Maryland › Washington County › Hagerstown
Julia Manor Nursing and Rehabilitation Center
333 Mill Street, Hagerstown, MD 21740
CMS abuse icon
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Julia Manor Nursing and Rehabilitation Center is a For-profit, limited liability company nursing home in Hagerstown, Maryland, certified for 130 beds and caring for about 110 residents a day.
CMS gives it 1 of 5 stars overall, below the Maryland median of 3; the health inspection rating is 1, staffing 3 and quality measures 3.
Inspectors recorded 74 health deficiencies across the three most recent survey cycles (21, 41, 12 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 56.9 per 100 beds, more than the state median of 43.7.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.3 hours per resident per day (0.6 RN), close to the Maryland median of 3.6; nursing staff turnover is 43.3%.
CMS flags that the facility carries the CMS abuse icon.
74health deficiencies, 3 survey cycles6 at actual harm or worse
$0fines listed by CMS0 penalties in period
3.3nurse hours per resident per daystate median 3.6
85%occupancy (residents ÷ beds)110 residents a day
Compared with county, state and nation
| Measure | This facility | Washington Co. median | Maryland median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 74 | 74 | 45 | 28.7 |
| Citations per 100 beds | 56.9 | 62.1 | 43.7 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.9 | 3.6 | 3.9 |
| RN hours per resident day | 0.6 | 0.8 | 0.7 | 0.7 |
| Nursing staff turnover | 43.3% | 44.4% | 41.5% | 45.8% |
| Fines listed | $0 | $24,060 | $0 | — |
County and state figures are medians across facilities (10 in the county, 221 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Maryland average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 Sep 2025, 14 Aug 2023.
Severity mix: J ×3 G ×3 D ×50 E ×14 F ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 1 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | Past Non-Compliance |
| 1 May 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 2 Jun 2026 |
| 1 May 2026 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | Past Non-Compliance |
| 1 May 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | Past Non-Compliance |
| 1 May 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 2 Jun 2026 |
| 1 May 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 2 Jun 2026 |
| 15 Sep 2025 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | Standard survey | 14 Oct 2025 |
| 15 Sep 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 14 Oct 2025 |
| 15 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 14 Oct 2025 |
| 15 Sep 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 14 Oct 2025 |
| 15 Sep 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 14 Oct 2025 |
| 15 Sep 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 14 Oct 2025 |
| 15 Sep 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 14 Oct 2025 |
| 15 Sep 2025 | F0584 | 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. | D | Standard survey | 14 Oct 2025 |
| 15 Sep 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 14 Oct 2025 |
| 15 Sep 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 14 Oct 2025 |
| 15 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 14 Oct 2025 |
| 15 Sep 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 14 Oct 2025 |
| 15 Sep 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 14 Oct 2025 |
| 15 Sep 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 14 Oct 2025 |
| 15 Sep 2025 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 14 Oct 2025 |
| 14 Aug 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 6 Oct 2023 |
| 14 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 6 Oct 2023 |
| 14 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 6 Oct 2023 |
| 14 Aug 2023 | F0688 | 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. | G | Complaint investigation | 6 Oct 2023 |
| 14 Aug 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Complaint investigation | 6 Oct 2023 |
| 14 Aug 2023 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint investigation | 6 Oct 2023 |
| 14 Aug 2023 | F0578 | 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. | E | Standard survey | 6 Oct 2023 |
| 14 Aug 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint investigation | 6 Oct 2023 |
| 14 Aug 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 6 Oct 2023 |
| 14 Aug 2023 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 6 Oct 2023 |
| 14 Aug 2023 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 6 Oct 2023 |
| 14 Aug 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Complaint investigation | 6 Oct 2023 |
| 14 Aug 2023 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | Complaint investigation | 27 Oct 2023 |
| 14 Aug 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 6 Oct 2023 |
| 14 Aug 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 6 Oct 2023 |
| 14 Aug 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 6 Oct 2023 |
| 14 Aug 2023 | F0584 | 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. | D | Standard survey | 6 Oct 2023 |
| 14 Aug 2023 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 6 Oct 2023 |
| 14 Aug 2023 | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | Standard survey | 6 Oct 2023 |
| 14 Aug 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 6 Oct 2023 |
| 14 Aug 2023 | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Standard survey | 6 Oct 2023 |
| 14 Aug 2023 | F0625 | Notify 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. | D | Standard survey | 6 Oct 2023 |
| 14 Aug 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 6 Oct 2023 |
| 14 Aug 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 6 Oct 2023 |
| 14 Aug 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 6 Oct 2023 |
| 14 Aug 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 6 Oct 2023 |
| 14 Aug 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 6 Oct 2023 |
| 14 Aug 2023 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 6 Oct 2023 |
| 14 Aug 2023 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 6 Oct 2023 |
| 14 Aug 2023 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Complaint investigation | 6 Oct 2023 |
| 14 Aug 2023 | F0743 | Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable. | D | Complaint investigation | 6 Oct 2023 |
| 14 Aug 2023 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 6 Oct 2023 |
| 14 Aug 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 6 Oct 2023 |
| 14 Aug 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 6 Oct 2023 |
| 14 Aug 2023 | F0758 | 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. | D | Standard survey | 6 Oct 2023 |
| 14 Aug 2023 | F0761 | 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. | D | Standard survey | 6 Oct 2023 |
| 14 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 27 Oct 2023 |
| 14 Aug 2023 | F0836 | 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. | D | Complaint investigation | 6 Oct 2023 |
| 14 Aug 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 6 Oct 2023 |
| 14 Aug 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 6 Oct 2023 |
| 14 Aug 2023 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Complaint investigation | 6 Oct 2023 |
| 14 Jun 2019 | F0584 | 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. | E | Standard survey | 12 Jul 2019 |
| 14 Jun 2019 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 12 Jul 2019 |
| 14 Jun 2019 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 12 Jul 2019 |
| 14 Jun 2019 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 12 Jul 2019 |
| 14 Jun 2019 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 12 Jul 2019 |
| 14 Jun 2019 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 12 Jul 2019 |
| 14 Jun 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 12 Jul 2019 |
| 14 Jun 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 12 Jul 2019 |
| 14 Jun 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 12 Jul 2019 |
| 14 Jun 2019 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 12 Jul 2019 |
| 14 Jun 2019 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 12 Jul 2019 |
| 14 Jun 2019 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 12 Jul 2019 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Maryland average. Turnover: nursing staff 43.3%, RNs 35.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Maryland median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.3% | 20.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.6% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.3% | 2.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.9% | 20.7% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.5% | 5.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.0% | 11.9% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Hagerstown Health Care Llc. Chain: Fundamental Healthcare (66 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Maryland Long Term Care LLC | 5% or greater direct ownership interest | 100% | 03/18/2016 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Washington County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Fahrney-Keedy Memorial Home | Boonsboro | 106 | 5 | 5 | 4 | 29 | 27.4 | — | 26 Mar 2026 |
| Western Md Hospital Center | Hagerstown | 63 | 5 | 3 | 5 | 37 | 58.7 | $24K | 2 Dec 2025 |
| Coffman Nursing Home | Hagerstown | 59 | 3 | 3 | 4 | 45 | 76.3 | — | 23 Jul 2025 |
| Homewood Living Williamsport | Williamsport | 82 | 3 | 3 | 4 | 30 | 36.6 | $42K | 9 Jan 2026 |
| South Mountain Rehab Center | Boonsboro | 157 | 3 | 3 | 2 | 39 | 24.8 | — | 22 Apr 2026 |
| Hagerstown Healthcare Centerabuse icon | Hagerstown | 140 | 2 | 2 | 3 | 87 | 62.1 | $24K | 16 Jun 2026 |
| Complete Care At Hagerstown | Hagerstown | 60 | 1 | 1 | 2 | 81 | 135.0 | $43K | 2 Apr 2026 |
| Creekside Center For Rehabilitation and NursingSFF Candidate | Hagerstown | 80 | 1 | 1 | 2 | 104 | 130.0 | $112K | 6 Feb 2026 |
All 10 facilities in Washington County
Questions and answers
How many deficiencies has Julia Manor Nursing and Rehabilitation Center been cited for?
74 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Maryland median is 45 per facility.
Has Julia Manor Nursing and Rehabilitation Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Julia Manor Nursing and Rehabilitation Center compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Maryland median of 3.6 and a national average of 3.9.
Who operates Julia Manor Nursing and Rehabilitation Center?
It is part of the Fundamental Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Maryland Long Term Care LLC. Individual owners and managers are not listed on this site.
When was Julia Manor Nursing and Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 1 May 2026; the most recent standard health survey was 15 Sep 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.