South Mountain Restoration Cen — nursing home in South Mountain, PA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 159 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 94.8 CMS, MDS-derived
CMS Certification Number: 395583
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jul 1, 1985
Ownership type: Government - State
Operator (legal business name): Pennsylvania Department of Human Services
CMS chain: Not part of a CMS-reported chain
Phone: (717) 749-3121
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Sep 18, 2025

Citations

20

6 health · 14 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D11	E6	F·
Minimal	A·	B·	C3

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 395583
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 159
First approved: Jul 1, 1985
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Pennsylvania.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Sep 18, 2025	Health	Health Standard	1	Potential harm	—	Open →
Oct 3, 2024	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Oct 3, 2024	Health	Health Standard	1	Potential harm	—	Open →
Dec 7, 2023	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Dec 7, 2023	Health	Health Standard	4	Potential harm	—	Open →
Dec 14, 2022	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D11	E6	F·
Minimal	A·	B·	C3

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Sep 18, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Nov 6, 2025
Oct 3, 2024	K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 20, 2024
Oct 3, 2024	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 20, 2024
Oct 3, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 20, 2024
Oct 3, 2024	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 20, 2024
Oct 3, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Nov 18, 2024
Oct 3, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Dec 20, 2024
Dec 7, 2023	K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 7, 2024
Dec 7, 2023	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 7, 2024
Dec 7, 2023	K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 7, 2024
Dec 7, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 30, 2024
Dec 7, 2023	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 30, 2024
Dec 7, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jan 30, 2024
Dec 7, 2023	F-0868	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Jan 30, 2024
Dec 7, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Feb 7, 2024
Dec 14, 2022	K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 17, 2023
Dec 14, 2022	K-0364	Install properly constructed windows in hallway walls or doors. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 17, 2023
Dec 14, 2022	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 17, 2023
Dec 14, 2022	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 17, 2023
Dec 14, 2022	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Feb 17, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.8

Staffingstate 3.1

Quality measuresstate 3.8

Long-stay QM

Short-stay QMNot rated

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing5.05

State avg 3.90US avg 3.90

Registered nurse (RN)1.23

State avg 0.78US avg 0.69

Licensed practical nurse1.15

State avg 0.90US avg 0.86

Nurse aide2.67

State avg 2.22US avg 2.35

Weekend total nurse3.98

State avg 3.52US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 6.03 (case-mix index 1.17).

Staff turnover

Total nursing staff turnover42.7%

State avg 44.6%US avg 45.3%

Registered nurse turnover41.4%

State avg 39.4%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Sep 18, 2025
Cycle 1 health score: 8
Total weighted score: 8

Operating entity

Pennsylvania Department of Human Services

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

11

Organizations

1

Individuals

10

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Melinda Commerer	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2022
Krista Delacruz	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 9, 2022
Martin Hudzinski	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 6, 2014
Bradley Hyde	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 24, 2016
Shane Sloat	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 15, 2025
Pennsylvania Department of Human Services	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 15, 2025
Melinda Commerer	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2022
Krista Delacruz	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 9, 2022
Martin Hudzinski	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 6, 2014
Bradley Hyde	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 24, 2016
Shane Sloat	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 15, 2025

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS (geocoding footnote 22).

Address: Building #1, South Mountain, PA 17261
ZIP: 17261
County: Franklin County FIPS 42055
State: Pennsylvania
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
South Mountain Restoration Ctr 10058 South Mountain Road, South Mountain, PA 17261 State license only	2.1 km	—	Not CMS rated	—	No inspections in window	—
Paramount Nursing and Rehab at Fayetteville, LLC 6375 Chambersburg Road, Fayetteville, PA 17222 CCN 395721	7.8 km	92		Jul 30, 2026	312 IJ	$17k
Quincy Retirement Community 6596 Orphanage Road, Waynesboro, PA 17268 CCN 395378	9.4 km	94		Feb 25, 2026	231 harm	—
Concordia at Spiritrust Luther Ridge 2781 Luther Drive, Chambersburg, PA 17202 CCN 396146	15.2 km	40		Jun 11, 2026	251 harm	—
Laurel Lakes Rehabilitation and Wellness Center 201 Franklin Farm Lane, Chambersburg, PA 17201 CCN 395613	17.1 km	186		May 20, 2026	391 IJ1 harm	$211k
Laurel Lakes Rehabilitation and Wellness Center 201 Franklin Farm Lane, Chambersburg, PA 17202 State license only	17.1 km	—	Not CMS rated	—	No inspections in window	—
Menno Haven Rehabilitation Center 2055 Scotland Avenue, Chambersburg, PA 17201 CCN 396145	19.3 km	44		Jul 8, 2026	11	—
Brookview Health Care Center 1000 Northfield Drive, Chambersburg, PA 17201 CCN 395012	19.7 km	56		Mar 27, 2026	173 IJ	$17k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	395583	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	395583	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 395583

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction