SOUTH MOUNTAIN REHAB CENTER
141 SOUTH MAIN STREET, BOONSBORO, MD 21713 · CCN 215144
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 157
- Avg residents/day
- 114.8
- Phone
- 3014325457
Inspection history vs Maryland & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Maryland avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-12-20 | 30 | 18.9 | 9.5 | +11.1 worse |
| 2 | 2019-11-01 | 4 | 17.1 | 9.8 | -13.1 better |
| 3 | 2018-05-11 | 13 | 14.5 | 9.3 | -1.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 8 |
| Resident assessment and care planning | 5 |
| Nursing and physician services | 2 |
| Resident rights | 4 |
| Nutrition and dietary | 1 |
| Pharmacy service | 5 |
| Administration | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.36 | 53.2% |
| RN staffing (reported) | 0.68 | 57.7% |
| Total nurse staffing (adjusted) | 3.18 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (47)
- DF0578Honor 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.2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- EF0584Honor 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.2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0638Assure that each resident’s assessment is updated at least once every 3 months.2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0699Provide care or services that was trauma informed and/or culturally competent.2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0758Implement 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.2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0761Ensure 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.2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- EF0836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-12-20 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0578Honor 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.2019-11-01 · Health · corrected 2019-12-17
Potential for more than minimal harm
- DF0584Honor 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.2019-11-01 · Health · corrected 2019-12-17
Potential for more than minimal harm
- DF0730Observe each nurse aide's job performance and give regular training.2019-11-01 · Health · corrected 2019-12-17
Potential for more than minimal harm
- DF0761Ensure 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.2019-11-01 · Health · corrected 2019-12-17
Potential for more than minimal harm
- DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2018-05-11 · Health · corrected 2018-06-25
Potential for more than minimal harm
- EF0578Honor 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.2018-05-11 · Health · corrected 2018-06-25
Potential for more than minimal harm
- DF0584Honor 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.2018-05-11 · Health · corrected 2018-06-25
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2018-05-11 · Health · corrected 2018-06-25
Potential for more than minimal harm
- EF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2018-05-11 · Health · corrected 2018-06-25
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2018-05-11 · Health · corrected 2018-06-25
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2018-05-11 · Health · corrected 2018-06-25
Potential for more than minimal harm
- FF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2018-05-11 · Health · corrected 2018-06-25
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2018-05-11 · Health · corrected 2018-06-25
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2018-05-11 · Health · corrected 2018-06-25
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2018-05-11 · Health · corrected 2018-06-25
Potential for more than minimal harm
- DF0758Implement 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.2018-05-11 · Health · corrected 2018-06-25
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2018-05-11 · Health · corrected 2018-06-25
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| GLEN ECHO HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2025-03-01 |
| MD SANS HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-03-01 |
| MD SANS MARS 2024 TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-03-01 |
| MD SANS VENUS 2024 TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-03-01 |
| OBERON CORE HOLDINGS | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-03-01 |
| ZAMBRY HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-03-01 |
| ZAMBRY MARS 2024 TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-03-01 |
| ZAMBRY VENUS 2024 TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-03-01 |
| CIBC BANK USA | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-01 |
| HEALTHCARE SERVICES GROUP INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-01 |
| BOHRER-BANZHOFF, NICOLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-01 |
| CLINE, CARRIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-01 |
| CIBC BANK USA | Organization | 5% OR GREATER SECURITY INTEREST | — | 2025-03-01 |
| GLEN ECHO HOLDINGS LLC | Organization | 5% OR GREATER SECURITY INTEREST | — | 2025-03-01 |
| HORNUNG, STEVEN | Individual | 5% OR GREATER SECURITY INTEREST | — | 2025-03-01 |
| KAMINER, AARON | Individual | 5% OR GREATER SECURITY INTEREST | — | 2025-03-01 |
Other facilities in BOONSBORO
| Name | Overall | Beds |
|---|---|---|
| FAHRNEY-KEEDY MEMORIAL HOME | ★★★★☆ | 106 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.