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C
Below Standard

BERLIN NURSING AND REHABILITATION CENTER

9715 HEALTHWAY DRIVE · BERLIN, MD 21811

4106414400 · For profit - Limited Liability company

165 beds89 residents140 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

BERLIN NURSING AND REHABILITATION CENTER receives an overall staffing grade of C (Below Standard). With 3.1896 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.6644 HPRD, below the recommended 0.75. It is 0.71 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 11.15% compared to weekdays. The facility relies heavily on temporary agency staff (19.25% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1896 HPRD — needs 0.29 more hours per resident per day.
⚠️RN staffing (0.6644 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️19.25% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.1896hrs/resident/day▼ 0.71
CMS benchmark: 3.48
RN HPRD
0.6644hrs/resident/day▼ 0.02
Recommended: 0.75
Weekend Drop-off
11.15%
3.2934 weekday → 2.9262 weekend
Agency Staff
19.25%
17.66% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8071hrs/resident/day
Direct care aides
LPN HPRD
0.5253hrs/resident/day
Licensed practical nurses
Consistency
0.2531std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Worcester County Average-0.22 HPRD
3.41
03.19 HPRD
vs. Maryland State Average-0.73 HPRD
3.92
03.19 HPRD
vs. National Average-0.71 HPRD
3.90
03.19 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
BERLIN NURSING AND REHABILITATION CENTER ★
BERLIN · This facility
—
C
3.18960.6644★☆☆☆☆
SNOW HILL REHABILITATION & HEALTHCARE CENTER
SNOW HILL
15.2 mi
B
3.64010.7638★★☆☆☆
BAY HARBOR POST ACUTE HEALTHCARE CENTER
SALISBURY
19.8 mi
C
3.46770.6094★☆☆☆☆
DEER'S HEAD CENTER
SALISBURY
21.1 mi
A+
10.49634.9284★★★★★
ANCHORAGE HEALTHCARE CENTER
SALISBURY
21.1 mi
C
3.3280.7689★★☆☆☆
WICOMICO NURSING HOME
SALISBURY
22.1 mi
B
3.92650.8936★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
71
Total Deficiencies
$237,402
Fines Assessed
Jul 23, 2025Health
20 deficiencies cited· Includes actual harm
▼
Sep 27, 2023Health
26 deficiencies cited· Includes actual harm
▼
Jun 10, 2022Health
20 deficiencies cited
▼
Sep 21, 2018Health
5 deficiencies cited
▼

Penalty History

Jul 23, 2025Fine
$26,685
Sep 27, 2023Fine
$210,717
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.