Maryland ›Boonsboro

South Mountain Rehab Center

141 South Main Street, Boonsboro, MD 21713 · Washington County · 157 certified beds · avg 126 residents/day · certified since Apr 1, 1983

3/5
Health inspection rating (on-site)
1
Serious findings on record
$0
Fines, last 3 years
3.26
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Apr 22, 2026 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

All citations in the current public record (39)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

DateSeverityWhat the facility was cited for
Apr 22, 2026▲ J · Immediate jeopardy, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Mar 6, 2026F · Potential for harm, facility-wideThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 6, 2026F · Potential for harm, facility-wideThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 6, 2026D · Potential for harm, one-offThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Mar 6, 2026D · Potential for harm, one-offThe facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Dec 20, 2024E · Potential for harm, repeatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Dec 20, 2024E · Potential for harm, repeatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Dec 20, 2024E · Potential for harm, repeatedThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Dec 20, 2024E · Potential for harm, repeatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Dec 20, 2024E · Potential for harm, repeatedThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Dec 20, 2024E · Potential for harm, repeatedThe facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards.
Dec 20, 2024D · Potential for harm, one-offThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Dec 20, 2024D · Potential for harm, one-offThe facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Dec 20, 2024D · Potential for harm, one-offThe facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint
Dec 20, 2024D · Potential for harm, one-offThe facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
Dec 20, 2024D · Potential for harm, one-offThe facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Dec 20, 2024D · Potential for harm, one-offThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Dec 20, 2024D · Potential for harm, one-offThe facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Dec 20, 2024D · Potential for harm, one-offThe facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Dec 20, 2024D · Potential for harm, one-offThe facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Dec 20, 2024D · Potential for harm, one-offThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Dec 20, 2024D · Potential for harm, one-offThe facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Dec 20, 2024D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Dec 20, 2024D · Potential for harm, one-offThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Dec 20, 2024D · Potential for harm, one-offThe facility did not provide safe and appropriate pain management for a resident who needed it.
Dec 20, 2024D · Potential for harm, one-offThe facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Dec 20, 2024D · Potential for harm, one-offThe facility did not verify that its nurse aides had completed their required training, or did not retrain aides who had been out of nurse aide work for 2 years.
Dec 20, 2024D · Potential for harm, one-offThe facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Dec 20, 2024D · Potential for harm, one-offThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Dec 20, 2024D · Potential for harm, one-offThe facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Dec 20, 2024D · Potential for harm, one-offThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Dec 20, 2024D · Potential for harm, one-offThe facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals.
Dec 20, 2024D · Potential for harm, one-offThe facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Dec 20, 2024D · Potential for harm, one-offThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Dec 20, 2024D · Potential for harm, one-offThe facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention.
Nov 1, 2019D · Potential for harm, one-offThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Nov 1, 2019D · Potential for harm, one-offThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Nov 1, 2019D · Potential for harm, one-offThe facility did not observe each nurse aide's job performance or provide regular training as required.
Nov 1, 2019D · Potential for harm, one-offThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (30 → 4).

YearCitationsSerious (G–L)Worst severity that year
201940D
2024300E
202651J ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

MeasureThis facilityMaryland avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.263.833.95bottom 27% in Maryland; bottom 24% in the U.S.
Registered Nurse hours0.610.830.69bottom 37% in Maryland; top 46% in the U.S.
Weekend total nurse staffing2.993.433.50bottom 35% in Maryland; bottom 30% in the U.S.
Weekend RN hours (not acuity-adjusted)0.530.630.48top 47% in Maryland; top 29% in the U.S.
Total nursing staff turnover (%)47.640.245.8bottom 31% in Maryland; bottom 43% in the U.S.
RN turnover (%)50.038.742.9bottom 26% in Maryland; bottom 39% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.39, RN 0.64, weekend 3.11. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Glen Echo Holdings LLCOrganizationDirect Ownership InterestNOT APPLICABLE03/01/2025
MD Sans Holdings LLCOrganizationIndirect Ownership InterestNOT APPLICABLE03/01/2025
MD Sans Mars 2024 TrustOrganizationIndirect Ownership InterestNOT APPLICABLE03/01/2025
MD Sans Venus 2024 TrustOrganizationIndirect Ownership InterestNOT APPLICABLE03/01/2025
Oberon Core HoldingsOrganizationIndirect Ownership InterestNOT APPLICABLE03/01/2025
Zambry Holdings LLCOrganizationIndirect Ownership InterestNOT APPLICABLE03/01/2025
Zambry Mars 2024 TrustOrganizationIndirect Ownership InterestNOT APPLICABLE03/01/2025
Zambry Venus 2024 TrustOrganizationIndirect Ownership InterestNOT APPLICABLE03/01/2025
Accord ConsultantsOrganizationADP of the SNFNOT APPLICABLE03/01/2025
Bohrer-Banzhoff, NicoleIndividualManaging Control - Governing BodyNOT APPLICABLE03/01/2025
Bohrer-Banzhoff, NicoleIndividualOperational/Managerial ControlNOT APPLICABLE03/01/2025
Bohrer-Banzhoff, NicoleIndividualADP of the SNFNOT APPLICABLE04/02/2025
Brand Sonnenschine LLPOrganizationADP of the SNFNOT APPLICABLE03/01/2025
Cibc Bank USAOrganization5% or Greater Security InterestNOT APPLICABLE03/01/2025
Cibc Bank USAOrganizationOperational/Managerial ControlNOT APPLICABLE03/01/2025
Cibc Bank USAOrganizationADP of the SNFNOT APPLICABLE04/02/2025
Cline, CarrieIndividualOperational/Managerial ControlNOT APPLICABLE03/01/2025
Cline, CarrieIndividualADP of the SNFNOT APPLICABLE03/01/2025
Dialyze Direct MD LLCOrganizationADP of the SNFNOT APPLICABLE03/01/2025
Glen Echo Holdings LLCOrganization5% or Greater Security InterestNOT APPLICABLE03/01/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Fahrney-Keedy Memorial Home3.2 miBoonsboro, MD★★★★★5/5
Creekside Center for Rehabilitation and Nursing8.6 miHagerstown, MD★☆☆☆☆1/5SFF
Julia Manor Nursing and Rehabilitation Center9.7 miHagerstown, MD★☆☆☆☆1/5abuse
Hagerstown Healthcare Center9.7 miHagerstown, MD★★☆☆☆2/5abuse
Canterbury Center10.1 miShepherdstown, WV★★☆☆☆2/5
Autumn Lake Healthcare at Braddock Heights10.4 miFrederick, MD★★★★☆4/5
Homewood Living Williamsport10.7 miWilliamsport, MD★★★☆☆3/5
Williamsport Health and Rehabilitation Center11.3 miWilliamsport, MD★☆☆☆☆1/5abuse
Coffman Nursing Home11.7 miHagerstown, MD★★★☆☆3/5
Western MD Hospital Center11.9 miHagerstown, MD★★★★★3/5

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Facility data as of CMS processing date 2026-08-01. CCN 215144.