Frostburg Rehab Center: Staff Evaluation Failures - MD
A federal inspection completed August 13 found that the facility had failed to conduct required annual performance reviews for all three nursing assistants selected for review. Every one of them. The inspectors didn't find a partial compliance problem. They found no compliance at all.
The nursing assistant hired in March 2023 had no evaluation on record. A second aide, who has worked at the facility since June 2004, had a most recent appraisal dated August 2022, more than three years ago. A third, hired in March 2021, had last been evaluated in May 2023. When inspectors asked the Human Resource Director for documentation on August 7, what came back four days later confirmed what the paper trail already suggested: nobody had been checking.
The Human Resource Director explained her role in the process plainly. She generates a list of who is due for an evaluation and sends it to nursing. After that, she said, it's nursing's responsibility to complete them. She confirmed the gaps herself, acknowledging that the 2023 hire had never been evaluated and that the other two hadn't been reviewed since before 2024.
What she did not explain was what happened between the list going out and the evaluations never coming back.
Annual performance reviews for nursing assistants aren't paperwork for its own sake. They're the mechanism a facility uses to catch problems in how aides are actually doing their jobs at the bedside, whether someone needs retraining, whether a pattern of behavior has gone unaddressed. At Frostburg Rehab, that mechanism had quietly stopped working, and nobody in the administrative chain appears to have noticed until a federal surveyor asked for the files.
The inspection report cross-references the finding to F689, the federal tag covering accidents and supervision, a signal that inspectors connected the evaluation failures to broader questions about resident safety oversight.
The deficiency was classified as causing minimal harm or potential for actual harm, and the facility's administrator and director of nursing were both briefed on the findings the morning of August 13, the final day of the inspection. The inspection was complaint-driven, meaning someone had already raised a concern before surveyors ever walked through the door.
The aide hired in 2004 has worked at this facility for more than two decades. Her last documented evaluation was three years ago. Whatever she has been doing in resident rooms since then, for better or worse, has gone unexamined by anyone with the authority and obligation to look.
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 inspectors didn't find a partial compliance problem.
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.