CCN 215321 · Washington County, Maryland
Julia Manor Nursing and Rehabilitation Center
333 Mill Street, Hagerstown, MD 21740
Julia Manor Nursing and Rehabilitation Center is a 130-bed for-profit nursing home in Hagerstown, Maryland, first certified for Medicare or Medicaid in 1998. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 110.1 residents a day, about 85% of its certified beds. HUD's healthcare database shows an FHA-insured Section 232 loan for a project matching this facility, most recently $9.1 million in January 2002 (223(f) refinance or purchase), and none of them appears in HUD's active-loan file.
Facility facts
- Certified beds
- 130
- Average residents per day
- 110.1 (84.7% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Hagerstown Health Care LLC
- Certified since
- Nov 1, 1998
- Chain or affiliated group
- Fundamental Healthcare (66 facilities, chain average 2.5 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Maryland median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 33 at 1, 43 at 2, 46 at 3, 43 at 4, 54 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 3.26 | 3.60 | 3.68 |
| RN hours per resident per day | 0.62 | 0.70 | 0.58 |
| Weekend nurse hours per resident per day | 2.89 | ||
| Nursing staff turnover | 43.3% | 41.5% | 44.9% |
| Occupancy (residents / beds) | 84.7% | 89.0% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 21 (Sep 15, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Julia Manor Nursing and Rehabilitation Center does not meet it today: overall rating 1, health inspection rating 1, the abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Maryland Long Term Care LLCOrganization | Direct Ownership Interest | 100% | 03/18/2016 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Jan 29, 2002 | 223(f) refinance or purchaseHUD project name: Julia Manor Health Care Center, 84 beds. Lender at endorsement: Lument Real Estate Capital, LLC | $9,095,000 | Ended Dec 31, 2015Prepayment | 05222014 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.