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Home / Maryland / Grantsville

Goodwill Mennonite Home, Inc.

891 Dorsey Hotel Road, Grantsville, MD 21536 · Garrett County · (301) 895-5194

107 certified beds, about 104 residents a day · Non profit - Church related · Medicare and Medicaid since 1993

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 215250 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 11, 2025, inspectors cited 19 health deficiencies (the Maryland average is 17, the national average 9.2).

Of 38 health citations since September 2018, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $13,250 in the last three years; the largest was $13,250, and the latest is dated April 11, 2025.

Nurses and nurse aides worked 4.13 hours per resident per day, against 3.87 across Maryland and 3.86 nationally. Registered nurses accounted for 0.88 of those hours.

24.5% 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.

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 38 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
23D
10E
0F
Potential for minimal harm
0A
0B
3C
June 11, 2026Complaint inspection · 1 citation
  1. D
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 30, 2026
    Inspectors wroteBased on observations, interviews, and record review, it was determined that the facility failed to ensure that residents had access to a call bell within reach. This was evident for one (Resident #32) of one resident reviewed while completing the environmental task.
April 11, 2025Standard inspection, Complaint inspection · 19 citations
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interviews and record reviews, it was determined that the facility failed to have an effective system in place to prevent cognitively impaired residents from leaving the facility without appropriate supervision. This was evident for 1 of 3 residents (#102) reviewed for elopement. This deficient practice led to immediate jeopardy for Resident #102 on 11/13/24. Following the incident, the facility implemented effective and thorough corrective measures. The facility's plan and action were verified during this survey; therefore, this deficiency was cited as past noncompliance. The date of correction was 11/13/24.
  2. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 6, 2025
    Inspectors wroteBased on review of medical records and facility investigation documentation and interviews it was determined that the facility failed to follow requirements for reporting incidents to the State Survey Agency. This was found to be evident for 5 (Resident #30, # 76, #60, #26, and #160 ) out of 5 residents reviewed for potential abuse.
  3. E
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 6, 2025
    Inspectors wroteBased on review of medical records, facility investigation documentation, and interviews it was determined that the facility failed to ensure injuries of unknown origin were thoroughly investigated. This was found to be evident for 2(Resident #30 and #26) out of 5 residents reviewed for potential abuse.
  4. 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) May 6, 2025
    Inspectors wroteBased on observations, record review, and interviews, it was determined that the facility failed to 1) document why a Gradual Dose Reduction (GDR) was contraindicated for the use of psychotropic drug and document specific indications for administering the medicine to a resident and 2) adequately monitor residents for behaviors, side effects, or adverse consequences related to the use of psychotropic drugs. This was evident for 3 (#4, #67, and #7) of 6 residents reviewed for unnecessary medications.
  5. E
    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, pattern · Corrected (the home has a date of correction) May 6, 2025
    Inspectors wroteBased on observations, staff interviews, and a review of facility documentation, it was determined that the facility failed to store controlled substances in a double-locked system and did not maintain proper medication storage temperatures. This was evident for three of three secured medication rooms and three of three medication refrigerators observed for medication storage.
  6. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 6, 2025
    Inspectors wroteBased on observations and interviews, it was determined that the facility failed to ensure that holes were repaired in drywall. This was evident for two of the two bathrooms reviewed for the facility environment.
  7. D
    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 · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 6, 2025
    Inspectors wroteBased on record reviews and interviews, it was determined that the facility failed to ensure residents were protected from abuse. This was evident for 1 (Resident #60) of 5 residents reviewed for abuse.
  8. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 6, 2025
    Inspectors wroteBased on record review and staff interview, it was determined that the facility failed to complete a Significant Change in Status Minimum Data Set (MDS) assessment within 14 days for a resident admitted to hospice care. This was evident for 1 (Resident #80), who was reviewed for hospice.
  9. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 6, 2025
    Inspectors wroteBased on record review and interview, it was determined that the facility failed to accurately reflect Resident #107's discharge plan on the Minimum Data Set (MDS) assessment. This was evident for one out of one resident reviewed for discharge planning.
  10. 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) May 6, 2025
    Inspectors wroteBased on record review and interviews, it was determined that the facility staff failed to develop a person-centered baseline care plan that included interventions for monitoring a resident who was identified as an elopement risk. This was evident for 1 (#102) of 9 residents reviewed for accidents.
  11. 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) May 6, 2025
    Inspectors wroteBased on observation, record review, and interviews, it was determined that the facility failed to implement a resident-centered care plan, as evidenced by the failure to implement interventions to prevent skin injury. This was evident for 1 (#67) of 33 residents reviewed during the survey.
  12. 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) May 6, 2025
    Inspectors wroteBased on interview, observation and record review it was determined that the facility failed to 1) ensure that a resident received the correct cream/protectant ordered by a physician, and 2) protect residents from injury. This was evident for 2 (Resident # 5 and #160) out of 5 residents reviewed for non-pressure skin conditions.
  13. 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) May 6, 2025
    Inspectors wroteBased on observations, record review, and interviews, it was determined that the facility failed to assess the risk of entrapment from side rails and failed to re-evaluate the need for side rails. This was found to be evident for two (Resident #29 and #26) out of two residents reviewed for side rail use.
  14. 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) May 6, 2025
    Inspectors wroteBased on interviews, observations, and record reviews, it was determined that the facility failed to ensure that an accurate inventory of controlled medications was maintained. This was evident for one medication cart (on Memory Lane) of three medication carts observed.
  15. 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) May 6, 2025
    Inspectors wroteBased on record review and staff interviews, it was determined that the facility failed to ensure a resident received their medications according to the attending physician's orders. This was evident for 1 (#4) out of 6 residents reviewed for unnecessary medications.
  16. 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) May 6, 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.
  17. 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) May 6, 2025
    Inspectors wroteBased on observation and interview, it was determined that that facility failed to protect resident data. This was evident on one out of three nursing units.
  18. 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.
    F909 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 6, 2025
    Inspectors wroteBased on interviews and reviews of facility documentation, it was determined that the facility failed to inspect beds and identify risks for entrapment. This was evident in two out of two Residents (#29 and #26) reviewed for bed safety.
  19. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) May 6, 2025
    Inspectors wroteBased on observation and interview, it was determined that the facility failed to post daily staffing information. This was evident during the staffing investigation portion of the recertification survey.
March 6, 2020Standard inspection · 7 citations
  1. 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, 2020
    Inspectors wroteBased on observations, record review, and staff interviews, it was determined that facility staff failed to develop and implement a resident-centered care plan for a resident with behaviors. This was evident for 1 (#98) of 36 residents reviewed for care plans.
  2. E
    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, pattern · Corrected (the home has a date of correction) March 25, 2020
    Inspectors wroteBased on surveyor observation and interview with staff, it was determined the facility staff failed to properly store medications by failing to ensure schedule III - V medications were stored in separately locked, permanently affixed compartments. This was evident in 1 of 5 facility medication carts observed during medication storage review. Per the Federal Comprehensive Drug Abuse Prevention and Control Act of 1970: Controlled substances are generally defined as medications that are considered easily abusable. Under the Controlled Substances Act, these medications are categorized into 5 schedules. Schedule I medications have the highest abuse potential, while medications in Schedule V have a low abuse potential.
  3. D
    Allow resident to participate in the development and implementation of his or her person-centered plan of care.
    F553 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 25, 2020
    Inspectors wroteBased on resident interview, record review and staff interviews, it was determined that the facility failed to ensure that residents were included in their plan of care. This was evident for 1 (#39) of resident of 2 residents reviewed for care plans during investigation phase.
  4. 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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 25, 2020
    Inspectors wroteBased on medical record review and staff interview, it was determined that the facility staff failed to void an older MOLST form located in a resident's active medical record. This was evident for 1 (Residents #97) of 2 residents reviewed for Advance Directives during an annual recertification survey.
  5. 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) March 25, 2020
    Inspectors wroteBased on observation, record review, and staff interview, it was determined that staff failed to ensure that activities were provided to residents meet their individual needs and preferences. This was evident for 2 (#16 and #23) of 2 residents reviewed for activities.
  6. 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) March 25, 2020
    Inspectors wroteBased on observations, reviews of a medical record and staff interview, it was determined that the facility staff failed to assess a resident's bruising timely. This was evident for 1 (Resident #82) of 2 residents reviewed for non-pressure related skin conditions during an annual recertification survey.
  7. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 25, 2020
    Inspectors wroteBased on staff interview and surveyor observation, it was determined the facility failed to provide food in a safe manner. This was evident for 1 (Resident #59) of 37 residents reviewed during an annual recertification survey.
September 7, 2018Standard inspection · 11 citations
  1. 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 · Corrected (the home has a date of correction) November 29, 2018
    Inspectors wroteBased on medical record review, facility investigation, and staff interviews, it was determined that the facility staff failed to maintain the safety of a totally dependent resident while providing routine care resulting in the resident falling out of bed. This action resulted in a 5 cm(centimeter) hematoma to the right side of the head, abrasions across the back, bruising to the chest, left arm, right arm and the back of the head requiring pain management. This was evident for 1 (#16) of 4 residents reviewed for accidents.
  2. 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) November 29, 2018
    Inspectors wroteBased on observation and interview with facility staff, it was determined that the facility failed to maintain a clean and homelike environment for residents. This was evidenced by 1.) unpainted sections of wall spackling in residents' living quarters; 2.) missing or broken molding in residents' living quarters; 3.) broken tile in the bathroom and 4.) a dirty grate next to the clothing washing machine. This was true for 7 of 32 rooms (rms 266, 268, 270, 272, 275, 269, 271). The evidence includes: During observations made during the initial tour of the facility that took place on 9/4/18 between 9:17 AM and 2:41 PM, the following
  3. 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) November 29, 2018
    Inspectors wroteBased on medical record review and staff interview, it was determined that the facility failed to develop and implement comprehensive person-centered care plans with measurable goals. This was evident for 1 (#41) of 4 residents reviewed for hospitalization, 1 (#87) of 4 residents reviewed for accidents and 1 (#71) of 5 residents reviewed for unnecessary medications.
  4. E
    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, pattern · Corrected (the home has a date of correction) November 29, 2018
    Inspectors wroteBased on observation and interview with staff, it was determined that the facility staff failed to date and label food items and failed to discard damaged food items. This was evident during the initial tour of the kitchen.
  5. 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) November 29, 2018
    Inspectors wroteBased on observation, medical record review, and staff interview, it was determined that the facility failed to keep complete and accurate medical records. This was evident for 1 (#86) of 1 residents reviewed for Hospice and 1 (#9) of 2 residents reviewed for activities of daily living.
  6. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 29, 2018
    Inspectors wroteBased on review of facility records and interview with staff, it was determined that the facility staff failed to provide residents/representatives with a Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage (SNFABN) for 1 (#99) of 3 residents, reviewed for Beneficiary Protection Notification.
  7. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 29, 2018
    Inspectors wroteBased on medical record review and staff interview, it was determined that the facility staff failed to ensure that a discharge Minimum Data Set (MDS) assessment was completed, encoded and electronically transmitted to the CMS System. This was evident for 1 (#2) of 2 residents reviewed for resident assessments for a discharge during the annual survey.
  8. D
    Ensure a qualified health professional conducts resident assessments.
    F642 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 29, 2018
    Inspectors wroteBased on medical record review and staff interview, it was determined that the facility staff failed to ensure that a discharge Minimum Data Set (MDS) assessment was completed and signed by a registered nurse. This was evident for 1 (#2) of 2 residents reviewed for resident assessments for a discharge during the annual survey.
  9. D
    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, isolated · Corrected (the home has a date of correction) November 29, 2018
    Inspectors wroteBased on medical record review and staff interview, it was determined that the facility failed to revise resident care plans. This was evident for 1 (#41) of 4 residents reviewed for hospitalization.
  10. C
    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 minimal harm, widespread · Corrected (the home has a date of correction) November 29, 2018
    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 4 (#87, #41, #76, #88) of 4 residents reviewed for hospitalization.
  11. C
    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 minimal harm, widespread · Corrected (the home has a date of correction) November 29, 2018
    Inspectors wroteBased on medical record review and staff interview, it was determined the facility failed to notify the resident/resident representative in writing of the bed-hold policy upon transfer of a resident to an acute care facility. This was evident for 3 (#41, #76, #88) of 4 residents reviewed that were transferred to an acute care facility.

Fire safety inspections

19 fire safety citations on file: 13 on April 11, 2025, 3 on March 6, 2020, 3 on September 7, 2018.

Every fire safety citation19 citations
  1. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · April 11, 2025 · Corrected (the home has a date of correction)
  2. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · April 11, 2025 · Corrected (the home has a date of correction)
  3. F
    Properly provide smoke detection systems in areas open to corridors.
    K 347 · April 11, 2025 · Corrected (the home has a date of correction)
  4. F
    Have simulated fire drills held at unexpected times.
    K 712 · April 11, 2025 · Corrected (the home has a date of correction)
  5. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · April 11, 2025 · Corrected (the home has a date of correction)
  6. E
    Have properly located and lighted "Exit" signs.
    K 293 · April 11, 2025 · Corrected (the home has a date of correction)
  7. E
    Meet other general requirements that are deficient.
    K 500 · April 11, 2025 · Corrected (the home has a date of correction)
  8. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · April 11, 2025 · Corrected (the home has a date of correction)
  9. E
    Provide properly sized and located linen or trash receptacles.
    K 754 · April 11, 2025 · Corrected (the home has a date of correction)
  10. E
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · April 11, 2025 · Corrected (the home has a date of correction)
  11. D
    Install proper backup exit lighting.
    K 281 · April 11, 2025 · Corrected (the home has a date of correction)
  12. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · April 11, 2025 · Corrected (the home has a date of correction)
  13. D
    Have proper medical gas storage and administration areas.
    K 923 · April 11, 2025 · Corrected (the home has a date of correction)
  14. D
    Install properly constructed and protected linen or trash chutes.
    K 541 · March 6, 2020 · Corrected (the home has a date of correction)
  15. D
    Provide properly sized and located linen or trash receptacles.
    K 754 · March 6, 2020 · Corrected (the home has a date of correction)
  16. C
    Install corridor and hallway doors that block smoke.
    K 363 · March 6, 2020 · Corrected (the home has a date of correction)
  17. D
    Install properly constructed and protected linen or trash chutes.
    K 541 · September 7, 2018 · Corrected (the home has a date of correction)
  18. C
    Have a battery powered remote alarm panel in a location accessible by operating personnel.
    K 916 · September 7, 2018 · Corrected (the home has a date of correction)
  19. B
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 7, 2018 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
April 11, 2025Fine $13,250

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)4.133.873.86
Registered nurses0.880.840.69
All nursing staff on weekends3.623.473.42
Nurse aides2.39
Licensed practical nurses0.86
Nursing staff turnover (share who left in a year)24.5%40.2%45.8%
Registered nurse turnover19.0%38.7%42.9%
Administrators who left0

CMS expects 3.50 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 4.34 on weekdays and 3.62 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.22 in April to June 2025 to 4.13 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.130.884.343.62 0.2%0 of 90104
Oct to Dec 20254.230.924.443.67 0.2%0 of 92103
Jul to Sep 20254.280.834.523.67 0.0%0 of 92102
Apr to Jun 20254.220.774.433.67 0.2%0 of 91103
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 long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
22.020.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.70.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.01.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.72.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
4.51.11.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
15.422.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.65.94.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
24.413.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.521.023.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
4.99.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.01.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.71.21.8

Owners and operators

Legal business name: GOODWILL MENNONITE HOME, INC..

NameRoleTypeShareSince
Brenneman, BrianContracted managing employeeIndividual05/22/2017
Lehman, AnthonyContracted managing employeeIndividual03/02/1995
Brenneman, BrianW-2 managing employeeIndividual05/22/2017
Lehman, AnthonyW-2 managing employeeIndividual04/07/2004
Bender, TimCorporate directorIndividual09/22/2021
Brenneman, BrianCorporate directorIndividual05/22/2017
Dornburg, JamesCorporate directorIndividual09/28/2022
Graber, KristineCorporate directorIndividual09/28/2022
Gregory, MichaelCorporate directorIndividual09/23/2020
Guingrich, NicholasCorporate directorIndividual10/09/2019
Lehman, AnthonyCorporate directorIndividual03/02/1995
Maust, BradCorporate directorIndividual09/23/2020
Tice, TimCorporate directorIndividual09/22/2021
Yoder, JamesCorporate directorIndividual10/09/2019

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 11 problems in this area, most recently on April 11, 2025: "Assess the resident when there is a significant change in condition"
  2. 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 April 11, 2025: "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."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on April 11, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on April 11, 2025: "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."

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Common questions

What is Goodwill Mennonite Home, Inc.'s Medicare star rating?
CMS rates Goodwill Mennonite Home, Inc. 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Goodwill Mennonite Home, Inc. get at its last inspection?
19 health deficiencies at the standard inspection on April 11, 2025. The Maryland average is 17.
Has Goodwill Mennonite Home, Inc. been fined?
Yes. CMS lists 1 fine totaling $13,250 in the last three years.
Does Goodwill Mennonite Home, Inc. 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 Goodwill Mennonite Home, Inc.?
CMS lists 14 owners and managers. Legal business name: GOODWILL MENNONITE HOME, INC..

Sources

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