Frostburg Rehab: 60 Hours Without a Registered Nurse - MD
Inspectors who reviewed staffing sheets this past August found no RN listed for the Friday night shift on January 10, none for the day or night shift on January 11, and none for the day or night shift on January 12. Sixty hours. The facility's nurses typically work 12-hour shifts, either 7 AM to 7 PM or 7 PM to 7 AM, so the gap was not ambiguous. The schedules simply showed no registered nurse present.
That was the first gap inspectors found. It was not the last.
When the surveyor pulled staffing sheets for July 25 and 26, the same pattern appeared. No RN on the day or night shift for either of those days. A separate document the facility provided showed the Director of Nursing had worked four hours on July 26. When inspectors sat down with him on August 11, he said he had worked on the floor a couple of times and that he recently came in from 11 AM to 3 PM to cover the medication cart. When told the question was specifically about Saturday, July 26, he said he probably came in to help out on the weekend.
Four hours. On one of the two days. The staffing records did not reflect an RN on duty for the remainder.
The administrator was informed of the July findings that same afternoon, at 3:32 PM on August 11.
The next morning, inspectors asked for the staffing sheets from the weekend that had just passed, August 9 and 10. The Saturday sheet showed no RN on the day or night shift. The Sunday sheet showed no RN on the day shift. At 11:28 AM on August 12, the Human Resources Director confirmed it directly: there had been no RN coverage from Saturday, August 9 at 7 AM until Sunday, August 10 at 7 PM. Thirty-six hours without a registered nurse, on the weekend the facility was actively under inspection for the same problem.
The following morning, August 13, the surveyor informed the nursing home administrator of the concern about multiple days across the survey period when no RN had worked eight consecutive hours, including the weekend that had just ended.
Across the staffing records reviewed, covering weekends in January, February, and March of 2025, and two weeks in late July, inspectors identified three out of sixteen weekends where the requirement went unmet. The 60-hour stretch in January. The two-day gap in July. And then August 9 into August 10, while inspectors were on-site.
Inspectors cited the deficiency at a level of harm described as minimal harm or potential for actual harm, affecting many residents.
A registered nurse and a licensed practical nurse are both trained to give medications and monitor patients, but an RN carries clinical responsibilities that an LPN does not, including assessments, care plan decisions, and responses to sudden changes in a resident's condition. When a nursing home runs through a weekend without one, the people making those calls have a narrower scope of authority, and the margin for error narrows with it.
Frostburg Rehab Center sits at 1 Kaylor Circle in a small western Maryland city, operating under CMS provider number 215115. The inspection was completed August 13, 2025, and was filed as a complaint survey.
The staffing sheets told the story plainly. Three separate stretches, the longest running 60 hours, when the building held residents who needed care and no registered nurse was there to provide it.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Frostburg Rehab Center from 2025-08-13 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: July 5, 2026 · Our methodology
FROSTBURG REHAB CENTER in FROSTBURG, MD was cited for violations during a health inspection on August 13, 2025.
The facility's nurses typically work 12-hour shifts, either 7 AM to 7 PM or 7 PM to 7 AM, so the gap was not ambiguous.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.