Hagerstown Healthcare Center
Hagerstown Healthcare Center is a 140-bed nursing home in HAGERSTOWN, Maryland. CMS has certified it for Medicare and Medicaid since 2000-11-06. It averages 98.1 residents a day.
What harm was found in the violations cited at Hagerstown Healthcare Center?
CMS lists 87 health-inspection deficiencies for Hagerstown Healthcare Center since 2019-04-08, 50 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-16.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-16 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D |
| 2026-05-18 | F0610 | Respond appropriately to all alleged violations. | D |
| 2026-03-06 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2026-03-06 | F0602, F0609 | Protect each resident from the wrongful use of the resident's belongings or money. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-11-26 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-11-26 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2025-11-26 | F0580, F0637, F0641, F0645, F0656, F0657, F0679, F0689, F0730, F0835 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Assess the resident when there is a significant change in condition / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide activities to meet all resident's needs. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Observe each nurse aide's job performance and give regular training. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D |
| 2025-10-23 | F0684, F0842 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-07-25 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-07-25 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2023-12-22 | F0578, F0700, F0801, F0657 | 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. / 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. / 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E |
| 2023-12-22 | F0561, F0584, F0585, F0600, F0609, F0610, F0641, F0661, F0677, F0679, F0684, F0688, F0697, F0744, F0756, F0757, F0758, F0759, F0761, F0803, F0812, F0842, F0880, F0909 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Ensure each resident receives an accurate assessment. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Provide safe, appropriate pain management for a resident who requires such services. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Ensure medication error rates are not 5 percent or greater. / 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. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. / 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. | D |
| 2023-08-21 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2019-04-08 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J |
| 2019-04-08 | F0553, F0725, F0812, F0838, F0867, F0880, F0925 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / 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. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Provide and implement an infection prevention and control program. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F |
| 2019-04-08 | F0550, F0580, F0584, F0624, F0641, F0655, F0656, F0657, F0761, F0842 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Prepare residents for a safe transfer or discharge from the nursing home. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2019-04-08 | F0561, F0582, F0610, F0622, F0623, F0635, F0679, F0684, F0685, F0689, F0690, F0695, F0732, F0756, F0757, F0759, F0868, F0919 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Respond appropriately to all alleged violations. / 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. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Provide doctor's orders for the resident's immediate care at the time the resident was admitted. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Assist a resident in gaining access to vision and hearing services. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Post nurse staffing information every day. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure medication error rates are not 5 percent or greater. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2019-04-08 | F0625 | 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. | B |
Why was Hagerstown Healthcare Center fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2026-03-06 | Fine | $15,935 |
| 2023-08-21 | Fine | $8,190 |
How is Hagerstown Healthcare Center staffed relative to the MD average?
| Measure | This facility | MD average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.62801 | 3.87381 |
| Total nursing staff turnover (%) | 44.4 | 40.2 |
| Average number of residents per day | 98.1 | 105.7 |
Who owns Hagerstown Healthcare Center, and what chain is it in?
Hagerstown Healthcare Center is registered with CMS as For profit - Corporation, operates under the legal business name DUAL LEASING CO., LLC and belongs to the COMMUNICARE HEALTH chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | PC MSTR LSCO, LLC | since 05/01/2017 |
| INDIRECT OWNERSHIP INTEREST | S.L. ROSEDALE IRREVOCABLE TRUST | since 05/01/2017 |
| MANAGING CONTROL - GOVERNING BODY | ROMEO, DOMINIC | since 04/01/2023 |
| CORPORATE OFFICER | STOLTZ, CHARLES, WILHEIM, RONALD | since 05/01/2017 |
| OPERATIONAL/MANAGERIAL CONTROL | DUAL MGT CO., LLC, GROVES, DONNA, NASRAWY, CINDY, ROMEO, DOMINIC, TEMESGEN, ADDISU | since 01/01/2025 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | ODENTHAL, RICHARD | since 05/16/2025 |
| ADP OF THE SNF | DUAL MGT CO., LLC, GROVES, DONNA, NASRAWY, CINDY, ROMEO, DOMINIC, TEMESGEN, ADDISU | since 01/01/2025 |
Were you or a family member harmed at Hagerstown Healthcare Center?