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Home / Maryland / Hagerstown

Western Md Hospital Center

1500 Pennsylvania Avenue, Hagerstown, MD 21742 · Washington County · (301) 745-4200

63 certified beds, about 46 residents a day · Government - State · Medicare and Medicaid since 1977

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 215110 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 2, 2025, inspectors cited 7 health deficiencies (the Maryland average is 17, the national average 9.2).

Of 37 health citations since May 2019, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 2 fines totaling $24,060 in the last three years; the largest was $16,042, and the latest is dated June 4, 2024.

Nurses and nurse aides worked 7.40 hours per resident per day, against 3.87 across Maryland and 3.86 nationally. Registered nurses accounted for 3.15 of those hours.

19.4% 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 37 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
22D
4E
7F
Potential for minimal harm
0A
1B
1C
December 2, 2025Standard inspection · 7 citations
  1. F
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    F801 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 14, 2026
    Inspectors wroteBased on interviews it was determined that the facility failed to employ a qualified food service director. This was found to be evident for the one food service director and has the potential to affect all residents. On 11/20/25 the Food Service Director (FSD #13) confirmed that he is not a Certified Dietary Manager (CDM). The FSD reported he has taken the class and is eligible to take the exam but was not yet scheduled for the test. On 11/21/25 at 12:51 PM the FSD reported the facility has a dietitian (#11) who they consult and contact for guidance. On 11/21/25 at 12:51 PM interview with the dietitian revealed she works at the facility 20 hours per week conducting primarily clinical work such as nutritional assessments. The dietitian reported she does answer kitchen questions as needed but confirmed she is not involved in the day-to-day running of the kitchen. [...]
  2. 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) January 14, 2026
    Inspectors wroteBased on observation and interview it was determined that the facility failed to ensure staff identified when the automatic dishwasher was in need of maintenance and repair, and failed to ensure containers used for food preparation and service were stored in a sanitary manner. This was found to be evident during 3 out of 3 observations made in the kitchen during the survey and has the potential to affect all residents.
  3. D
    Honor the resident's right to manage his or her financial affairs.
    F567 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 14, 2026
    Inspectors wroteBased on interview and record review it was determined that the facility failed to ensure that resident personal funds accounts were held in an interest-bearing account. This was evident for 1 resident (Resident #51) of 4 residents who had personal funds accounts held by the facility.
  4. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 14, 2026
    Inspectors wroteBased on record reviews and interviews, it was determined that the facility failed to ensure as needed (PRN) orders for psychotropic medications were limited to 14 days. This was evident for 1 (Resident #5) of 5 residents reviewed for unnecessary medications.
  5. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 14, 2026
    Inspectors wroteBased on observation, record reviews and interviews, it was determined that the facility failed to ensure residents with pressure injuries receive appropriate services for treatment and prevention. This was evident for 1 (Resident #7) of 2 residents reviewed for pressure ulcer/injury.
  6. D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 14, 2026
    Inspectors wroteBased on observation and interview it was determined that the facility ownership failed to ensure identified issues with the roof were repaired. This was found to be evident on one of the three nursing units observed.
  7. 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) January 14, 2026
    Inspectors wroteBased on observations and interviews, it was determined that the facility failed to ensure nurse staffing information was posted on a daily basis. This deficient practice was evident for 7 of the 8 days of the recertification survey.
June 4, 2024Standard inspection, Complaint inspection · 26 citations
  1. J
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on review of medical records and facility investigation documentation and interviews it was determined that the facility failed to ensure respiratory care was provided consistent with professional standards. This was found to be evident for one (Resident #40) out of four residents reviewed for respiratory care. This failure resulted in a determination on 5/31/24 at 9:45 AM of an Immediate Jeopardy for Resident #40. The facility implemented effective and thorough corrective measures following this incident. The facility's plan and action were verified during this survey, therefore this deficiency will be cited as past noncompliance. The date of correction was 5/24/24.
  2. G
    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 · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 26, 2024
    Inspectors wroteBased on medical record review and staff interview, it was determined the facility failed to 1.) to have a process in place to ensure that the resident's wishes for resuscitation were communicated to staff so that the staff would know immediately what action to take during an emergency. This resulted in harm to Resident #96, who had a do not resuscitate (DNR) order, receiving cardiopulmonary resuscitation (CPR). The resident was resuscitated, remained at the hospital for 8 days, and returned to the facility with a chest tube inserted in each lung; 2.) reveal evidence that the resident was informed of their right to formulate an advanced directives by failing to document discussions regarding advanced directives and the outcome of the discussion in the resident's medical record and failed to ensure Do Not Resuscitate orders were followed. [...]
  3. 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 9, 2024
    Inspectors wroteBased on observations and interviews with facility staff, 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.
  4. 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.
    F838 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 3, 2024
    Inspectors wroteBased on records review and interviews, it was determined that the facility failed to include staff competencies that are necessary to provide the level and types of care needed for the resident population. This deficient practice has the ability to affect all residents in the facility.
  5. F
    Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
    F843 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 31, 2024
    Inspectors wroteBased on pertinent documentation review and interviews, it was determined that the facility failed to have a current written transfer agreement with a local hospital. This has the potential to affect all residents in the facility.
  6. F
    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, widespread · Corrected (the home has a date of correction) August 9, 2024
    Inspectors wroteBased on observations, records review, and interviews, it was determined that the facility failed to conduct regular inspection of all bed frames, mattresses, and bed rails, as part of a regular maintenance program to identify areas of possible entrapment. This was evident for 1 (Resident #16) of 3 residents reviewed for accidents.
  7. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 30, 2024
    Inspectors wroteBased on records review and interviews, it was determined that the facility failed to develop a comprehensive care plan with measurable objectives and timeframe to meet the resident's medical needs. This was evident for 4 (Resident #6, #34, #9 and #24) out of of 24 residents reviewed during the survey.
  8. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Not yet corrected
    Inspectors wroteBased on observation, medical record review and staff interview, it was determined the facility failed to review and revise resident care plans after each assessment. This was evident for 2 (Resident #13 and #6) of 24 residents reviewed during the survey.
  9. E
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    F868 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 21, 2024
    Inspectors wroteBased on pertinent document review, and interviews it was determined that the facility failed to establish a quality assurance committee which would include an Infection Preventionists at every committee meeting.
  10. D
    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
    F559 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 31, 2024
    Inspectors wroteBased on record review and interviews, it was determined that the facility failed to provide the resident or the resident's responsible party with written notice of a room change, including the reason for the change before the resident's room was changed. This was evident for 2 (Resident #31 and #9) out of 4 residents reviewed for choices during the survey.
  11. 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) August 9, 2024
    Inspectors wroteBased on observation and interview it was determined that the facility failed to ensure areas in need of repair were identified and work orders were implemented. This was found to be evident for 2 out of 2 nursing units observed.
  12. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 2, 2024
    Inspectors wroteBased on record review and interviews, it was determined that the facility staff failed to report an allegation of abuse to the Office of Health Care Quality in a timely manner. This was evident for 1 (Resident #31) out of 6 residents reviewed for abuse during the survey.
  13. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 2, 2024
    Inspectors wroteBased on pertinent documentation review and interviews, it was determined that the facility failed to provide documentation that a thorough investigation of potential abuse was completed. This was evident for 3 (Resident #98, #15, and #9) out of 6 residents reviewed for abuse during the survey.
  14. D
    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
    F622 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 2, 2024
    Inspectors wroteBased on records review and interviews, it was determined that the facility failed to communicate the residents comprehensive care plan goals to the receiving healthcare institution to ensure safe and effective transition of care. This was evident for 2 (Resident #24, and #19) of 4 residents reviewed for hospitalizations.
  15. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 31, 2024
    Inspectors wroteBased on medical record review and staff interview it was determined the facility failed to notify residents in writing of a transfer, along with the reason for transfer, and failed to notify the Office of the State Long-Term Care Ombudsman of a transfer/discharges of residents. This was evident for 2 (Resident #19 and #24) of 4 residents reviewed for hospitalization.
  16. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 2, 2024
    Inspectors wroteBased on observations, records review and interviews, it was determined that the facility failed to provide a resident unable to carry out activities of daily living the necessary services to maintain good oral hygiene. This was evident in 1 (Resident #11) out of 2 residents reviewed for tube feeding.
  17. 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) October 31, 2024
    Inspectors wroteBased on pertinent document review and interviews, it was determined that the facility failed to implement physician orders for 15-minute safety checks. This was evident for 1 (Resident #98) out of 1 resident reviewed for behavioral or emotional care during the survey.
  18. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · 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) August 9, 2024
    Inspectors wroteBased on medical record review and interviews it was determined that the facility failed to provide services consistent with professional standards of practice to prevent the development of pressure ulcers and promote healing of existing pressure ulcers/injuries. This was evident for 1 (Resident #6) of 2 residents reviewed for pressure ulcers.
  19. D
    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.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 30, 2024
    Inspectors wroteBased on medical record and other pertinent documentation review and interviews it was determined that the facility failed to ensure geriatric nursing assistants were competent to provide care to a resident dependent on mechanical ventilation. This was found to be evident for one (Resident #40) out of four residents reviewed for respiratory care.
  20. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 11, 2024
    Inspectors wroteBased on medical record review and interview with staff it was determined that the facility failed to ensure that irregularities identified by the pharmacist were reviewed by the attending physician, and that the attending physician documented in the medical record that the review has been completed and what, if any, action has been taken to address it; and failed to develop policies and procedures that included time frames for the physicians to complete this review. This was evident for 2 (Resident #6 and #9) of 5 residents reviewed for unnecessary medication.
  21. 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) September 11, 2024
    Inspectors wroteBased on record review and staff interviews, it was determined that the facility failed to ensure a resident received medication according to an attending physician's orders. This was evident for 1 (Resident #32) out of 5 residents reviewed for unnecessary medications.
  22. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 10, 2024
    Inspectors wroteBased on medical record review and staff interviews, it was determined that the facility staff failed to ensure that a resident's medication regimen was free from unnecessary medication by failing to adequately monitor a resident for behavior, side effects, or adverse consequences related to a resident's use of psychotropic medication. This was evident for 1 (Resident #6) of 5 residents reviewed for unnecessary medications.
  23. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 11, 2024
    Inspectors wroteBased on observation, interview, and pertinent document review, it was determined that the facility failed to properly store medical devices and medications according to the manufacturer's guidelines to ensure their safe and effective use. This was evident for 2 out of 2 nursing units during the survey.
  24. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 10, 2024
    Inspectors wroteBased on record review and staff interviews, it was determined that the facility failed to ensure an order was in place for a resident requiring and requesting dental services and failed to develop a care plan to address this issue as well. This was evident for 1 (Resident #9) of 2 Residents reviewed for dental.
  25. 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 · found on a complaint visit · Corrected (the home has a date of correction) August 30, 2024
    Inspectors wroteBased on record reviews and interviews, it was determined that the facility failed to maintain complete and accurate medical records for its residents. This was evident for 3(Resident #6, #21, and #96) of 24 residents reviewed during the survey.
  26. D
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 31, 2024
    Inspectors wroteBased on record review and interview it was determined that the facility failed to 1) conduct a root cause and analysis on the deficiencies cited during the recertification survey which resulted in reciting the same deficiencies and 2) ensure that they were in compliance by their alleged compliance date. This was evident throughout the revisit.
May 24, 2019Standard inspection · 4 citations
  1. F
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 29, 2019
    Inspectors wroteBased on review of the medical record, it was determined the facility failed to perform appropriate revisions to the care plan goals and interventions as resident care needs became apparent or changed over time. This was evident for 1 (#17) of 2 residents reviewed urinary tract infection/catheter, 2 (#15, #5) of 5 residents reviewed for unnecessary medications and 1 (#12) of 2 residents reviewed for pressure ulcers.
  2. 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) July 29, 2019
    Inspectors wroteBased on medical record review and interview with facility staff, it was determined that the facility failed to develop care plans that were person-centered and had measurable goals. This was evident for 5 (#31, #17, #15, #5, #10), of 15 residents reviewed during the investigation stage of the survey.
  3. D
    Prepare residents for a safe transfer or discharge from the nursing home.
    F624 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 29, 2019
    Inspectors wroteBased on medical record review and staff interview, it was determined the facility failed to document what preparation and orientation was given to a resident to ensure an orderly transfer to an acute care facility. This was evident for 2 (#17, #11) of 3 residents reviewed for hospitalization.
  4. B
    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, pattern · Corrected (the home has a date of correction) July 29, 2019
    Inspectors wroteBased on medical record review and staff interview, it was determined the facility failed to notify the resident/resident representative in writing of a transfer/discharge of a resident along with the reason for the transfer. This was evident for 3 (#21, #11, #17 ) of 3 residents reviewed that were transferred to an acute care facility.

Fire safety inspections

17 fire safety citations on file: 13 on December 2, 2025, 2 on June 4, 2024, 2 on May 24, 2019.

Every fire safety citation17 citations
  1. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · December 2, 2025 · Corrected (the home has a date of correction)
  2. F
    Have a combustible roofing system that meets safety standards.
    K 162 · December 2, 2025 · Corrected (the home has a date of correction)
  3. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · December 2, 2025 · Corrected (the home has a date of correction)
  4. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 2, 2025 · Corrected (the home has a date of correction)
  5. F
    Ensure medical gas and vacuum systems have documented maintenance programs.
    K 907 · December 2, 2025 · Corrected (the home has a date of correction)
  6. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · December 2, 2025 · Corrected (the home has a date of correction)
  7. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · December 2, 2025 · Corrected (the home has a date of correction)
  8. E
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · December 2, 2025 · Corrected (the home has a date of correction)
  9. E
    Have exits that are accessible at all times.
    K 271 · December 2, 2025 · Corrected (the home has a date of correction)
  10. E
    Install proper backup exit lighting.
    K 281 · December 2, 2025 · Corrected (the home has a date of correction)
  11. E
    Have properly located and lighted "Exit" signs.
    K 293 · December 2, 2025 · Corrected (the home has a date of correction)
  12. E
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · December 2, 2025 · Corrected (the home has a date of correction)
  13. E
    Have proper medical gas storage and administration areas.
    K 923 · December 2, 2025 · Corrected (the home has a date of correction)
  14. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · June 4, 2024 · Corrected (the home has a date of correction)
  15. F
    Have simulated fire drills held at unexpected times.
    K 712 · June 4, 2024 · Corrected (the home has a date of correction)
  16. C
    Install corridor and hallway doors that block smoke.
    K 363 · May 24, 2019 · Corrected (the home has a date of correction)
  17. C
    Have proper medical gas storage and administration areas.
    K 923 · May 24, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
June 4, 2024Fine $8,018
June 4, 2024Fine $16,042

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)7.403.873.86
Registered nurses3.150.840.69
All nursing staff on weekends6.763.473.42
Nurse aides3.15
Licensed practical nurses1.10
Nursing staff turnover (share who left in a year)19.4%40.2%45.8%
Registered nurse turnover16.7%38.7%42.9%
Administrators who left1

CMS expects 5.04 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 7.66 on weekdays and 6.76 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 10.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 6.55 in April to June 2025 to 7.40 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20267.403.157.666.76 10.3%0 of 9046
Oct to Dec 20256.492.396.666.05 10.1%0 of 9249
Jul to Sep 20256.482.356.676.00 10.4%0 of 9248
Apr to Jun 20256.551.656.726.11 12.2%8 of 9148
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
6.320.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.51.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.62.43.2
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
0.022.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.25.94.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
33.813.815.4

Owners and operators

Legal business name: COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU.

NameRoleTypeShareSince
Broy-Stevenson, NedinaW-2 managing employeeIndividual07/15/2021
Edmonds, KellyW-2 managing employeeIndividual01/22/2019
Watts, WayneW-2 managing employeeIndividual12/05/2022
Broy-Stevenson, NedinaCorporate directorIndividual07/15/2021
Devilbiss, KellyCorporate directorIndividual06/22/2018
Edmonds, KellyCorporate officerIndividual09/27/2005
Comptroller of Maryland Central Payroll BureauOperational/managerial controlOrganization01/01/1966
Edmonds, KellyOperational/managerial controlIndividual09/14/2005

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

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 8 problems in this area, most recently on December 2, 2025: "Honor the resident's right to manage his or her financial affairs."
  2. 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 December 2, 2025: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on June 4, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  4. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 4 problems in this area, most recently on June 4, 2024: "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."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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Common questions

What is Western Md Hospital Center's Medicare star rating?
CMS rates Western Md Hospital Center 5 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Western Md Hospital Center get at its last inspection?
7 health deficiencies at the standard inspection on December 2, 2025. The Maryland average is 17.
Has Western Md Hospital Center been fined?
Yes. CMS lists 2 fines totaling $24,060 in the last three years.
Does Western Md Hospital 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 Western Md Hospital Center?
CMS lists 8 owners and managers. Legal business name: COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU.

Sources

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