Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 215336

Hagerstown Healthcare Center

85 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $8,190.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
85
Total citations
33
Last 3 years
3
Actual harm+
1
Federal penalties
$8,190
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care17 Resident Rights15 Care Planning14 Medication & Pharmacy12 Environment & Safety6

Most common F-tags at this facility

F6843 F8423 F6893 F6002 F5612

Citation history

85 on record
SurveyF-TagViolationSeveritySource
Oct 23, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Oct 23, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 25, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jul 25, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Dec 22, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint
Dec 22, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Dec 22, 2023F610Respond appropriately to all alleged violations.DComplaint
Dec 22, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Dec 22, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Dec 22, 2023F585Honor 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.DComplaint
Dec 22, 2023F909Regularly 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.DStandard
Dec 22, 2023F880Provide and implement an infection prevention and control program.DStandard
Dec 22, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Dec 22, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Dec 22, 2023F803Ensure 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.DStandard
Dec 22, 2023F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.EStandard
Dec 22, 2023F761Ensure 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.DStandard
Dec 22, 2023F759Ensure medication error rates are not 5 percent or greater.DStandard
Dec 22, 2023F758Implement 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.DStandard
Dec 22, 2023F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Dec 22, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Dec 22, 2023F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard
Dec 22, 2023F700Try 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.EStandard
Dec 22, 2023F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Dec 22, 2023F688Provide 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.DStandard
Dec 22, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Dec 22, 2023F679Provide activities to meet all resident's needs.DStandard
Dec 22, 2023F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard
Dec 22, 2023F641Ensure each resident receives an accurate assessment.DStandard
Dec 22, 2023F584Honor 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.DStandard
Dec 22, 2023F578Honor 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.EStandard
Dec 22, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Aug 21, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Apr 8, 2019F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FStandard
Apr 8, 2019F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Apr 8, 2019F880Provide and implement an infection prevention and control program.FStandard
Apr 8, 2019F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard
Apr 8, 2019F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Apr 8, 2019F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Apr 8, 2019F838Conduct 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.FStandard
Apr 8, 2019F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Apr 8, 2019F761Ensure 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.EStandard
Apr 8, 2019F759Ensure medication error rates are not 5 percent or greater.DStandard
Apr 8, 2019F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Apr 8, 2019F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Apr 8, 2019F732Post nurse staffing information every day.DStandard
Apr 8, 2019F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard
Apr 8, 2019F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Apr 8, 2019F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Apr 8, 2019F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Apr 8, 2019F685Assist a resident in gaining access to vision and hearing services.DStandard
Apr 8, 2019F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Apr 8, 2019F679Provide activities to meet all resident's needs.DStandard
Apr 8, 2019F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JStandard
Apr 8, 2019F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Apr 8, 2019F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Apr 8, 2019F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard
Apr 8, 2019F641Ensure each resident receives an accurate assessment.EStandard
Apr 8, 2019F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.DStandard
Apr 8, 2019F625Notify 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.BStandard
Apr 8, 2019F624Prepare residents for a safe transfer or discharge from the nursing home.EStandard
Apr 8, 2019F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Apr 8, 2019F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard
Apr 8, 2019F610Respond appropriately to all alleged violations.DStandard
Apr 8, 2019F584Honor 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.EStandard
Apr 8, 2019F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Apr 8, 2019F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EStandard
Apr 8, 2019F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Apr 8, 2019F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.FStandard
Apr 8, 2019F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Oct 26, 2017F520Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.FStandard
Oct 26, 2017F514Keep accurate, complete and organized clinical records on each resident that meet professional standards.DStandard
Oct 26, 2017F502Give or get quality laboratory services/tests in a timely manner to meet the needs of residents.EStandard
Oct 26, 2017F441Have a program that investigates, controls and keeps infection from spreading.EStandard
Oct 26, 2017F431Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.EStandard
Oct 26, 2017F428At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.DStandard
Oct 26, 2017F371Store, cook, and serve food in a safe and clean way.DStandard
Oct 26, 2017F356Post nurse staffing information/data on a daily basis.CStandard
Oct 26, 2017F329Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.EStandard
Oct 26, 2017F280Allow residents the right to participate in the planning or revision of care and treatment.EStandard
Oct 26, 2017F279Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Oct 26, 2017F278Ensure each resident receives an accurate assessment by a qualified health professional.EStandard
Oct 26, 2017F257Maintain comfortable and safe temperature levels.EStandard
Oct 26, 2017F253Provide housekeeping and maintenance services.EStandard
Oct 26, 2017F157Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $8,190 .

DateTypeFinePayment denial
Aug 21, 2023Fine$8,190—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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