Julia Manor Nursing And Rehabilitation Center has received an F grade based on CMS data, with a score of 11/100 — placing it among the lowest-rated nursing facilities in Maryland. Families considering this Hagerstown facility should carefully review its inspection history and quality metrics.
With 3.32 total nurse hours per resident per day, Julia Manor Nursing And Rehabilitation Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 68 deficiencies at Julia Manor Nursing And Rehabilitation Center, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the nee.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.32 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.63 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.89 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.80 | 2.4 | Below Average |
| Weekend Total Nursing | 2.95 | 3.8 | Below Average |
| Weekend RN Hours | 0.44 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0803 Severity FEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the neeSep 14, 2025 · Nutrition and Dietary Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Sep 14, 2025 · Nutrition and Dietary Deficiencies
- Tag 0880 Severity FProvide and implement an infection prevention and control program.Sep 14, 2025 · Infection Control Deficiencies
- Tag 0656 Severity EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Sep 14, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0657 Severity EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Sep 14, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 6.3% | 4.5% | Worse |
| Falls with major injury | 3.8% | 3.0% | Worse |
| On antipsychotic medication | 17.1% | 14.5% | Worse |
| Urinary tract infections | 3.3% | 2.5% | Worse |
| ADL decline (daily activities) | 27.7% | 14.0% | Worse |
| Excessive weight loss | 6.9% | 7.5% | Average |
| New/worsened incontinence | 23.9% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $211,009
How This Grade Was Calculated
This facility's grade of F is based on a score of 11 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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