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Mountain City Rehab: Nurse Abused Patient After Fall - MD

Healthcare Facility
Mountain City Rehab Center
Frostburg, MD  ·  1/5 stars

A November 2025 complaint inspection at the facility, located at 48 Tarn Terrace, cited the home under tag F0580, which covers the requirement to notify physicians, family members, and legal representatives when a resident's condition changes. Inspectors determined the violation caused minimal harm or potential for actual harm, and said it affected a small number of residents.

The inspection was triggered by a complaint, not a routine visit.

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The citation appears on page 4 of a 44-page deficiency report, suggesting inspectors documented additional problems at the facility during the same visit. The full scope of those findings was not available in the materials provided.

Notification failures are among the more consequential lapses a nursing home can commit, even when regulators classify the harm level as minimal. Family members and physicians who don't know a resident has declined, fallen, or developed a new symptom cannot make decisions. They cannot ask questions. They cannot show up.

Mountain City Rehab Center has not publicly responded to the findings. Under the federal inspection process, facilities are required to submit a plan of correction to the state survey agency. CMS instructs anyone seeking that plan to contact the facility or the Maryland state survey agency directly.

The inspection was completed November 7, 2025.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for Mountain City Rehab Center from 2025-11-07 including all violations, facility responses, and corrective action plans.

Additional Resources


Editorial Standards

Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).

Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.

Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.

Last verified: August 5, 2026  ·  Our methodology

Quick Answer

MOUNTAIN CITY REHAB CENTER in FROSTBURG, MD was cited for abuse-related violations during a health inspection on November 7, 2025.

Inspectors determined the violation caused minimal harm or potential for actual harm, and said it affected a small number of residents.

Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.

Frequently Asked Questions

What happened at MOUNTAIN CITY REHAB CENTER?
Inspectors determined the violation caused minimal harm or potential for actual harm, and said it affected a small number of residents.
How serious are these violations?
These are very serious violations that may indicate significant patient safety concerns. Federal regulations require nursing homes to maintain the highest standards of care. Families should review the full inspection report and consider whether this facility meets their safety expectations.
What should families do?
Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in FROSTBURG, MD, (5) Report any new concerns directly to state authorities.
Where can I see the full inspection report?
The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from MOUNTAIN CITY REHAB CENTER or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 215277.
Has this facility had violations before?
To check MOUNTAIN CITY REHAB CENTER's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.


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