Western MD Hospital Center

Name: Western MD Hospital Center
Address: 1500 PENNSYLVANIA AVENUE, Hagerstown, MD, 21742, US
Telephone: 3017454200

1500 Pennsylvania Avenue, Hagerstown, MD 21742 · Washington County · 63 certified beds · avg 46 residents/day · certified since Sep 1, 1977

3/5

Health inspection rating (on-site)

Serious findings on record

$24,060

Fines, last 3 years

5.63

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: 5/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Jun 4, 2024 · F-0695 · triggered by a complaint

The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.

Why it matters: Mistakes in breathing care can quickly become life-threatening for residents who depend on oxygen or equipment.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: May 24, 2024 (Past Non-Compliance)

▲ Actual harm, one-off · Jun 4, 2024 · F-0578 · triggered by a complaint

The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.

Why it matters: Ignoring these rights means residents may receive treatments they refused, or miss having their end-of-life wishes respected.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jul 26, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (37)

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
Dec 2, 2025	F · Potential for harm, facility-wide	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Dec 2, 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.
Dec 2, 2025	D · Potential for harm, one-off	The facility did not honor residents' right to manage their own money and financial affairs.
Dec 2, 2025	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Dec 2, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Dec 2, 2025	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Dec 2, 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.
Jun 4, 2024	▲ J · Immediate jeopardy, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint
Jun 4, 2024	▲ G · Actual harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint
Jun 4, 2024	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.
Jun 4, 2024	F · Potential for harm, 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.
Jun 4, 2024	F · Potential for harm, facility-wide	The facility did not have an agreement with at least one Medicare- or Medicaid-certified hospital to ensure residents can be transferred quickly when they need hospital care.
Jun 4, 2024	F · Potential for harm, facility-wide	The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames.
Jun 4, 2024	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. · from a complaint
Jun 4, 2024	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. · from a complaint
Jun 4, 2024	E · Potential for harm, repeated	The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.
Jun 4, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand.
Jun 4, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jun 4, 2024	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. · from a complaint
Jun 4, 2024	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Jun 4, 2024	D · Potential for harm, one-off	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out.
Jun 4, 2024	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.
Jun 4, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jun 4, 2024	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
Jun 4, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Jun 4, 2024	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Jun 4, 2024	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · from a complaint
Jun 4, 2024	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.
Jun 4, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · from a complaint
Jun 4, 2024	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.
Jun 4, 2024	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Jun 4, 2024	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. · from a complaint
Jun 4, 2024	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.
May 24, 2019	F · Potential for harm, facility-wide	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.
May 24, 2019	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.
May 24, 2019	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.
May 24, 2019	B · Minimal risk, repeated	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 (26 → 7).

Year	Citations	Serious (G–L)	Worst severity that year
2019	4	0	F
2024	26	2	J ▲
2025	7	0	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)

2 fines totaling $24,060.

Date	Type	Amount / length
Jun 4, 2024	Fine	$8,018
Jun 4, 2024	Fine	$16,042

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)	5.63	3.83	3.95	top 7% in Maryland; top 6% in the U.S.
Registered Nurse hours	2.39	0.83	0.69	top 3% in Maryland; top 1% in the U.S.
Weekend total nurse staffing	5.14	3.43	3.50	top 5% in Maryland; top 5% in the U.S.
Weekend RN hours (not acuity-adjusted)	2.73	0.63	0.48	top 1% in Maryland; top 1% in the U.S.
Total nursing staff turnover (%)	19.4	40.2	45.8	top 8% in Maryland; top 2% in the U.S.
RN turnover (%)	16.7	38.7	42.9	top 7% in Maryland; top 9% 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 7.40, RN 3.15, weekend 6.76. Staffing rating: 5/5.

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: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

Government - State

Owner / manager	Type	Role	Stake	Since
Broy-Stevenson, Nedina	Individual	W-2 Managing Employee	NOT APPLICABLE	07/15/2021
Broy-Stevenson, Nedina	Individual	Corporate Director	NOT APPLICABLE	07/15/2021
Comptroller of Maryland Central Payroll Bureau	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/1966
Devilbiss, Kelly	Individual	Corporate Director	NOT APPLICABLE	06/22/2018
Edmonds, Kelly	Individual	W-2 Managing Employee	NOT APPLICABLE	01/22/2019
Edmonds, Kelly	Individual	Corporate Officer	NOT APPLICABLE	09/27/2005
Edmonds, Kelly	Individual	Operational/Managerial Control	NOT APPLICABLE	09/14/2005
Watts, Wayne	Individual	W-2 Managing Employee	NOT APPLICABLE	12/05/2022

Questions to ask on your visit

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

"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How are residents' personal funds handled here, and what records can families review?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"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
Coffman Nursing Home	0.3 mi	Hagerstown, MD	★★★☆☆	3/5
Hagerstown Healthcare Center	2.2 mi	Hagerstown, MD	★★☆☆☆	2/5	abuse
Julia Manor Nursing and Rehabilitation Center	2.4 mi	Hagerstown, MD	★☆☆☆☆	1/5	abuse
Complete Care at Hagerstown	2.9 mi	Hagerstown, MD	★☆☆☆☆	1/5
Creekside Center for Rehabilitation and Nursing	3.5 mi	Hagerstown, MD	★☆☆☆☆	1/5	SFF
Homewood Living Williamsport	5.8 mi	Williamsport, MD	★★★☆☆	3/5
Williamsport Health and Rehabilitation Center	6.9 mi	Williamsport, MD	★☆☆☆☆	1/5	abuse
Fahrney-Keedy Memorial Home	9.0 mi	Boonsboro, MD	★★★★★	5/5
South Mountain Rehab Center	11.9 mi	Boonsboro, MD	★★★☆☆	3/5
Quincy Retirement Community	12.1 mi	Waynesboro, PA	★★★★☆	4/5
Canterbury Center	16.8 mi	Shepherdstown, WV	★★☆☆☆	2/5
South Mountain Restoration Cen	17.4 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 215110.

The Care File

Visit checklist — Western MD Hospital Center

1500 Pennsylvania Avenue, Hagerstown, MD 21742 · 3017454200

Health inspection rating 3/5 · CMS overall 5/5· Fines (3y): $24,060

Most serious findings on record:

▲ Jun 4, 2024 (F-0695, Immediate jeopardy, one-off): The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
▲ Jun 4, 2024 (F-0578, Actual harm, one-off): The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.

Questions for the administrator:

☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How are residents' personal funds handled here, and what records can families review?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "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 215110 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)