The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
FROSTBURG REHAB CENTER
FROSTBURG, MD · Medicare-certified · 122 beds
Needs attention
For-profit
1 of 5 overall
FROSTBURG REHAB CENTER in Frostburg, MD has a 1-star overall rating, with 1-star health inspection and staffing scores and 2-star quality measures. It reports 3.34 nurse hours per resident per day versus the 4.1 federal benchmark, and it had $16,559 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.3384 hrs/resident/day
Quality measures
Last inspection: August 13, 2025Penalties, last 24 months: $16,559recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3384.
Staffing detail
- Registered nurses
- 0.35
- Licensed practical nurses
- 0.91
- Nurse aides
- 2.08
- Weekend nursing
- 3.11
Hours per resident per day.
Total staff turnover: 57%
Registered nurse turnover: 64%
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).
Long-stay residents on antipsychotic medication
12.3%20.3%Worsening
Residents with a fall causing major injury
6.2%5.6%Improving
Residents with pressure ulcers (bedsores)
6.4%1.7%Improving
Residents with a urinary tract infection
6.4%4.8%Improving
Residents who lost too much weight
7.6%4.9%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
20.9%19.5%Improving
Residents whose ability to walk got worse
—35%—
Long-stay residents on antianxiety or sleep medication
24.2%21.6%Improving
Short-stay residents newly given an antipsychotic
1.7%1.4%No change
Residents with a long-term catheter
1.6%1%Improving
Residents with new or worsening incontinence
37.2%29.3%Improving
Residents with depressive symptoms
10.6%7.8%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98%—
Long-stay residents given the pneumonia vaccine
96.9%92.1%Worsening
Short-stay residents given the seasonal flu vaccine
—84.4%—
Short-stay residents given the pneumonia vaccine
78.7%61.7%Worsening
What the inspectors found
The home failed to conduct and document a full facility assessment to ensure it had the resources needed for daily care and emergencies. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 838 — 42 CFR §483.70 — S/S: F
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to properly watch nurse aides' work and provide regular training. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 730 — 42 CFR §483.35(e)(7) — S/S: F
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $16,559 was recorded.
- INSPECTION
Health inspection found 26 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 25 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $16,559 in total fines.
- $16,559
Federal fine
Aug 13, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 107.3 residents on an average day (88% of 122 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 47 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.