Julia Manor Nursing and Rehabilitation Center
333 Mill Street · Hagerstown, MD · 21740 · 3016658700
130 certified beds For profit - Limited Liability company Chain: Fundamental Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.30 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.55 | 0.55–0.75 |
| Weekend hours / resident-day | 2.93 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | 1 · $207,864 |
Inspection citations (68 in the current record)
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Potential for harm · D September 15, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 14, 2025 · Resident Rights
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Potential for harm · D September 15, 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.
Corrected October 14, 2025 · Resident Rights
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Potential for harm · E September 15, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · E September 15, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 15, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 14, 2025 · Quality of Life and Care
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Potential for harm · D September 15, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 14, 2025 · Quality of Life and Care
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Potential for harm · D September 15, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected October 14, 2025 · Pharmacy Service
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Potential for harm · D September 15, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected October 14, 2025 · Pharmacy Service
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Potential for harm · D September 15, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected October 14, 2025 · Pharmacy Service
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Potential for harm · F September 15, 2025
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.
Corrected October 14, 2025 · Nutrition and Dietary
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Potential for harm · E September 15, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected October 14, 2025 · Nutrition and Dietary
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Potential for harm · F September 15, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 14, 2025 · Nutrition and Dietary
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Potential for harm · F September 15, 2025
Provide and implement an infection prevention and control program.
Corrected October 14, 2025 · Infection Control
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Potential for harm · D September 15, 2025
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.
Corrected October 14, 2025 · Infection Control
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Potential for harm · D September 15, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 14, 2025 · Quality of Life and Care
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Immediate jeopardy · J August 14, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 6, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J August 14, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 6, 2023 · Quality of Life and Care
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Immediate jeopardy · J August 14, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 6, 2023 · Quality of Life and Care
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Actual harm · G August 14, 2023 · found via complaint
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.
Corrected October 6, 2023 · Quality of Life and Care
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Actual harm · G August 14, 2023 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected October 6, 2023 · Quality of Life and Care
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Potential for harm · E August 14, 2023
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.
Corrected October 6, 2023 · Resident Rights
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Potential for harm · D August 14, 2023
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.
Corrected October 6, 2023 · Resident Rights
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Potential for harm · D August 14, 2023
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Corrected October 6, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 14, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected October 6, 2023 · Resident Rights
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Potential for harm · D August 14, 2023
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected October 6, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 14, 2023 | Fine | $207,864 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 215321 · certified since November 1, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.