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Garrett County Subacute Unit

251 North Fourth Street, Oakland, MD 21550 · Garrett County · (301) 533-4220

10 certified beds, about 6 residents a day · For profit - Corporation · Medicare and Medicaid since 1997

CMS high performing icon Inside a hospital Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 215310 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 5, 2025, inspectors cited 2 health deficiencies (the Maryland average is 17, the national average 9.2).

None of its 8 health citations since December 2018 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 9.45 hours per resident per day, against 3.87 across Maryland and 3.86 nationally. Registered nurses accounted for 5.38 of those hours.

35.3% of nursing staff left within the year CMS measured (Maryland average 40.2%).

CMS links it to Wvu Medicine, an affiliated group of 7 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 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
1E
1F
Potential for minimal harm
0A
0B
0C
August 5, 2025Standard inspection · 2 citations
  1. F
    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, widespread · Corrected (the home has a date of correction) August 11, 2025
    Inspectors wroteBased on observations and interviews, it was determined that the facility failed to store food in accordance with professional standards. This deficient practice has the potential to affect all residents.
  2. 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) August 11, 2025
    Inspectors wroteBased on record review and staff interviews, it was determined that the facility failed to ensure that staff were offered and educated about the COVID-19 vaccine. This was evident for four of five employee health files reviewed during the Infection Control task.
March 16, 2023Standard inspection · 1 citation
  1. 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) April 3, 2023
    Inspectors wroteBased on record reviews and interviews, it was determined that the facility failed to 1). document the route of oxygen delivery each time a patient's oxygen saturation was documented. This was evident for 3 out of 3 residents (Resident #163, Resident #159, Resident #162) reviewed for Respiratory care and 2). failed to have hospice documentation in the medical recored. This was evident for 1 resident (Resident # 209) reviewed during an annual survey.
December 13, 2018Standard inspection · 5 citations
  1. E
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 4, 2019
    Inspectors wroteBased on observation and staff interview it was determined the facility failed to keep the walk-in freezer in the kitchen in safe operating condition. This was evident during the initial tour of the kitchen.
  2. 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) January 4, 2019
    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 2 (#2, #4) of 5 residents reviewed for unnecessary medications. The MDS is part of the Resident Assessment Instrument that was Federally mandated in legislation passed in 1986. The MDS is a set of assessment screening items employed as part of a standardized, reproducible, and comprehensive assessment process that ensures each resident's individual needs are identified, that care is planned based on those individualized needs, and that the care is provided as planned to meet the needs of each resident.
  3. D
    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, isolated · Corrected (the home has a date of correction) January 4, 2019
    Inspectors wroteBased on medical record review, staff interview, and observation, it was determined the facility failed to develop comprehensive person-centered care plans with measurable goals. This was evident for 2 (#4, #5) of 5 residents reviewed for unnecessary medications.
  4. D
    Plan the resident's discharge to meet the resident's goals and needs.
    F660 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 4, 2019
    Inspectors wroteBased on medical record review and staff interview, it was determined the facility failed to develop an individualized discharge plan/care plan for a resident admitted to the facility for short term rehabilitation. This was evident for 1 (#7) of 1 resident reviewed for discharge.
  5. 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) January 4, 2019
    Inspectors wroteBased on observation and interview with staff,, it was determined that the facility staff failed to date and label food items.

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.

MeasureThis homeMarylandUnited States
All nursing staff (RN, LPN and aides)9.453.873.86
Registered nurses5.380.840.69
All nursing staff on weekends8.163.473.42
Nurse aides4.07
Licensed practical nurses0.00
Nursing staff turnover (share who left in a year)35.3%40.2%45.8%
Registered nurse turnover22.2%38.7%42.9%
Administrators who left0

CMS expects 4.10 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 9.99 on weekdays and 8.16 on weekends, 18% 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 8.50 in April to June 2025 to 9.45 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20269.455.389.998.16 0.0%0 of 906
Oct to Dec 202510.045.6410.618.67 0.0%0 of 925
Jul to Sep 202510.075.3310.499.03 0.0%0 of 926
Apr to Jun 20258.504.348.857.62 0.0%0 of 917
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.

Quality measures

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

MeasureThis homeMarylandUS
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.11.6
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
13.621.023.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.99.812.0

Owners and operators

Legal business name: GRMC, INC.. CMS links this home to Wvu Medicine, a group of 7 nursing homes averaging 4.3 stars overall.

NameRoleTypeShareSince
West Virginia United Health System, Inc5% or greater direct ownership interestOrganization100%07/01/2022
West Virginia United Health System, IncIndirect ownership interestOrganization07/01/2022
Bemiller, TracyCorporate directorIndividual07/01/2022
Fike, LauraCorporate directorIndividual11/19/2025
Fike, LindaCorporate directorIndividual11/19/2025
Grady, MichaelCorporate directorIndividual07/01/2022
Jamison, MargaretCorporate directorIndividual11/19/2025
Lambert, HerbertCorporate directorIndividual11/19/2025
Lease, HenriettaCorporate directorIndividual11/19/2025
Mash, PatriciaCorporate directorIndividual07/01/2022
Sanders, KeithCorporate directorIndividual11/19/2025
Simpson, MaryCorporate directorIndividual03/20/2026
Venturella, JamesCorporate directorIndividual11/19/2025
Boothe, AmyCorporate officerIndividual11/19/2025
Boucot, MarkCorporate officerIndividual07/01/2022
Dixon, LoriCorporate officerIndividual07/01/2022
West Virginia United Health System, IncOperational/managerial controlOrganization07/01/2022
Wright, AlbertOperational/managerial controlIndividual07/01/2022

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. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on March 16, 2023: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on August 5, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on August 5, 2025: "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."
  4. Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on December 13, 2018: "Keep all essential equipment working safely."

Other nursing homes nearby

Maryland contacts for a concern about a nursing home

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Common questions

What is Garrett County Subacute Unit's Medicare star rating?
CMS rates Garrett County Subacute Unit 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Garrett County Subacute Unit get at its last inspection?
2 health deficiencies at the standard inspection on August 5, 2025. The Maryland average is 17.
Has Garrett County Subacute Unit been fined?
CMS lists no fines in the last three years.
Does Garrett County Subacute Unit 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 Garrett County Subacute Unit?
CMS lists 18 owners and managers, and links the home to Wvu Medicine. Legal business name: GRMC, INC..

Sources

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