Goodwill Mennonite Home, Inc.
891 Dorsey Hotel Road · Grantsville, MD · 21536 · 3018955194
107 certified beds Non profit - Church related Part of a CCRC
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
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 the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
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.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.23 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.92 | 0.55–0.75 |
| Weekend hours / resident-day | 3.67 | ≈ weekday level |
| Nursing turnover / year | 27% | median 45% |
| Fines (3-yr window) | 1 · $13,250 |
Inspection citations (37 in the current record)
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Immediate jeopardy · J April 11, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 13, 2024 · Quality of Life and Care
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Potential for harm · D April 11, 2025
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 May 6, 2025 · Resident Rights
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Potential for harm · D April 11, 2025
Assess the resident when there is a significant change in condition
Corrected May 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 11, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected May 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 11, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected May 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 11, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 11, 2025
Try 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.
Corrected May 6, 2025 · Quality of Life and Care
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Potential for harm · D April 11, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 6, 2025 · Pharmacy Service
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Potential for harm · D April 11, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 6, 2025 · Pharmacy Service
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Potential for harm · E April 11, 2025
Implement 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.
Corrected May 6, 2025 · Pharmacy Service
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Potential for harm · E April 11, 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 May 6, 2025 · Pharmacy Service
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Potential for harm · D April 11, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 6, 2025 · Nutrition and Dietary
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Potential for harm · D April 11, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 11, 2025
Regularly 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.
Corrected May 6, 2025 · Environmental
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Potential for harm · D April 11, 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 May 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 11, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 11, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected May 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 11, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 6, 2025 · Quality of Life and Care
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No harm found · C April 11, 2025
Post nurse staffing information every day.
Corrected May 6, 2025 · Nursing and Physician Services
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Potential for harm · D March 6, 2020
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected March 25, 2020 · Resident Rights
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Potential for harm · D March 6, 2020
Honor 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.
Corrected March 25, 2020 · Resident Rights
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Potential for harm · E March 6, 2020
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 25, 2020 · Resident Assessment and Care Planning
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Potential for harm · D March 6, 2020
Provide activities to meet all resident's needs.
Corrected March 25, 2020 · Quality of Life and Care
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Potential for harm · D March 6, 2020
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 25, 2020 · Quality of Life and Care
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Potential for harm · E March 6, 2020
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 March 25, 2020 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 11, 2025 | Fine | $13,250 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 215250 · certified since July 2, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.