UPMC Western Maryland
A hospice in Cumberland, Maryland 21502
12501 Willowbrook Rd Fl3, Cumberland, Maryland 21502. (240) 964-9000.
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The short answer
Record last released by CMS on Oct 23, 2026. We couldn’t read Centers for Medicare & Medicaid Services’ list since Oct 27, 2026: qcor.cms.gov now refuses our reader. This record is as of then.
- 9 deficiencies cited in the last three years
- 5of 5 family caregiver rating
- 10of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean4
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Condition-level deficiency
- For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual.
What did inspectors find?
9 deficiencies cited in the last three years
The middle of the 3 hospices serving ZIP code 21502 had 7.5.
The last inspection on record was on Jul 1, 2025: a follow-up inspection by The Joint Commission.
2 deficiencies at condition level, the more serious of CMS’s two levels
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
When those deficiencies happened
9 deficiencies in 1 month of the last 36. Last cited May 2025. Most serious: Condition-level. The last 3 years, to Oct 27, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
May 22, 2025: reaccreditation inspection by The Joint Commission9 deficiencies
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IDG, care planning, coordination of services (42 CFR 418.56)
The inspectors’ words, 133 words
“Observed in Record Review. In 13 of 14 patient records reviewed, the surveyor noted during record reviews that the established plan of care was not based on assessed identified needs. For example, In HOSRRHV#1 and HOSRRHV#3 the plan of care included foley catheter; however, the patients were not identified to have any issues with urinary function at the time of the assessment. This was confirmed with the hospice clinical manager. Observed in Record Review. the organization failed to plan the patient’s care. During record review for HOSRRNHV#10, it was identified that the plan of care was not based on assessed identified need. The plan of care included foley catheter; however, the patients did not have issues with urinary function at the time of the assessment. This was confirmed with the Hospice Clinical Manager.”
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Governing body and administrator (42 CFR 418.100(b))
“Observed in Tracer Activities. There was no evidence that the governing body and leadership had established requirements to support patient care treatment and services as evidenced by significant issues identified in the provision of care resulting in a condition level finding at 418.56. Reviewed with Clinical Manager.”
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Plan of care (42 CFR 418.56(b ))
The inspectors’ words, 149 words
“Observed in Record Review. the organization failed to plan the patient’s care. During the wound care visit (HOSHVRR#2) the wound care plan included wound treatment interventions rather than patient specific goals. Example Problem statement patient has a stage 3 wound to coccyx with a goal statement coccyx to be cleansed with wound wash and treated with medihoney to the wound bed.; second goal family may change wound on non-nurse days. This was discussed with the Clinical Manager. Observed in Record Review. the organization failed to plan the patient’s care. During record review for HOSRRNHV#10, the Hospice Nurse Surveyor observed the care plan did not contain all items needed. For example in HOSRRNHV#10, the nursing and HHA documented on several visits education related to bilateral lower extremity edema but there were no goals for edema on the plan of care. This was discussed and reviewed with the Hospice Leadership Team.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 110 words
“Observed in Record Review. In 8 of 14 patient records reviewed, The surveyor noted in (HOSRRHV#1,HOSRRHV#2, HOSRRHV#3,HOSRRHV#4, HOSNHV#3, HOSRRNHV#5, HOSRRNHV#6)) that patient goals and outcomes anticipated from implementing and coordinating the plan of care were not measurable by all disciplines. Examples nursing care plan goal for anxiety documented, reduced anxiety; spiritual care plan for spiritual comfort and utilization of resources documented, provide emotional support. MSW care plan for Coping with difficulties due to expected decline documented, for patient and family to be emotionally stable and working through their grief in a healthy way. Nursing goal for Deficit related to anxiety, Patient self esteem will improve , Anxiety will be managed.”
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Content of plan of care (42 CFR 418.56(c)(3))
“Observed in Patient Home. In 2 of 19 patient records reviewed, The surveyor noted during record reviews that the individualized plan of care did not address all active problems including (HOSRRHV#1) Medication management, Medication Safety, Oxygen Safety, and Pain pertinent to source and diagnoses, and in (HOSRRNHV#2) Oxygen safety. Reviewed with Clinical Director.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Observed in Patient Home. In 2 of 4 home visits conducted, The surveyor noted (HOSRRHV#2 and HOSRRHV#4) that the plan of care did not accurately reflect the medication orders necessary to meet patient needs. Examples, an order for gabapentin for pain with a prescribed frequency had not been discontinued despite not being given since admission and Levothyroxine and levetiracetam still listed as current yet not being given to the patient. Reviewed with Clinical Director.”
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Counseling services (42 CFR 418.64(d)(3)(i))
“Observed in Record Review. In 2 of 13 patient records reviewed, It was noted during record review of HOSRRNHV#7 and HOSRRNHV#9 that a complete comprehensive spiritual assessment was not performed as the section for spiritual care was not addressed. This was confirmed with the Clinical Manager.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
“Observed in Record Review. In 1 of 15 patient records reviewed, the surveyor noted (HOSRRNHV#1) that the aide care plan had not been updated to reflect aspiration precautions following the recommendations from the Speech Therapist. Reviewed with Clinical Manager.”
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Level of activity (42 CFR 418.78(e))
“Observed in Tracer Activities. During the Hospice Volunteer Tracer, the surveyor noted that for calendar year 2024 volunteers provided 3% of total administrative and patient care hours in relation to those of all paid staff. This was discussed with the volunteer coordinator and hospice manager who described significant efforts underway to enhance volunteer recruitment and utilization.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 1, 2025 | Follow-up inspection by The Joint Commission | No deficiencies cited |
| May 22, 2025 | Reaccreditation inspection by The Joint Commission | 9 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Oct 20, 1995.
- Ownership: non-profit.
- Cited at For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. in the last three years: it didn’t meet a whole condition of Medicare’s rules.
CMS, Hospice General Information. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Who does the caring?
- From Medicare claims (Jan 1, 2023 to Dec 31, 2024): 14.7 nurse care minutes per routine home care day, 6.2% of skilled nursing minutes at weekends and a visit near death for 90.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 80% at home, 6% in assisted living, 14% in a skilled nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 14.7 min |
| Skilled nursing minutes at weekends | 6.2% |
| Visits near death | 90.3% of patients who died |
Who owns it?
- UPMC owns 100% directly since Feb 1, 2020.
- 21 owners or officers are people: Keith Funkhouser (corporate officer); Keith Funkhouser (corporate director); John Pappas (corporate director); Richard John Wadas (corporate director); Brian Kurtz (corporate director); Mary Ann Riley (other role (CMS gives no detail), 0%); Kim Leonard (corporate officer); Kim Leonard (corporate director); Amber Ruble (corporate officer); Amber Ruble (managing employee (on the payroll)); Candy Adams (other role (CMS gives no detail), 0%); David Landon Burwell (corporate director); Jonathan Hutcherson (corporate officer); Jonathan Hutcherson (corporate director); David P Gibbons (corporate director); Mary Anne Jenkins (corporate director); Parika Andreassen (corporate director); Michele Martz (corporate officer); Michele Martz (managing employee (on the payroll)); Timi Hadra (corporate director); Eileen Simmons (corporate director).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| UPMC | Owns 5% or more directly | 100% | Feb 1, 2020 |
What do families say?
- Family caregivers rate it 5 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 89% rated it 9 or 10 out of 10, and 93% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 97.12% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 52.6% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5 | 5 of 5 |
| Hospice Care IndexCMS’s Hospice Care Index, 0 to 10 (higher is better): a point for each of ten measures from Medicare claims on which the hospice meets CMS’s threshold | 10 of 10 |
How does it compare nearby?
- Of the 3 hospices CMS’s data show serving patients in ZIP code 21502, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 7.5; this one had 9.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
| Place | Deficiencies, 3 years |
|---|---|
| UPMC Western Maryland This hospice | 9 |
| Hospice of Garrett County | Not given |
| Wvuhs Home Care | 6 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- CMS ended its Special Focus Program for hospices with serious problems on Feb 14, 2025, so no hospice is marked as one.
- Hospice quality measures have a gap from October 2025: CMS replaced its patient assessment then, and public results from the new one (HOPE) are expected around November 2027.
Sources
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Centers for Medicare & Medicaid Services, Hospice General Information (yc9t-dgbk).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Provider Data (252m-zfp9).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, CAHPS Hospice Survey (gxki-hrr8).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR hospice inspection reports (Hospice Survey Reports - Oct 2021 through Sep 2026.xlsx).
Released Oct 23, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice All Owners (e983965e-1603-4cb8-82b5-c40090e380d1).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Enrollments (25704213-e833-4b8b-9dbc-58dd17149209).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice ZIP Data (95rg-2usp).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 27, 2026.
From the hospice
The public record above comes first. Anything the hospice adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospice will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospice”, and paying will never change a finding, a rating or the order of results.