Mount St Mary

Inspection history (14)

Records from October 2023 to March 2025.

• March 31, 2025 · F

  Citation F0730

  Federal surveyors cited this nursing home on 2025-03-31 under CMS tag F0730 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Observe each nurse aide's job performance and give regular training. The deficiency was recorded as corrected on 2025-04-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-31.GOV

• March 31, 2025 · D

  Citation F0695

  Federal surveyors cited this nursing home on 2025-03-31 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2025-04-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-31.GOV

• March 31, 2025 · D

  Citation F0656

  Federal surveyors cited this nursing home on 2025-03-31 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2025-04-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-31.GOV

• March 31, 2025 · D

  Citation F0758

  Federal surveyors cited this nursing home on 2025-03-31 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l…. The deficiency was recorded as corrected on 2025-04-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-31.GOV

• March 31, 2025 · D

  Citation F0697

  Federal surveyors cited this nursing home on 2025-03-31 under CMS tag F0697 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate pain management for a resident who requires such services. The deficiency was recorded as corrected on 2025-04-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-31.GOV

• March 31, 2025 · C

  Citation F0732

  Federal surveyors cited this nursing home on 2025-03-31 under CMS tag F0732 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Post nurse staffing information every day. The deficiency was recorded as corrected on 2025-04-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-31.GOV

• October 4, 2023 · D

  Citation F0657

  Federal surveyors cited this nursing home on 2023-10-04 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2023-11-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-04.GOV

• October 4, 2023 · D

  Citation F0677

  Federal surveyors cited this nursing home on 2023-10-04 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2023-11-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-04.GOV

• October 4, 2023 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2023-10-04 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2023-11-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-04.GOV

• October 4, 2023 · F

  Citation F0880

  Federal surveyors cited this nursing home on 2023-10-04 under CMS tag F0880 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2023-11-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-04.GOV

• October 4, 2023 · D

  Citation F0730

  Federal surveyors cited this nursing home on 2023-10-04 under CMS tag F0730 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Observe each nurse aide's job performance and give regular training. The deficiency was recorded as corrected on 2023-11-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-04.GOV

• October 4, 2023 · E

  Citation F0656

  Federal surveyors cited this nursing home on 2023-10-04 under CMS tag F0656 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2023-11-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-04.GOV

• October 4, 2023 · D

  Citation F0690

  Federal surveyors cited this nursing home on 2023-10-04 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2023-11-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-04.GOV

• October 4, 2023 · D

  Citation F0641

  Federal surveyors cited this nursing home on 2023-10-04 under CMS tag F0641 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2023-11-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-04.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 5.08 nurse staffing hours per resident per day (2026Q1)

Ownership

Non profit

1. Parent organization: CSJ Initiatives INC

   parent · PAC 446501126

Recent changes to this listing

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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

1. Sep 1, 2026Ownership changed

   The source now records ownership as "Non profit".

   Reported by CMS nursing homes (ownership)

2. Sep 1, 2026Ownership changed

   The source now records ownership as "Non profit - Corporation".

   Reported by CMS nursing homes (provider info)

3. Aug 6, 2026Ownership changed

   The source now records ownership as "Non profit".

   Reported by CMS nursing homes (ownership)

4. Jul 24, 2026Ownership changed

   The source now records ownership as "Non profit - Corporation".

   Reported by CMS nursing homes (provider info)

5. Jul 24, 2026Ownership changed

   The source now records ownership as "Non profit".

   Reported by CMS nursing homes (ownership)