Nursing homes › Maryland › Western Md Hospital Center
1500 Pennsylvania Avenue, Hagerstown, MD 21742 · 3017454200 · 63 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: Government - State.
Total nurse staffing: 7.40 (Maryland median: 3.60). RN hours: 3.15. Weekend total: 6.76. Nursing staff turnover: 19%.
All-time on record: 37 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-12-02 | 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. | F | Health | corrected 2026-01-14 |
| 2025-12-02 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2026-01-14 |
| 2025-12-02 | Honor the resident's right to manage his or her financial affairs. | D | Health | corrected 2026-01-14 |
| 2025-12-02 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2026-01-14 |
| 2025-12-02 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2026-01-14 |
| 2025-12-02 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Health | corrected 2026-01-14 |
| 2025-12-02 | Post nurse staffing information every day. | C | Health | corrected 2026-01-14 |
| 2024-06-04 | Provide safe and appropriate respiratory care for a resident when needed. | J | complaint | corrected 2024-05-24 |
| 2024-06-04 | 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. | G | complaint | corrected 2024-07-26 |
| 2024-06-04 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-08-09 |
| 2024-06-04 | 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. | F | Health | corrected 2024-09-03 |
| 2024-06-04 | 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. | F | Health | corrected 2024-10-31 |
| 2024-06-04 | 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. | F | Health | corrected 2024-08-09 |
| 2024-06-04 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | complaint | corrected 2024-08-30 |
| 2024-06-04 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | complaint | Deficient, Provider has no plan of correction |
| 2024-06-04 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Health | corrected 2024-08-21 |
| 2024-06-04 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Health | corrected 2024-07-31 |
| 2024-06-04 | 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. | D | Health | corrected 2024-08-09 |
| 2024-06-04 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-08-02 |
| 2024-06-04 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-08-02 |
| 2024-06-04 | 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. | D | Health | corrected 2024-08-02 |
| 2024-06-04 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Health | corrected 2024-10-31 |
| 2024-06-04 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2024-08-02 |
| 2024-06-04 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-10-31 |
| 2024-06-04 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2024-08-09 |
| 2024-06-04 | 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. | D | Health | corrected 2024-08-30 |
| 2024-06-04 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | complaint | corrected 2024-09-11 |
| 2024-06-04 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2024-09-11 |
| 2024-06-04 | 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. | D | complaint | corrected 2024-09-10 |
| 2024-06-04 | 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. | D | Health | corrected 2024-09-11 |
| 2024-06-04 | Provide or obtain dental services for each resident. | D | Health | corrected 2024-09-10 |
| 2024-06-04 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2024-08-30 |
| 2024-06-04 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Health | corrected 2024-10-31 |
| Date | Type | Amount |
|---|---|---|
| 2024-06-04 | Fine | $8,018 |
| 2024-06-04 | Fine | $16,042 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| BROY-STEVENSON, NEDINA | Corporate Director | Individual | NOT APPLICABLE | since 07/15/2021 |
| DEVILBISS, KELLY | Corporate Director | Individual | NOT APPLICABLE | since 06/22/2018 |
| EDMONDS, KELLY | Corporate Officer | Individual | NOT APPLICABLE | since 09/27/2005 |
| COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/1966 |
| EDMONDS, KELLY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/14/2005 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 215110. Corrections: data@carerecords.org.