Coffman Nursing Home

Name: Coffman Nursing Home
Address: 1304 PENNSYLVANIA AVENUE, Hagerstown, MD, 21742, US
Telephone: 3017332914

1304 Pennsylvania Avenue, Hagerstown, MD 21742 · Washington County · 59 certified beds · avg 52 residents/day · certified since Jul 18, 2008

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.13

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (45)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jul 23, 2025	F · Potential for harm, facility-wide	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Jul 23, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jul 23, 2025	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jul 23, 2025	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint
Jul 23, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 23, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jul 23, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jul 23, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jul 23, 2025	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Jul 23, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jul 23, 2025	D · Potential for harm, one-off	The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. · from a complaint
Jul 23, 2025	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Mar 26, 2024	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Apr 26, 2022	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 26, 2022	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 26, 2022	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Apr 26, 2022	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Apr 26, 2022	D · Potential for harm, one-off	The facility did not have working policies to ensure employees report any suspected crime against a resident on time, to post notices of employees' reporting rights, and to prevent retaliation against staff who report.
Apr 26, 2022	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Apr 26, 2022	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Apr 26, 2022	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Apr 26, 2022	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Apr 26, 2022	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Apr 26, 2022	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Apr 26, 2022	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Apr 26, 2022	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Apr 26, 2022	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Apr 26, 2022	D · Potential for harm, one-off	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Apr 26, 2022	D · Potential for harm, one-off	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Apr 26, 2022	C · Minimal risk, facility-wide	The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies.
Apr 26, 2022	C · Minimal risk, facility-wide	The facility did not make sure its staff were vaccinated for COVID-19 in accordance with the federal requirements in effect at the time.
Dec 10, 2018	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Dec 10, 2018	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Dec 10, 2018	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Dec 10, 2018	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Dec 10, 2018	E · Potential for harm, repeated	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Dec 10, 2018	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Dec 10, 2018	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Dec 10, 2018	D · Potential for harm, one-off	The facility did not properly prepare residents for a safe transfer or discharge. Before a resident leaves, the facility must get them ready and make sure the move is safe and orderly.
Dec 10, 2018	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Dec 10, 2018	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Dec 10, 2018	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Dec 10, 2018	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Dec 10, 2018	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Dec 10, 2018	C · Minimal risk, facility-wide	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (18 → 12).

Year	Citations	Worst severity that year
2018	14	E
2022	18	F
2024	1	D
2025	12	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Maryland avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	5.13	3.83	3.95	top 9% in Maryland; top 11% in the U.S.
Registered Nurse hours	0.82	0.83	0.69	top 32% in Maryland; top 26% in the U.S.
Weekend total nurse staffing	4.33	3.43	3.50	top 12% in Maryland; top 15% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.56	0.63	0.48	top 44% in Maryland; top 26% in the U.S.
Total nursing staff turnover (%)	40.7	40.2	45.8	top 48% in Maryland; top 38% in the U.S.
RN turnover (%)	54.5	38.7	42.9	bottom 18% in Maryland; bottom 29% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.72, RN 0.75, weekend 3.98. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 2/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Fahrney-Keedy Memorial Home, INC	Organization	5% or Greater Direct Ownership Interest	100%	11/01/2022
Adams, Carrie	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2025
Barnes, Heather	Individual	Corporate Director	NOT APPLICABLE	10/04/2023
Bishoff, Melanie	Individual	Corporate Officer	NOT APPLICABLE	08/01/2024
Bowman, Mary	Individual	Corporate Director	NOT APPLICABLE	11/01/2022
Bussard, Barbara	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2025
Coetzee, Stephen	Individual	Corporate Officer	NOT APPLICABLE	07/25/2015
Coetzee, Stephen	Individual	Operational/Managerial Control	NOT APPLICABLE	07/25/2015
Fahrney-Keedy Memorial Home, INC	Organization	Operational/Managerial Control	NOT APPLICABLE	11/01/2022
Fahrney-Keedy Memorial Home, INC	Organization	Trustee of the SNF	NOT APPLICABLE	11/01/2022
Fahrney-Keedy Memorial Home, INC	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2022
Goldstein-Smith, Marc	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2024
Goldstein-Smith, Marc	Individual	ADP of the SNF	NOT APPLICABLE	03/31/2025
Graff, Sue	Individual	Corporate Director	NOT APPLICABLE	11/01/2022
Hart, Leslie	Individual	Corporate Director	NOT APPLICABLE	11/01/2022
Lyles, David	Individual	Corporate Director	NOT APPLICABLE	11/01/2022
Morrisey, Kathy	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2025
Randall, Colleen	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2025
Reeder, Elizabeth	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2025
Ward, Starla	Individual	Corporate Director	NOT APPLICABLE	11/01/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Could I join residents for a meal to see the food quality and temperature for myself?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Western MD Hospital Center	0.3 mi	Hagerstown, MD	★★★★★	3/5
Hagerstown Healthcare Center	1.9 mi	Hagerstown, MD	★★☆☆☆	2/5	abuse
Julia Manor Nursing and Rehabilitation Center	2.1 mi	Hagerstown, MD	★☆☆☆☆	1/5	abuse
Complete Care at Hagerstown	3.2 mi	Hagerstown, MD	★☆☆☆☆	1/5
Creekside Center for Rehabilitation and Nursing	3.2 mi	Hagerstown, MD	★☆☆☆☆	1/5	SFF
Homewood Living Williamsport	5.7 mi	Williamsport, MD	★★★☆☆	3/5
Williamsport Health and Rehabilitation Center	6.8 mi	Williamsport, MD	★☆☆☆☆	1/5	abuse
Fahrney-Keedy Memorial Home	8.8 mi	Boonsboro, MD	★★★★★	5/5
South Mountain Rehab Center	11.7 mi	Boonsboro, MD	★★★☆☆	3/5
Quincy Retirement Community	12.3 mi	Waynesboro, PA	★★★★☆	4/5
Canterbury Center	16.6 mi	Shepherdstown, WV	★★☆☆☆	2/5
South Mountain Restoration Cen	17.6 mi	South Mountain, PA	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Hagerstown →

Facility data as of CMS processing date 2026-08-01. CCN 215352.

The Care File

Visit checklist — Coffman Nursing Home

1304 Pennsylvania Avenue, Hagerstown, MD 21742 · 3017332914

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 215352 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)