Staffing
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.64 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceASK TRUST HUB NETWORK
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SOUTH MOUNTAIN REHAB CENTER has 157 certified beds in BOONSBORO, Maryland. The CMS overall rating is 3 of 5, compared with the Maryland average of 3.1. The CMS health inspection rating is 3 of 5, compared with the Maryland average of 2.8. The CMS staffing rating is 2 of 5. The latest standard health survey on Mar 6, 2026 lists 4 deficiencies, compared with the Maryland average of 12.1. Total nurse staffing is 3.39 hours per resident day in 2026Q1, compared with the Maryland average of 3.89.
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 215144.
At a glance
3 of 5
3 of 5
2 of 5
3 of 5
CMS has published 1 ownership-change record for this provider.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
Showing 25 of 26 relationships from CMS/PECOS evidence.
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
Showing 25 of 26 relationships from CMS/PECOS evidence.
Ownership change history
CMS publishes Change of Ownership records for this nursing home.
CMS records show an ownership change effective 2025-03-01.
These are CMS transaction records. They are not a Trust Hub quality, stability, or sale judgment.
Source freshness
Profile generated 2026-11-03. That timestamp is not CMS evidence freshness.
Methodology
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
CMS designations
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.
CMS field value: N. Observed Aug 1, 2026.
Enrollment identity
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
MDS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
Fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.64 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Mar 6, 2026 cited 4 deficiencies.
View inspection evidenceCMS-published records list 77 ownership or control parties.
CMS records show an ownership change effective March 2025.
View ownership evidenceOwnership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
3 currently connected nursing homes share this CMS organization identity with GLEN ECHO HOLDINGS LLC.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MD.
Organization · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MD.
Individual · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: Mar 1, 2025
Individual · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: Mar 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MD.
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 2, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MD.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 2, 2025
Other facilities connected through this exact CMS organization identity: 0 across MD.
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MD.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 2, 2025
Other facilities connected through this exact CMS organization identity: 0 across MD.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MD.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MD.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MD.
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MD.
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MD.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MD.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MD.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MD.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MD.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MD.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MD.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MD.
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Mar 31, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Mar 31, 2025
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Mar 1, 2025
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Oct 1, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Mar 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MD.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MD.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 2 across MD.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 2 across MD.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 25%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 2 across MD.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 25%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 2 across MD.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 2 across MD.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 2 across MD.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 25%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 2 across MD.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 25%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 2 across MD.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 144 across CA, CO, FL, IL, IN, KS, KY, MA, MD, MI, MN, MO, NC, NH, NJ, NY, OH, PA, RI, SD, TN, TX, VA, VT, WI.
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 2 across MD.
Individual · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: Mar 1, 2025
Individual · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: Mar 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 2 across MD.
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 2, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 57 across CT, FL, MD, NC, NJ, PA, RI, TN, VT, WI, WV.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 2, 2025
Other facilities connected through this exact CMS organization identity: 144 across CA, CO, FL, IL, IN, KS, KY, MA, MD, MI, MN, MO, NC, NH, NJ, NY, OH, PA, RI, SD, TN, TX, VA, VT, WI.
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MD.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 2, 2025
Other facilities connected through this exact CMS organization identity: 18 across CA, FL, IN, MD, NC, OH, TX, VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 2 across MD.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 1 across MD.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 9 across DC, MD.
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 2 across MD.
Organization · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 2 across MD.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 2 across MD.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 25%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 2 across MD.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 25%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 2 across MD.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 2 across MD.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 2 across MD.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 25%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 2 across MD.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 25%
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 2 across MD.
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Mar 1, 2025
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Oct 1, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Mar 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2025
Other facilities connected through this exact CMS organization identity: 144 across CA, CO, FL, IL, IN, KS, KY, MA, MD, MI, MN, MO, NC, NH, NJ, NY, OH, PA, RI, SD, TN, TX, VA, VT, WI.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2025
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Inspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Past Non-Compliance
No health-deficiency rows were deterministically linked to this inspection.
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 30, 2026)
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 30, 2026)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 30, 2026)
Provide and implement an infection prevention and control program.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 30, 2026)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2025)
Assure that each resident’s assessment is updated at least once every 3 months.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2025)
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2025)
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2025)
PASARR screening for Mental disorders or Intellectual Disabilities
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2025)
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2025)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2025)
Provide activities to meet all resident's needs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2025)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2025)
Provide enough food/fluids to maintain a resident's health.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2025)
Provide safe, appropriate pain management for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2025)
Provide care or services that was trauma informed and/or culturally competent.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2025)
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2025)
Ensure medication error rates are not 5 percent or greater.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2025)
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2025)
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2025)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2025)
No health-deficiency rows were deterministically linked to this inspection.
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 17, 2019)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 17, 2019)
Observe each nurse aide's job performance and give regular training.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 17, 2019)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 17, 2019)
Penalties & enforcement
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Questions to ask
Facility history
7 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
RN staffing decreased from 0.80 to 0.68 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
0.80 → 0.68
CMS · Reported in a source release · View related evidence
An ownership change was recorded. New organization: SM REHAB.
SOUTH MOUNTAIN OPERATOR LLC → SM REHAB
CMS · Recorded event date · View related evidence
25 deficiencies were recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 2 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.504 | 3.107 |
| RN categories | 0.681 | 0.533 |
Contract staff accounted for 16.3% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.024 higher than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.365 | 0.8 | 0.977 | 1.589 | 5.5% | 91 |
| 2025Q3 | 3.358 | 0.682 | 1.021 | 1.655 | 7.9% | 92 |
| 2025Q4 | 3.367 | 0.614 | 1.053 | 1.7 | 11.5% | 92 |
| 2026Q1 | 3.389 | 0.638 | 1.074 | 1.677 | 16.3% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Representation claims are reviewed manually. Live profile-management tools are not yet enabled for this facility.
How corrections workSource register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.