 3 (#196, #36 and #14) of 3 residents reviewed for advanced directives and 1 (#88) resident reviewed for death, of 3 residents reviewed during closed record review.
- E Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on review of previous annual surveys and deficient practices identified during this survey, it was determined that the facility failed to have an effective Quality Assurance Program as evidenced by the identification of 4 repeat deficiencies. The failure to identify and develop appropriate plans of corrections to correct quality deficiencies places all residents at risk.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review and interview with staff, it was determined the facility staff failed to notify the physician of a significant change in a resident's physical condition and need to alter treatment. This was evident for 1 (#88) resident reviewed for death, of 3 residents reviewed during closed record review.
- D 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.
Inspectors wroteBased on surveyor observation, it was determined that the facility failed to provide a safe, clean, comfortable and homelike environment. This deficiency has the potential to affect multiple residents.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on review of the medical record and interview with facility staff, it was determined the facility staff failed to notify the resident and the resident's representative of a hospital transfer in writing including the reason for the move. This was evident for 1 (#138) of 2 residents reviewed for hospitalization.
- D Prepare residents for a safe transfer or discharge from the nursing home.
Inspectors wroteBased on review of the medical record and interview with facility staff, it was determined the facility staff failed to provide and document sufficient preparation and orientation of a resident to ensure safe and orderly transfer from the facility. This was evident for 1 (#138) of 2 residents reviewed for hospitalization.
- 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.
Inspectors wroteBased on review of the medical record and interview with facility staff, it was determined the facility staff failed to provide the resident/resident's representative with written notice of the facility's bed hold policy when the resident was transferred to a hospital. This was evident for 1 (#138) of 2 residents reviewed for hospitalization.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on record review and interview with staff, it was determined the facility staff failed to develop a baseline care plan which included the minimum information necessary to properly care for a resident with Diabetes and receiving Hemodialysis. This was evident for 1 (#88) resident reviewed for death, of 3 residents reviewed during closed record review. A care plan is a guide that addresses the unique needs of each resident. It is used to plan, assess and evaluate the effectiveness of the resident's care.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review and interview with facility staff, it was determined that the facility staff failed to ensure that residents received treatment and care in accordance with professional standards of practice for management of diabetes by failing to have a clear indication of when to administer the hypoglycemia protocol, failing to have complete and timely documentation in the resident's record, failing to notify the physician of a resident's low blood sugar, and failing to develop a plan of care for diabetes. This was evident for 1 (#88) resident reviewed for death, of 3 residents reviewed during closed record review.
- D Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Inspectors wroteBased on review of the medical record and interview with staff, it was determined that the facility failed to ensure that the physician addressed a resident's significant weight loss. This was evident for 1 (#64) of 8 residents reviewed for weight loss.
- D Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Inspectors wroteBased on medical record review and interviews with facility staff, it was determined the practitioner failed to evaluate the resident's total program of care at each visit. This was evident for 1 (#138) of 6 residents reviewed for unnecessary medication.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on review of the medical record, it was determined that facility staff failed to ensure that physicians orders clearly indicate what medications were to be administered as needed for nausea and vomiting, and when each should be administered. This was evident for 1 (#88) resident reviewed for death, of 3 residents reviewed during closed record review.
- D 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.
Inspectors wroteBased on resident interview and surveyor observation, it was determined that the facility failed to reflect meal input received from residents. This was evident for 1 (#19) of 47 residents in the final sample.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation of the main kitchen, it was determined that the facility failed to follow professional standards for food service safety. This deficient practice had the potential to affect all residents.
Fire safety inspections
17 fire safety citations on file: 6 on March 26, 2026, 5 on February 3, 2025, 6 on February 5, 2020.
Every fire safety citation17 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Provide properly protected cooking facilities.
- E Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E Install corridor and hallway doors that block smoke.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F Install corridor and hallway doors that block smoke.
- F Install properly constructed windows in hallway walls or doors.
- F Have proper medical gas storage and administration areas.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Install properly constructed and protected linen or trash chutes.
- C Ensure that testing and maintenance of electrical equipment is performed.
- C Have proper medical gas storage and administration areas.
- B Properly select, install, inspect, or maintain portable fire extinguishes.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Maryland | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.07 | 3.87 | 3.86 |
| Registered nurses | 0.76 | 0.84 | 0.69 |
| All nursing staff on weekends | 3.44 | 3.47 | 3.42 |
| Nurse aides | 2.22 | ||
| Licensed practical nurses | 1.09 | ||
| Nursing staff turnover (share who left in a year) | 44.0% | 40.2% | 45.8% |
| Registered nurse turnover | 38.9% | 38.7% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.68 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 4.33 on weekdays and 3.44 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 14.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.17 in April to June 2025 to 4.07 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.07 | 0.76 | 4.33 | 3.44 | 14.5% | 0 of 90 | 91 |
| Oct to Dec 2025 | 4.09 | 0.72 | 4.27 | 3.62 | 11.7% | 0 of 92 | 90 |
| Jul to Sep 2025 | 4.20 | 0.66 | 4.40 | 3.68 | 14.8% | 0 of 92 | 91 |
| Apr to Jun 2025 | 4.17 | 0.57 | 4.42 | 3.55 | 12.9% | 0 of 91 | 92 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Maryland, Jan to Mar 2026 | 3.73 | 0.74 | 3.88 | 3.34 | 8.0% | 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Maryland | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 16.7 | 20.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.2 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.4 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.9 | 2.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.6 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 24.9 | 22.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.4 | 5.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.6 | 13.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.6 | 21.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.2 | 9.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.2 | 1.8 |
Owners and operators
Legal business name: FAHRNEY-KEEDY MEMORIAL HOME, INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Fahrney-Keedy Memorial Home, Inc | 5% or greater direct ownership interest | Organization | 100% | 01/01/1966 |
| Adams, Carrie | Managing control - governing body | Individual | 01/01/2025 | |
| Bussard, Barbara | Managing control - governing body | Individual | 01/01/2025 | |
| Draper, Jacqueline | Managing control - governing body | Individual | 01/01/2025 | |
| Hart, Leslie | Managing control - governing body | Individual | 01/01/2025 | |
| Morrisey, Kathy | Managing control - governing body | Individual | 01/01/2025 | |
| Randall, Colleen | Managing control - governing body | Individual | 01/01/2025 | |
| Reeder, Elizabeth | Managing control - governing body | Individual | 01/01/2025 | |
| Ward, Starla | Managing control - governing body | Individual | 01/01/2025 | |
| Barnes, Heather | Corporate officer | Individual | 10/01/2023 | |
| Bishoff, Melanie | Corporate officer | Individual | 08/01/2024 | |
| Coetzee, Stephen | Corporate officer | Individual | 07/27/2015 | |
| Fahrney-Keedy Memorial Home, Inc | Operational/managerial control | Organization | 01/03/2025 | |
| Bishoff, Melanie | Operational/managerial control | Individual | 08/01/2024 | |
| Waseem, Muhammad | Operational/managerial control | Individual | 01/01/2018 | |
| Fahrney-Keedy Memorial Home, Inc | Trustee of the SNF | Organization | 01/01/1966 | |
| Fahrney-Keedy Memorial Home, Inc | Adp of the SNF | Organization | 01/03/2025 | |
| Barnes, Heather | Adp of the SNF | Individual | 10/01/2023 | |
| Bishoff, Melanie | Adp of the SNF | Individual | 08/01/2024 | |
| Coetzee, Stephen | Adp of the SNF | Individual | 07/27/2015 | |
| Waseem, Muhammad | Adp of the SNF | Individual | 01/01/2018 |
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.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on February 3, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 6 problems in this area, most recently on March 26, 2026: "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."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on March 26, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on February 3, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.44 hours per resident per day, below the Maryland average of 3.47.
Other nursing homes nearby
- South Mountain Rehab Center Boonsboro, 3.2 mi · 3 of 5 stars · 39 citations
- Creekside Center for Rehabilitation and Nursing Hagerstown, 5.9 mi · 1 of 5 stars · 104 citations
- Hagerstown Healthcare Center Hagerstown, 6.9 mi · 2 of 5 stars · 88 citations
- Julia Manor Nursing and Rehabilitation Center Hagerstown, 6.9 mi · 1 of 5 stars · 74 citations
- Coffman Nursing Home Hagerstown, 8.8 mi · 3 of 5 stars · 45 citations
- Homewood Living Williamsport Williamsport, 9 mi · 3 of 5 stars · 30 citations
- Western Md Hospital Center Hagerstown, 9 mi · 5 of 5 stars · 37 citations
- Williamsport Health and Rehabilitation Center Williamsport, 9.8 mi · 1 of 5 stars · 105 citations
Maryland contacts for a concern about a nursing home
These are the official offices in Maryland. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Maryland Department of Health, Office of Health Care Quality, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Maryland Long-Term Care Ombudsman Program, Maryland Department of Aging, 800-243-3425. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Maryland Health Care Commission, Maryland Quality Reporting, Nursing Homes, where Maryland publishes its own records on licensed homes.
Common questions
- What is Fahrney-Keedy Memorial Home's Medicare star rating?
- CMS rates Fahrney-Keedy Memorial Home 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Fahrney-Keedy Memorial Home get at its last inspection?
- 2 health deficiencies at the standard inspection on March 26, 2026. The Maryland average is 17.
- Has Fahrney-Keedy Memorial Home been fined?
- CMS lists no fines in the last three years.
- Does Fahrney-Keedy Memorial Home 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 Fahrney-Keedy Memorial Home?
- CMS lists 21 owners and managers. Legal business name: FAHRNEY-KEEDY MEMORIAL HOME, INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.