SOUTH MOUNTAIN REHAB CENTER — Nursing Home in BOONSBORO, MD

CMS Five-Star Rating

Based on health inspections, staffing, and quality measures

Health Inspection Findings & Deficiencies

SOUTH MOUNTAIN REHAB CENTER had 30 health inspection deficiencies on its most recent inspection (December 20, 2024).

Inspection Findings — December 20, 2024

• Honor 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. (Level D)
  Corrected — January 31, 2025
• Honor 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. (Level E)
  Corrected — January 31, 2025
• Assure that each resident’s assessment is updated at least once every 3 months. (Level D)
  Corrected — January 31, 2025
• Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. (Level D)
  Corrected — January 31, 2025
• Ensure each resident receives an accurate assessment. (Level D)
  Corrected — January 31, 2025
• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Level D)
  Corrected — January 31, 2025
• Provide care and assistance to perform activities of daily living for any resident who is unable. (Level E)
  Corrected — January 31, 2025
• Provide 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. (Level D)
  Corrected — January 31, 2025
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Level D)
  Corrected — January 31, 2025
• Provide enough food/fluids to maintain a resident's health. (Level D)
  Corrected — January 31, 2025
• Provide safe, appropriate pain management for a resident who requires such services. (Level D)
  Corrected — January 31, 2025
• Provide care or services that was trauma informed and/or culturally competent. (Level D)
  Corrected — January 31, 2025
• Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. (Level D)
  Corrected — January 31, 2025
• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Level E)
  Corrected — January 31, 2025
• Ensure each resident’s drug regimen must be free from unnecessary drugs. (Level D)
  Corrected — January 31, 2025
• Implement 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. (Level D)
  Corrected — January 31, 2025
• Ensure medication error rates are not 5 percent or greater. (Level D)
  Corrected — January 31, 2025
• Ensure 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. (Level D)
  Corrected — January 31, 2025
• Provide special eating equipment and utensils for residents who need them and appropriate assistance. (Level D)
  Corrected — January 31, 2025
• Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Level D)
  Corrected — January 31, 2025
• Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. (Level D)
  Corrected — January 31, 2025
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Level D)
  Corrected — January 31, 2025
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Level E)
  Corrected — January 31, 2025
• Respond appropriately to all alleged violations. (Level E)
  Corrected — January 31, 2025
• Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (Level D)
  Corrected — January 31, 2025
• Provide appropriate treatment and care according to orders, resident’s preferences and goals. (Level D)
  Corrected — January 31, 2025
• PASARR screening for Mental disorders or Intellectual Disabilities (Level D)
  Corrected — January 31, 2025
• Provide activities to meet all resident's needs. (Level D)
  Corrected — January 31, 2025
• Ensure 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. (Level E)
  Corrected — January 31, 2025
• Provide and implement an infection prevention and control program. (Level D)
  Corrected — January 31, 2025

Frequently Asked Questions

Nearby Nursing Homes

• FAHRNEY-KEEDY MEMORIAL HOME — 4/5 — 3.2 mi
• CREEKSIDE CENTER FOR REHABILITATION AND NURSING — 1/5 — 8.6 mi
• JULIA MANOR NURSING AND REHABILITATION CENTER — 1/5 — 9.7 mi
• HAGERSTOWN HEALTHCARE CENTER — 1/5 — 9.7 mi

Data Source

This information is sourced from official CMS (Centers for Medicare & Medicaid Services) public datasets.

CMS Provider Information updated May 1, 2026.

CMS Survey Summary updated May 1, 2026.

CMS Health Deficiencies updated May 1, 2026.

CareQED last updated June 22, 2026.

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