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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D20 | E13 | F3 |
| Minimal | A· | B· | C3 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Apr 15, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Apr 15, 2026 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Nov 6, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Nov 6, 2024 | Health | Health Complaint, Health Standard | 8 | Potential harm | — | Open → |
| Apr 10, 2024 | Health | Health Complaint | 3 | Immediate jeopardy | — | Open → |
| Jan 10, 2023 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jan 10, 2023 | Health | Health Standard | 15 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 10, 2024 | Civil money penalty (fine) | $42,982 | — | 515163|Fine|9040 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D20 | E13 | F3 |
| Minimal | A· | B· | C3 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 15, 2026 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 4, 2026 | |
| Apr 15, 2026 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 4, 2026 | |
| Apr 15, 2026 | F-0577 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
85 facilities in 8 states. CMS chain ID 157.
Chain average overall rating (CMS): 3.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| PC Wv Opcos LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jun 1, 2021 |
| PC Wta Opco Holdco LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2021 |
| Sms 2021 Trust | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2021 |
| Shalom Stein | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2021 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| PC Wv Opcos LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jun 1, 2021 |
| PC Wta Opco Holdco LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2021 |
| Sms 2021 Trust | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2021 |
| Shalom Stein | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Complete Care at Oak Ridge LLC 1000 Association Drive, Charleston, WV 25311 CCN 515174 | 74 | Aug 26, 2026 | 521 harm | $16k |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Cumberland Healthcare Center 512 Winifred Road, Cumberland, MD 21502 CCN 215055 | 15.2 km | 130 | May 28, 2026 | 741 IJ2 harm | $255k | |
| Devlin Manor Nursing and Rehabilitation Center 10301 North East Christie Road, Cumberland, MD 21502 CCN 215244 | 15.7 km | 124 | Jun 30, 2026 | 421 harm | $8,278 | |
| Lions Rehab Center 901 Seton Drive, Cumberland, MD 21502 CCN 215073 | 16.1 km | 101 | Jul 6, 2026 | 1252 harm | — | |
| Allegany Health Nursing and Rehab 730 Furnace Street, Cumberland, MD 21502 CCN 215230 | 17.4 km | 153 | Apr 3, 2026 | 382 harm | $19k | |
| Frostburg Rehab Center 1 Kaylor Circle, Frostburg, MD 21532 CCN 215115 | 18.7 km | 122 | Aug 13, 2025 | 771 harm1 open | $17k | |
| Sterling Care at Frostburg Village One Kaylor Circle Route 36 & Route 40, Frostburg, MD 21532 State license only | 18.8 km | 122 lic. | Not CMS rated | — | No inspections in window | — |
| Mountain City Rehab Center 48 Tarn Terrace, Frostburg, MD 21532 CCN 215277Abuse icon | 21.1 km | 88 | Mar 6, 2026 | 841 IJ2 harm | $48k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 515163 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 515163 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect |
| E · Potential harm Pattern |
| Corrected Jun 1, 2026 |
| Apr 15, 2026 | F-0584 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 1, 2026 |
| Apr 15, 2026 | F-0585 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 1, 2026 |
| Apr 15, 2026 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 1, 2026 |
| Apr 15, 2026 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 1, 2026 |
| Apr 15, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 1, 2026 |
| Apr 15, 2026 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jun 1, 2026 |
| Apr 15, 2026 | F-0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 1, 2026 |
| Apr 15, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 1, 2026 |
| Nov 6, 2024 | K-0331 | Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 25, 2024 |
| Nov 6, 2024 | F-0584 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 14, 2024 |
| Nov 6, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 14, 2024 | Complaint |
| Nov 6, 2024 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 14, 2024 |
| Nov 6, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 14, 2024 |
| Nov 6, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 14, 2024 |
| Nov 6, 2024 | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 14, 2024 |
| Nov 6, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Nov 25, 2024 |
| Nov 6, 2024 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 14, 2024 |
| Nov 6, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Nov 25, 2024 |
| Nov 6, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Nov 25, 2024 |
| Nov 6, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Nov 25, 2024 |
| Apr 10, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Jun 14, 2024 | Complaint |
| Apr 10, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Jun 14, 2024 | Complaint |
| Apr 10, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 14, 2024 | Complaint |
| Jan 10, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 2, 2023 |
| Jan 10, 2023 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 2, 2023 |
| Jan 10, 2023 | F-0584 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 2, 2023 |
| Jan 10, 2023 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 2, 2023 |
| Jan 10, 2023 | F-0688 | Provide 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 2, 2023 |
| Jan 10, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 2, 2023 |
| Jan 10, 2023 | F-0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 2, 2023 |
| Jan 10, 2023 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Mar 2, 2023 |
| Jan 10, 2023 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 2, 2023 |
| Jan 10, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Mar 2, 2023 |
| Jan 10, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 2, 2023 |
| Jan 10, 2023 | F-0761 | Ensure 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 2, 2023 |
| Jan 10, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 2, 2023 |
| Jan 10, 2023 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 2, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.88 (case-mix index 1.49).
| Jun 1, 2021 |
| Shalom Stein | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2021 |
| Vickie Cox | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2021 |
| Melissa Mansfield | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2021 |
| Anthony Saweikis | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2024 |
| Stephanie Shoemaker | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 7, 2021 |
| Nisanel Silverberg | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2021 |
| Shalom Stein | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 2021 |
| Shalom Stein | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jun 1, 2021 |
| Welltower Inc | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Jul 30, 2021 |
| Aurora Guardian Holdco II Co-Borrower, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 30, 2021 |
| Aurora Guardian Holdco II Mezz Borrower, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 30, 2021 |
| Aurora Guardian Holdco II, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 30, 2021 |
| Aurora Guardian II Realty, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 30, 2021 |
| Aurora Guardian Partners II LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 30, 2021 |
| Dawnview Center Realty, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 30, 2021 |
| J & R Family Investments, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 30, 2021 |
| L Friedman 2018 Family Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 30, 2021 |
| L Friedman Family Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 30, 2021 |
| Landau Family Investment Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 30, 2021 |
| M Friedman 2018 Family Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 30, 2021 |
| PC Wta Acquisition LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2021 |
| PC Wta Multi-State LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2021 |
| Peace Capital Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2021 |
| R&J Family Investments LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 30, 2021 |
| Sms 2021 Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2021 |
| Welltower Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 30, 2021 |
| Mary Crawford | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 24, 2025 |
| Melissa Mansfield | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2021 |
| Anthony Saweikis | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2024 |
| Stephanie Shoemaker | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 7, 2021 |