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South Mountain Rehab Center
141 South Main Street, Boonsboro, MD 21713 (opens Google Maps) · Washington County · (301) 432-5457· 157 certified beds · avg 126 residents/day · certified since Apr 1, 1983 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
3/5
Health inspection rating (on-site)
inspected Mar 6, 2026
1
Serious findings on record
most recent Apr 22, 2026
$0
Fines, last 3 years
3.26
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, isolated · 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.
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Inspection findings in the public record
Showing the latest 3 of 39 inspection findings. Open the full record below to read every finding.
The 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 F-0684
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. F-0812
The 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. F-0880
View all 39 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 22, 2026 | ▲ J · Immediate jeopardy, isolated | The 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 · F-0684 |
| Mar 6, 2026 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Mar 6, 2026 | F · Potential for more than minimal harm, widespread | The 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. · F-0880 |
| Mar 6, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Mar 6, 2026 | D · Potential for more than minimal harm, isolated | The 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). · F-0628 |
| Dec 20, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Dec 20, 2024 | E · Potential for more than minimal harm, pattern | The 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 · F-0609 |
| Dec 20, 2024 | E · Potential for more than minimal harm, pattern | The 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 · F-0610 |
| Dec 20, 2024 | E · Potential for more than minimal harm, pattern | The 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. · F-0677 |
| Dec 20, 2024 | E · Potential for more than minimal harm, pattern | The 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. · F-0756 |
| Dec 20, 2024 | E · Potential for more than minimal harm, pattern | The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. · F-0836 |
| Dec 20, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0578 |
| Dec 20, 2024 | D · Potential for more than minimal harm, isolated | The 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 · F-0580 |
| Dec 20, 2024 | D · Potential for more than minimal harm, isolated | The 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 · F-0622 |
| Dec 20, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0638 |
| Dec 20, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0640 |
| Dec 20, 2024 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Dec 20, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0645 |
| Dec 20, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0655 |
| Dec 20, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679 |
| Dec 20, 2024 | D · Potential for more than minimal harm, isolated | The 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 · F-0684 |
| Dec 20, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0688 |
| Dec 20, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Dec 20, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Dec 20, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697 |
| Dec 20, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0699 |
| Dec 20, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0729 |
| Dec 20, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0757 |
| Dec 20, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0758 |
| Dec 20, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0759 |
| Dec 20, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0761 |
| Dec 20, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0810 |
| Dec 20, 2024 | D · Potential for more than minimal harm, isolated | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · F-0835 |
| Dec 20, 2024 | D · Potential for more than minimal harm, isolated | The 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. · F-0880 |
| Dec 20, 2024 | D · Potential for more than minimal harm, isolated | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · F-0947 |
| Nov 1, 2019 | D · Potential for more than minimal harm, isolated | The 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. · F-0578 |
| Nov 1, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Nov 1, 2019 | D · Potential for more than minimal harm, isolated | The facility did not observe each nurse aide's job performance or provide regular training as required. · F-0730 |
| Nov 1, 2019 | D · Potential for more than minimal harm, isolated | The 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. · F-0761 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (30 → 4).
All citationsSerious citations (G–L)
2019
All citations: 4
Serious citations (G–L): 0
2024
All citations: 30
Serious citations (G–L): 0
2026
All citations: 5
Serious citations (G–L): 1
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 4 | 0 | D |
| 2024 | 30 | 0 | E |
| 2026 | 5 | 1 | J ▲ |
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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityMaryland averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.26
Maryland average: 3.83
U.S. average: 3.95
Registered Nurse hours
This facility: 0.61
Maryland average: 0.83
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.99
Maryland average: 3.43
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Maryland avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.26 | 3.83 | 3.95 | bottom 27% in Maryland; bottom 24% in the U.S. |
| Registered Nurse hours | 0.61 | 0.83 | 0.69 | bottom 37% in Maryland; top 46% in the U.S. |
| Weekend total nurse staffing | 2.99 | 3.43 | 3.50 | bottom 35% in Maryland; bottom 30% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.53 | 0.63 | 0.48 | top 47% in Maryland; top 29% in the U.S. |
| Total nursing staff turnover (%) | 47.6 | 40.2 | 45.8 | bottom 31% in Maryland; bottom 43% in the U.S. |
| RN turnover (%) | 50.0 | 38.7 | 42.9 | bottom 26% in Maryland; bottom 39% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.39 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 3/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for South Mountain Rehab Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Glen Echo Holdings LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 03/01/2025 |
| MD Sans Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/01/2025 |
| MD Sans Mars 2024 Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/01/2025 |
| MD Sans Venus 2024 Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/01/2025 |
| Oberon Core Holdings | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/01/2025 |
| Zambry Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/01/2025 |
| Zambry Mars 2024 Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/01/2025 |
| Zambry Venus 2024 Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/01/2025 |
| Accord Consultants | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2025 |
| Bohrer-Banzhoff, Nicole | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/01/2025 |
| Bohrer-Banzhoff, Nicole | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2025 |
| Bohrer-Banzhoff, Nicole | Individual | ADP of the SNF | NOT APPLICABLE | 04/02/2025 |
| Brand Sonnenschine LLP | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2025 |
| Cibc Bank USA | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 03/01/2025 |
| Cibc Bank USA | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/01/2025 |
| Cibc Bank USA | Organization | ADP of the SNF | NOT APPLICABLE | 04/02/2025 |
| Cline, Carrie | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2025 |
| Cline, Carrie | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2025 |
| Dialyze Direct MD LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2025 |
| Glen Echo Holdings LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 03/01/2025 |
Showing 20 of 35 parties CMS has on file for this facility; 15 are not displayed. The full list is in the CMS Ownership dataset.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Maryland midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 48% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 35 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 22 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Fahrney-Keedy Memorial Home | 3.2 mi | Boonsboro, MD | ★★★★★ | 5/5 | |
| Creekside Center for Rehabilitation and Nursing | 8.6 mi | Hagerstown, MD | ★☆☆☆☆ | 1/5 | SFF |
| Julia Manor Nursing and Rehabilitation Center | 9.7 mi | Hagerstown, MD | ★☆☆☆☆ | 1/5 | abuse |
| Hagerstown Healthcare Center | 9.7 mi | Hagerstown, MD | ★★☆☆☆ | 2/5 | abuse |
| Canterbury Center | 10.1 mi | Shepherdstown, WV | ★★☆☆☆ | 2/5 | |
| Autumn Lake Healthcare at Braddock Heights | 10.4 mi | Frederick, MD | ★★★★☆ | 4/5 | |
| Homewood Living Williamsport | 10.7 mi | Williamsport, MD | ★★★☆☆ | 3/5 | |
| Williamsport Health and Rehabilitation Center | 11.3 mi | Williamsport, MD | ★☆☆☆☆ | 1/5 | abuse |
| Coffman Nursing Home | 11.7 mi | Hagerstown, MD | ★★★☆☆ | 3/5 | |
| Western MD Hospital Center | 11.9 mi | Hagerstown, MD | ★★★★★ | 3/5 | |
| Citizens Care and Rehabilitation Center of Frederi | 12.3 mi | Frederick, MD | ★★★★★ | 4/5 | |
| Homewood Living Frederick | 13.1 mi | Frederick, MD | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Washington, MD — 10 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Complete Care at Hagerstown — Hagerstown, MD · overall 1/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 215144.
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