WESTERN MD HOSPITAL CENTER — Nursing Home in HAGERSTOWN, MD

CMS Five-Star Rating

Based on health inspections, staffing, and quality measures

Health Inspection Findings & Deficiencies

WESTERN MD HOSPITAL CENTER had 26 health inspection deficiencies on its most recent inspection (June 4, 2024), including 2 classified as severe.

Inspection Findings — June 4, 2024

• Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. (Level D)
  Corrected — July 31, 2024
• 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. (Level D)
  Corrected — August 9, 2024
• 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. (Level D)
  Corrected — August 2, 2024
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Level D)
  Corrected — October 31, 2024
• Provide care and assistance to perform activities of daily living for any resident who is unable. (Level D)
  Corrected — August 2, 2024
• 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. (Level D)
  Corrected — August 30, 2024
• Ensure each resident’s drug regimen must be free from unnecessary drugs. (Level D)
  Corrected — September 11, 2024
• 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. (Level D)
  Corrected — September 11, 2024
• Provide or obtain dental services for each resident. (Level D)
  Corrected — September 10, 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. (Level F)
  Corrected — September 3, 2024
• 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. (Level F)
  Corrected — October 31, 2024
• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Level D)
  Corrected — October 31, 2024
• Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Level E)
  Corrected — August 21, 2024
• 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. (Level F)
  Corrected — August 9, 2024
• 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. (Level G)
  Corrected — July 26, 2024
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Level D)
  Corrected — August 2, 2024
• Respond appropriately to all alleged violations. (Level D)
  Corrected — August 2, 2024
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Level E)
  Corrected — August 30, 2024
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Level E)
  Corrected
• Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Level D)
  Corrected — August 9, 2024
• Provide safe and appropriate respiratory care for a resident when needed. (Level J)
  Corrected — May 24, 2024
• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Level D)
  Corrected — September 11, 2024
• 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. (Level D)
  Corrected — September 10, 2024
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Level D)
  Corrected — August 30, 2024
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Level F)
  Corrected — August 9, 2024
• Provide appropriate treatment and care according to orders, resident’s preferences and goals. (Level D)
  Corrected — October 31, 2024

Frequently Asked Questions

Nearby Nursing Homes

• COFFMAN NURSING HOME — 3/5 — 0.3 mi
• HAGERSTOWN HEALTHCARE CENTER — 1/5 — 2.2 mi
• JULIA MANOR NURSING AND REHABILITATION CENTER — 1/5 — 2.4 mi
• COMPLETE CARE AT HAGERSTOWN — 1/5 — 2.9 mi
• CREEKSIDE CENTER FOR REHABILITATION AND NURSING — 1/5 — 3.5 mi
• HOMEWOOD LIVING WILLIAMSPORT — 2/5 — 5.8 mi

Data Source

This information is sourced from official CMS (Centers for Medicare & Medicaid Services) public datasets.

CMS Provider Information updated May 1, 2026.

CMS Survey Summary updated May 1, 2026.

CMS Health Deficiencies updated May 1, 2026.

CareQED last updated June 22, 2026.

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