Berlin Nursing and Rehabilitation Center in Berlin, MD has a 1 out of 5 overall rating, with a 1-star health inspection rating, 2-star staffing and quality ratings, and reported nurse staffing below the federal benchmark (3.09 vs. 4.1 hours per resident per day). It also had $26,685 in fines in the last 24 months, a recent federal penalty, and cited problems with accident hazards/supervision, medication errors, and pressure ulcer care.
Last inspection: July 23, 2025Penalties, last 24 months: $26,685recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0888.
Staffing detail
Registered nurses
0.50
Licensed practical nurses
0.61
Nurse aides
1.98
Weekend nursing
2.87
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 25%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
10.3%10.5%No change
Residents with a fall causing major injury
1.4%2.6%Worsening
Residents with pressure ulcers (bedsores)
8.8%5.1%Improving
Residents with a urinary tract infection
4.3%1.3%Improving
Residents who lost too much weight
14.3%5.5%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
34.4%39.7%Worsening
Residents whose ability to walk got worse
—43.1%—
Long-stay residents on antianxiety or sleep medication
15.3%21.3%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
2.6%0%Improving
Residents with new or worsening incontinence
14.6%20.8%Worsening
Residents with depressive symptoms
0%1.4%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—71.8%—
Long-stay residents given the pneumonia vaccine
9.7%41%Improving
Short-stay residents given the seasonal flu vaccine
—31.1%—
Short-stay residents given the pneumonia vaccine
14.3%21.3%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to ensure residents were free from significant medication errors. Cited July 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited September 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited September 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $26,685 was recorded.
INSPECTION
Health inspection found 20 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 26 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 20 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $237,402 in total fines.
Federal fine
Jul 23, 2025
$26,685
Federal fine
Sep 27, 2023
$210,717
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of FUNDAMENTAL HEALTHCARE · 69 homes · 2.4 stars avg
Occupancy
91.7 residents on an average day (56% of 165 beds)
Resident voice
Resident council
Medicare history
Certified for 45 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.