Frostburg Rehab Center
1 Kaylor Circle, Frostburg, MD 21532 · Allegany County · (301) 689-7500
122 certified beds, about 107 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1978
Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 215115 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 13, 2025, inspectors cited 26 health deficiencies (the Maryland average is 17, the national average 9.2).
Of 51 health citations since October 2019, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $16,559 in the last three years; the largest was $16,559, and the latest is dated August 13, 2025.
Nurses and nurse aides worked 3.37 hours per resident per day, against 3.87 across Maryland and 3.86 nationally. Registered nurses accounted for 0.44 of those hours.
63.7% 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.
010/19
2509/22
2608/25
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 51 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
38D
8E
3F
Potential for minimal harm
0A
0B
1C
August 13, 2025Standard inspection, Complaint inspection · 26 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on medical record reviews, interviews, and review of facility investigation documents, it was determined that the facility failed to ensure residents were free from accidents as evidenced by the resident sustaining an injury while being assisted by staff in transferring. This was evident for 1 (Resident #104) of 12 residents reviewed for accidents. The deficient practice resulted in actual harm to resident # 104.
- F 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.
Inspectors wroteBased on review of pertinent documentation and interviews it was determined that the facility failed to ensure a registered nurse was working for at least 8 consecutive hours every day. This was found to be evident for 3 out of 16 weekends of staffing reviewed during the survey but has the potential to affect all residents.
- F Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on review of pertinent documentation and interviews it was determinted that the facility failed to ensure annual evaluations were being completed for geriatric nursing assistants (GNA). This was found to be evident for three (GNA #48, #18 and #49) out of three GNAs who were selected for review of annual training.
- F Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Inspectors wroteBased on review of the facility assessment, medical records and contracts, and interviews it was determined that the facility failed to ensure the facility assessment addressed all of the required components of this regulation. This deficient practice has the potential to affect all residents.
- E Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to report injuries of unknown origin. This was evident for one facility reported incident (#358490) of sixteen facility reported incidents and 1 of 1 grievance binder reviewed during the recertification survey.
- E Respond appropriately to all alleged violations.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to thoroughly investigate allegations of abuse and injuries of unknown origin. This was evident for 2 residents (Resident #23 and Resident #53) reviewed during review of the grievance log and one facility reported incident (#358482) of sixteen facility reported incidents reviewed during the recertification survey.
- E Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on review of medical records and other pertinent documentation, and interviews it was determined that the facility failed to ensure staff had adequate training. This was evident for one geriatric nursing assistant (GNA #25) out of two GNAs reviewed for mechanical lift training.
- E Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Inspectors wroteBased on a review of pertinent documents, observations and interviews, the facility failed to have a place to ensure residents were provided with water and other fluids to support their hydration and preferences. This was evident in two out of three units reviewed for dining during the survey.
- E Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Inspectors wroteBased on pertinent document review, observation and interview, it was determined that the facility failed to provide a nutritional snack to Residents when meals were scheduled more than 14 hours apart. This was evident in one unit out of four unit reviewed for Dining during a survey.
- 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 medical record review and interview it was determined that the facility failed to ensure staff informed the physician or nurse practitioner when a resident exhibited violent and aggressive behaviors. This was found to be evident for one (Resient #119) out of 15 residents reviewed for abuse during the survey.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to ensure that Beneficiary Protection Notifications were issued at least two days before the end of a Medicare-covered Part A stay to Residents discharged from Medicare Part A services but had benefit days remaining and intended to stay at the nursing facility receiving non-skilled care. This was evident for 2 (#43, #76) of 3 residents reviewed for Skilled Nursing Facility Beneficiary Protection Notification.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to protect residents from abuse. This was evident for 2 (#358494 and #358463) out of 16 facility reported incidents reviewed during the recertification survey.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record reviews and interviews, it was determined that the facility failed to ensure appropriate information was communicated to the receiving healthcare institution. This was evident for 2 (Resident #110, #25) of resident reviewed for hospitalization.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record reviews and interviews, it was determined that the facility failed to ensure Minimum Data Set (MDS) assessments were accurately coded. This was evident for 1 (Resident #25) of 1 resident reviewed for hospice care and 1 (Resident #5) of 12 residents reviewed for accidents.
- 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 reviews and interviews, it was determined that the facility failed to develop and complete a baseline care plan within 48 hours of a resident's admission. This was evident for 1 (Resident #96) of 12 residents reviewed for accidents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review, interview and observations it was determined that the facility failed to ensure care was provided in accordance with professional standards of practice. This was evident for 3 (Resident # 114, #4, and #5) out of the 78 residents included in the sample.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, record review and staff interviews, it was determined that the facility failed to administer oxygen as ordered by the physician. This was evident for 1 resident (Resident #5) reviewed as a complaint, #358479, during this survey.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, staff interviews, and record review, it was determined that the facility failed to establish systems to accurately reconcile controlled medications using acceptable standards of practice. This was evident for 2 of 4 narcotic books reviewed during the medication administration task during this survey.
- D 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 record reviews and interviews, it was determined that the facility failed to have an effective system in place to ensure a) pharmacy recommendations were addressed by the attending physician in a timely manner, b) the attending physician documents his rationale for no action taken to a pharmacy recommendation, and c)the facility's medication regimen review (MRR) policy did not specify the timeframe for the steps in the MRR process. This was evident for 2 (Resident #9, #14) of 5 residents reviewed for unnecessary medications.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on medical record review and interview it was determined that the facility failed to ensure residents were free from significant medication errors. This was found to be evident for one (Resident #114) of 15 residents reviewed for potential abuse.
- 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.
Inspectors wroteBased on observation and interview, the facility failed to maintain medications in a locked storage container until it was administered to residents. This was evident for 1 of 1 resident during a random observation.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to ensure medical record documentation was complete. This was evident for 1 resident (Resident #1) of 2 residents reviewed for advance directives during the recertification survey.
- D Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on record reviews and interviews, it was determined that the facility failed to have an infection preventionist attend 2 consecutive quarters of the Quality Assessment and Assurance (QAA) meetings. This deficient practice had the potential to affect all residents of the facility.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on record review, observation, and interview, it was determined that the facility failed to provide proper infection control strategies for its residents. This was evident for one (Resident #22) of one resident reviewed for pressure ulcer during the recertification survey.
- D Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observations, interviews and record review, it was determined that the facility failed to ensure call systems devices were within reach to residents. This was evident for 1 (Resident #25) of 32 residents reviewed during the initial pool.
- C Post nurse staffing information every day.
Inspectors wroteBased on observation and interview it was determined that the facility failed to ensure the Nurse Staffing Information was posted every day and that the posted Nurse Staffing Information included the facility's name. This was found to be evident during a random observation on the first day of the survey and has the potential to affect all residents.
September 27, 2022Standard inspection · 25 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 resident interview and review of the medical records it was determined the facility staff failed to implement comprehensive, resident centered care plans including measurable objectives. This was evident for 1 (#27) of 11 residents reviewed for Accidents and 1 (#35) of 4 residents reviewed for dementia care.
- E 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 staff interview, it was determined that the facility staff failed to ensure physician progress notes were written, signed, and dated at each visit. This was evident for 4 (#41, #70, #31, and #52) of 38 residents reviewed during the survey.
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on review of facility and medical records and interview with staff it was determined that the facility staff failed to maintain medical records that were complete, accurately documented and readily accessible to all staff. This was evident for 4 (#57, #27, #70 and #35) of 38 residents reviewed during the survey.
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on interview with residents and staff and review of resident records it was determined that the facility failed to promote and facilitate resident self-determination by failing to provide residents timely notification in order to adequately prepare for scheduled appointments. This was evident for 2 (#62 and #27) of 2 residents reviewed for Choices.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on medical record review and staff interview, it was determined the facility staff failed to reveal evidence that the resident or resident representative was informed of their right to formulate an advanced directive. This was evident for 3 (#64, #76, #92) of 4 residents reviewed for advanced directives.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on record review and staff interview it was determined that the facility failed to develop and implement abuse policies and procedures as evidenced by the failure to report injuries of unknown origin to the state agency within the required time frames. This was evident for two residents (#12 and #34) reviewed during the annual survey.
- 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 medical record review and interview with staff it was determined that the facility failed to have a system in place to ensure the resident, and their responsible party, received written notification of a transfer to the hospital, and failed to ensure all the required information was included when the written notification was provided. This was found to be evident for 4 (Resident #31, #104, #51 and #76) of 4 residents reviewed for hospitalization.
- D Prepare residents for a safe transfer or discharge from the nursing home.
Inspectors wroteBased on medical record review and staff interview it was determined that the facility failed to orient, prepare, and document a resident's preparation for a transfer to the hospital. This was evident for 1 (#76) of 4 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 medical record review and staff interview it was determined the facility failed to ensure residents were made aware of a facility's bed-hold and reserve bed payment policy when transferred to a hospital. This was evident for 1 (#76) of 4 residents reviewed for hospitalization.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on record review and staff interview it was determined that the facility failed to conduct an initial comprehensive assessment that included an assessment of a resident's preferences for customary routines and activities. This was evident for 1 (#70) of 4 residents reviewed for dementia.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, medical record review and staff interview, it was determined the facility staff failed to ensure Minimum Data Set (MDS) assessments were accurately coded. This was evident for 1 (#70) of 4 residents reviewed for dementia.
- 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 medical record review and staff interview it was determined that the facility staff failed to evaluate and update a resident's plan of care after each assessment. This was evident for 1 (#35) of 6 residents reviewed for unnecessary medications.
- D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on medical record review and interview it was determined the facility failed to have an effective system in place to ensure restorative nursing interventions were implemented and incorporated into the resident's care plan. This was evident for 2 (#21 & #52) of 2 residents reviewed for activities of daily living.
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on medical record review and staff interview it was determined that the facility staff failed to provide an activity program to meet the needs and preferences of each resident. This was evident for 3 (#70, #61, and #21) of 4 residents reviewed for Activities.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review and interview with staff it was determined the facility failed to ensure staff obtained daily weights as ordered. This was evident for 2 (Resident #31 and #352) of 38 residents reviewed during the survey.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on medical record review and interview it was determined the facility failed to have an effective system in place to ensure wound specialist recommendations were reviewed and implemented. This was evident for 1 (#52) of 3 residents reviewed for pressure ulcers.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on medical record review and interviews it was determined the facility failed to ensure non-pharmacological interventions were attempted prior to the administration of narcotic pain medication and failed to ensure the physician implemented orders for non-narcotic pain medications as indicated in progress notes and confirmed through interview. This was evident for 1 (#52) of 2 residents reviewed for pain.
- 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.
Inspectors wroteBased on observation, record review, and interview it was determined that facility staff failed to ensure that before side rails were used for a resident; the resident was assessed for appropriateness and safety and the resident and/or resident representative were fully informed of the risk for entrapment with use of side rails. This was evident for 1 (#12) of 2 resident reviewed for side rails.
- D Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Inspectors wroteBased on medical record review and interviews it was determined the facility failed to ensure the primary care physician effectively supervised resident care when the physician 1) failed to ensure acetaminophen order was put in place as indicated in the physician's note; 2) failed to ensure recommendations for treatment changes for a pressure ulcer were addressed, ordered and implemented; and 3) failed to review or acknowledge that the resident was not receiving therapy as evidenced by documenting that the resident was continuing to receive therapy that the resident was not actually receiving. This was evident for 1 (#52) of 2 residents reviewed for pain and 1 (#52) of 3 residents reviewed for pressure ulcers.
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on observation, record review, and staff interview it was determined that the facility staff failed to develop and implement a resident - centered dementia care plan with achievable care plan goals for residents with dementia This was evident for 2 (#70, #35) of 2 residents reviewed for dementia.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on review of medical records, Narcotic Count sheets and interviews it was determined that the facility failed to: 1) ensure staff completed the controlled drug count at the change of shift as evidenced by documentation by nursing staff that the count had been completed prior to the end of the shift, as well as failure of each nurse to sign that the count was completed at the change of shift and 2) failed to ensure narcotics removed from a resident's supply were documented as administered to the resident. This was evident for 2 out of 3 Narcotic Count sheets reviewed and 1 (#52) of 2 residents reviewed for pain management during the survey.
- D 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 record review and staff interview it was determined that the facility failed to develop and implement policies and procedures for medication regimen reviews, as evidenced by, the failure to ensure that irregularities noted were reviewed by the Medical Director and the Attending Physician, the failure to ensure that the Attending physician documented the irregularity and action taken or not taken in the resident's medical record, and failure to establish time frames for each step in the process. This was evident for 2 (#41 & #27) of 6 residents reviewed for unnecessary medications and has the potential to effect all residents in the facility.
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on staff interview and review of facility documentation, it was determined the facility failed to ensure that effective quality assessment and assurance performance improvement interventions were implemented to address deficiencies from previous surveys. This was evident during review of the Quality Assurance program.
- D Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Inspectors wroteBased on record reviews and staff interviews it was determined that the facility failed to have a fully trained infection preventionist on duty. This is evidenced by the current staff member in the position had not completed the training requirements as stipulated by federal and state regulations.
- D Regularly 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.
Inspectors wroteBased observation and interview it was determined that the facility failed to ensure regular inspections of all bed side rails. This was evident for 1 (Resident #20) of 11 residents reviewed for accidents but has the potential to affect any resident using bed side rails.
October 30, 2019Standard inspection · 0 citations
Fire safety inspections
26 fire safety citations on file: 14 on August 13, 2025, 7 on September 27, 2022, 5 on October 30, 2019.
Every fire safety citation26 citations
- F Establish roles under a Waiver declared by secretary.
- F Conduct testing and exercise requirements.
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E Have restrictions on the use of portable space heaters.
- E Ensure proper usage of power strips and extension cords.
- E Have proper medical gas storage and administration areas.
- D Meet other general requirements.
- D Install resident room doors of proper design and width.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Install corridor and hallway doors that block smoke.
- D Have generator or other power source capable of supplying service within 10 seconds.
- C Provide properly protected cooking facilities.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- C Have approved installation, maintenance and testing program for fire alarm systems.
- B Inspect, test, and maintain automatic sprinkler systems.
- B Meet requirements for the installation and maintenance of electrical systems.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| August 13, 2025 | Fine | $16,559 |
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.
| Measure | This home | Maryland | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.37 | 3.87 | 3.86 |
| Registered nurses | 0.44 | 0.84 | 0.69 |
| All nursing staff on weekends | 3.01 | 3.47 | 3.42 |
| Nurse aides | 1.95 | ||
| Licensed practical nurses | 0.98 | ||
| Nursing staff turnover (share who left in a year) | 63.7% | 40.2% | 45.8% |
| Registered nurse turnover | 41.7% | 38.7% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.72 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 3.52 on weekdays and 3.01 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 42.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.27 in April to June 2025 to 3.37 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 | 3.37 | 0.44 | 3.52 | 3.01 | 42.4% | 0 of 90 | 107 |
| Oct to Dec 2025 | 3.34 | 0.35 | 3.43 | 3.11 | 38.9% | 0 of 92 | 107 |
| Jul to Sep 2025 | 3.44 | 0.42 | 3.54 | 3.17 | 39.0% | 1 of 92 | 106 |
| Apr to Jun 2025 | 3.27 | 0.43 | 3.37 | 3.03 | 41.7% | 0 of 91 | 102 |
| 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 | 15.6 | 20.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.2 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.2 | 2.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.4 | 22.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.7 | 5.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.2 | 13.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.1 | 21.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.6 | 9.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.2 | 1.8 |
Owners and operators
Legal business name: KAYLOR FROSTBURG LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Glen Echo Holdings LLC | Direct ownership interest | Organization | 03/01/2025 | |
| Md Sans Holdings LLC | Indirect ownership interest | Organization | 03/01/2025 | |
| Md Sans Mars 2024 Trust | Indirect ownership interest | Organization | 03/01/2025 | |
| Md Sans Venus 2024 Trust | Indirect ownership interest | Organization | 03/01/2025 | |
| Oberon Core Holdings | Indirect ownership interest | Organization | 03/01/2025 | |
| Zambry Holdings LLC | Indirect ownership interest | Organization | 03/01/2025 | |
| Zambry Mars 2024 Trust | Indirect ownership interest | Organization | 03/01/2025 | |
| Zambry Venus 2024 Trust | Indirect ownership interest | Organization | 03/01/2025 | |
| Cibc Bank USA | 5% or greater security interest | Organization | 03/01/2025 | |
| Glen Echo Holdings LLC | 5% or greater security interest | Organization | 03/01/2025 | |
| Hornung, Steven | 5% or greater security interest | Individual | 03/01/2025 | |
| Kaminer, Aaron | 5% or greater security interest | Individual | 03/01/2025 | |
| Collins, Elizabeth | Managing control - governing body | Individual | 03/01/2025 | |
| Donald, Michael | Managing control - governing body | Individual | 03/01/2025 | |
| Gupta, Sunil | Managing control - governing body | Individual | 03/01/2025 | |
| Cibc Bank USA | Operational/managerial control | Organization | 03/01/2025 | |
| Healthcare Services Group Inc | Operational/managerial control | Organization | 03/01/2025 | |
| Cline, Carrie | Operational/managerial control | Individual | 03/01/2025 | |
| Collins, Elizabeth | Operational/managerial control | Individual | 03/01/2025 | |
| Hornung, Rachelle | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/31/2025 | |
| Kaminer, Leora | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/31/2025 | |
| Accord Consultants | Adp of the SNF | Organization | 03/01/2025 | |
| Brand Sonnenschine LLP | Adp of the SNF | Organization | 03/01/2025 | |
| Cibc Bank USA | Adp of the SNF | Organization | 04/02/2025 | |
| Healthcare Services Group Inc | Adp of the SNF | Organization | 04/02/2025 | |
| Md Sapphire LLC | Adp of the SNF | Organization | 03/01/2025 | |
| One Kaylor Circle Md LLC | Adp of the SNF | Organization | 03/01/2025 | |
| Schiavi Wallace & Rowe PC | Adp of the SNF | Organization | 03/01/2025 | |
| Z-Radar LLC | Adp of the SNF | Organization | 03/01/2025 | |
| Cline, Carrie | Adp of the SNF | Individual | 03/01/2025 | |
| Collins, Elizabeth | Adp of the SNF | Individual | 05/14/2025 | |
| Donald, Michael | Adp of the SNF | Individual | 03/01/2025 | |
| Gupta, Sunil | Adp of the SNF | Individual | 03/01/2025 | |
| Sladky, Serina | Adp of the SNF | Individual | 03/01/2025 |
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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 10 problems in this area, most recently on August 13, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 8 problems in this area, most recently on August 13, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- When is the care plan meeting, and can family attend it?Inspectors cited 8 problems in this area, most recently on August 13, 2025: "Ensure each resident receives an accurate assessment."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 6 problems in this area, most recently on August 13, 2025: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.01 hours per resident per day, below the Maryland average of 3.47.
Other nursing homes nearby
- Mountain City Rehab Center Frostburg, 1.5 mi · 1 of 5 stars · 65 citations
- Lions Rehab Center Cumberland, 5.9 mi · 2 of 5 stars · 98 citations
- Devlin Manor Nursing and Rehabilitation Center Cumberland, 6.7 mi · 3 of 5 stars · 25 citations
- Egle Nursing Home Lonaconing, 6.8 mi · 1 of 5 stars · 42 citations
- Allegany Health Nursing and Rehab Cumberland, 7.8 mi · 4 of 5 stars · 23 citations
- Cumberland Healthcare Center Cumberland, 8.7 mi · 2 of 5 stars · 59 citations
- Complete Care at Dawnview LLC Fort Ashby, 11.6 mi · 4 of 5 stars · 35 citations
- Moran Nursing and Rehabilitation Center Westernport, 12.5 mi · 2 of 5 stars · 41 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 Frostburg Rehab Center's Medicare star rating?
- CMS rates Frostburg Rehab Center 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Frostburg Rehab Center get at its last inspection?
- 26 health deficiencies at the standard inspection on August 13, 2025. The Maryland average is 17.
- Has Frostburg Rehab Center been fined?
- Yes. CMS lists 1 fine totaling $16,559 in the last three years.
- Does Frostburg Rehab 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 Frostburg Rehab Center?
- CMS lists 34 owners and managers. Legal business name: KAYLOR FROSTBURG LLC.
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.