Berlin Nursing and Rehabilitation Center
9715 Healthway Drive · Berlin, MD · 21811 · 4106414400
165 certified beds For profit - Limited Liability company Chain: Fundamental Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $26,685 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.09 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.50 | 0.55–0.75 |
| Weekend hours / resident-day | 2.87 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | 2 · $237,402 |
Inspection citations (71 in the current record)
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Actual harm · G July 23, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected August 19, 2025 · Pharmacy Service
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Potential for harm · D July 23, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 23, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 19, 2025 · Resident Rights
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Potential for harm · D July 23, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected August 19, 2025 · Resident Rights
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Potential for harm · D July 23, 2025
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected August 19, 2025 · Resident Rights
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Potential for harm · D July 23, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected August 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 23, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 23, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 23, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 23, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 19, 2025 · Quality of Life and Care
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Potential for harm · D July 23, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 19, 2025 · Quality of Life and Care
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Potential for harm · D July 23, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected August 19, 2025 · Quality of Life and Care
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Potential for harm · D July 23, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected August 19, 2025 · Quality of Life and Care
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Potential for harm · D July 23, 2025
Observe each nurse aide's job performance and give regular training.
Corrected August 19, 2025 · Nursing and Physician Services
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Potential for harm · D July 23, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected August 19, 2025 · Pharmacy Service
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Potential for harm · D July 23, 2025
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.
Corrected August 19, 2025 · Pharmacy Service
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Potential for harm · F July 23, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 19, 2025 · Nutrition and Dietary
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Potential for harm · E July 23, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 23, 2025
Provide and implement an infection prevention and control program.
Corrected August 19, 2025 · Infection Control
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Potential for harm · E July 23, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected August 19, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J September 27, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 20, 2023 · Quality of Life and Care
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Actual harm · G September 27, 2023 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 20, 2023 · Quality of Life and Care
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Potential for harm · D September 27, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected October 20, 2023 · Resident Rights
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Potential for harm · D September 27, 2023 · found via complaint
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.
Corrected October 20, 2023 · Resident Rights
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Potential for harm · D September 27, 2023 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected October 20, 2023 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 23, 2025 | Fine | $26,685 |
| September 27, 2023 | Fine | $210,717 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 215126 · certified since July 1, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.