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C
Below Standard

JULIA MANOR NURSING AND REHABILITATION CENTER

333 MILL STREET · HAGERSTOWN, MD 21740

3016658700 · For profit - Limited Liability company

130 beds107.7 residents151 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

JULIA MANOR NURSING AND REHABILITATION CENTER receives an overall staffing grade of C (Below Standard). With 3.3184 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.6291 HPRD, below the recommended 0.75. It is 0.58 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 14.76% compared to weekdays. The facility uses a moderate level of agency staff (10.2% of hours), suggesting some reliance on temporary workers.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3184 HPRD — needs 0.16 more hours per resident per day.
⚠️RN staffing (0.6291 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.3184hrs/resident/day▼ 0.58
CMS benchmark: 3.48
RN HPRD
0.6291hrs/resident/day▼ 0.05
Recommended: 0.75
Weekend Drop-off
14.76%
3.4629 weekday → 2.9516 weekend
Agency Staff
10.2%
1.32% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.7175hrs/resident/day
Direct care aides
LPN HPRD
0.8912hrs/resident/day
Licensed practical nurses
Consistency
0.2727std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Washington County Average-0.70 HPRD
4.02
03.32 HPRD
vs. Maryland State Average-0.60 HPRD
3.92
03.32 HPRD
vs. National Average-0.58 HPRD
3.90
03.32 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
JULIA MANOR NURSING AND REHABILITATION CENTER ★
HAGERSTOWN · This facility
—
C
3.31840.6291★☆☆☆☆
HAGERSTOWN HEALTHCARE CENTER
HAGERSTOWN
0.6 mi
C
3.3990.5518★☆☆☆☆
CREEKSIDE CENTER FOR REHABILITATION AND NURSING
HAGERSTOWN
1.1 mi
C
3.2830.6986★☆☆☆☆
WESTERN MD HOSPITAL CENTER
HAGERSTOWN
2.4 mi
A+
6.48552.3478★★☆☆☆
HOMEWOOD LIVING WILLIAMSPORT
WILLIAMSPORT
4.5 mi
A
4.15710.8501★★☆☆☆
WILLIAMSPORT HEALTH AND REHABILITATION CENTER
WILLIAMSPORT
5.7 mi
B
3.53760.6755★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
68
Total Deficiencies
$211,009
Fines Assessed
Sep 15, 2025Health
15 deficiencies cited
▼
Aug 14, 2023Health
41 deficiencies cited· Includes actual harm
▼
Jun 14, 2019Health
12 deficiencies cited
▼

Penalty History

Aug 14, 2023Fine
$207,864
May 23, 2023Fine
$3,145
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.