Home / Pennsylvania / McConnellsburg
Fulton County Medical Center
214 Peach Orchard Road, McConnellsburg, PA 17233 · Fulton County · (717) 485-3155
67 certified beds, about 49 residents a day · Non profit - Other · Medicare and Medicaid since 1977
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
1 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395387 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 13, 2026, inspectors cited 3 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
Of 22 health citations since May 2024, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $16,801 in the last three years; the largest was $8,401, and the latest is dated December 3, 2024.
Nurses and nurse aides worked 4.42 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.72 of those hours.
26.8% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
905/24
312/24
704/25
305/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 22 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
14D
4E
2F
Potential for minimal harm
0A
0B
0C
May 13, 2026Standard inspection · 3 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on review of policies, observations and staff interviews, it was determined that the facility failed to store food in accordance with professional standards for food service safety.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on clinical record reviews and staff interviews, it was determined the facility failed to ensure that a medication reconciliation was completed after discharge for one out of 23 residents reviewed (Resident 56).
- D Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to show documented evidence that a peripherally-inserted central catheter (PICC- catheter inserted in a vein used to deliver fluids and/or medications) was flushed prior to and/or after medication administration for two of 23 residents reviewed (Residents 4, 26).
April 17, 2025Standard inspection · 7 citations
- E Ensure that residents are free from significant medication errors.
Inspectors wroteBased on a review of facility policies, clinical records, and staff interviews, it was determined that the facility failed to ensure that it was free from significant medication errors for one of 25 residents reviewed (Resident 8).
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observations and staff interviews, it was determined that the facility failed to discard expired medical supplies in two of two medication rooms reviewed (Overly Meadows and [NAME] Trails).
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on clinical record reviews and staff interviews, it was determined that the facility failed to ensure that a written notice regarding emergency transfer to the hospital was provided to the Office of the State Long-Term Care Ombudsman, and failed to ensure that a written notice was provided to the resident and the resident's responsible party regarding the reason for transfer to the hospital for two of 25 residents reviewed (Residents 8, 23).
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on review of policies and clinical records, as well as observations and staff interviews, it was determined that the facility failed to revise/update the care plan for one of 25 residents reviewed (Resident 37).
- D Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on review of hospice contracts, facility policies, and residents' clinical records, as well as staff interviews, it was determined that the facility failed to ensure that the designated interdisciplinary team member obtained the required information from the contracted hospice provider for two of 25 residents reviewed (Residents 27, 36) who received hospice services.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on review of policies and clinical records, as well as observations and staff interviews, it was determined that the facility failed to ensure that proper infection control practices were followed during wound care for one of 25 residents reviewed (Resident 23).
- D Keep all essential equipment working safely.
Inspectors wroteBased on review of manufacturer's direction for use, as well as observations and staff interviews, it was determined that the facility failed to ensure essential equipment was in safe operating condition in the facility's laundry area.
December 3, 2024Complaint inspection · 3 citations
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on a review of facility policies, investigative reports, clinical records, and staff education records, as well as staff interviews, it was determined that the facility failed to ensure that residents were free from neglect for one of two residents reviewed (Resident 1), resulting in a dislocated shoulder.
- G Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on review of policies, investigative reports, and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that allegations of possible abuse were reported timely to the Nursing Home Administrator for one of two residents reviewed (Resident 1) resulting in pain and a delay in treatment for a dislocated shoulder.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on review of clinical records and investigative reports, as well as staff interviews, it was determined that the facility failed to ensure that residents' clinical records were complete and accurately documented for one of four residents reviewed (Resident 1).
May 1, 2024Standard inspection · 9 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on review of policies, as well as observations and staff interviews, it was determined that the facility failed to store food in accordance with professional standards for food service safety.
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to develop a comprehensive care plan related to the use of anticoagulant medication for one of 27 residents reviewed (Resident 40).
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on review of facility policy and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that a resident's care plan was updated/revised to reflect the resident's specific care needs for four of 27 residents reviewed (Residents 25, 30, 39, 40).
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on review of policies and clinical records, as well as observations and staff interviews, it was determined that the facility failed to determine if residents were safe to self-administer medications for one of 27 residents reviewed (Resident 28).
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on a review of clinical records and staff interviews, it was determined that the facility failed to ensure that the physician was notified timely about a change in condition for one of 27 residents reviewed (Resident 25).
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to ensure that appropriate treatment and services were provided to prevent the development of pressure ulcers for one of 27 residents reviewed (Resident 39).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on a review of policies and clinical records, as well as observations and staff interviews, it was determined that the facility failed to ensure that each resident received assistance devices to prevent accidents for two of 27 residents reviewed (Residents 40, 42).
- D Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on review of a list of nurse aides provided by the facility and the nurse aides' personnel files, as well as staff interviews, it was determined that the facility failed to ensure that nurse aide performance evaluations were completed annually based on hire dates for two of five nurse aides reviewed (Nurse Aides 6, 7).
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on review of the facility's plans of correction for previous surveys, and the results of the current survey, it was determined that the facility's Quality Assurance Performance Improvement (QAPI) committee failed to correct and/or maintain compliance with quality deficiencies and ensure that plans to improve the delivery of care and services effectively addressed recurring deficiencies.
Fire safety inspections
8 fire safety citations on file: 2 on May 13, 2026, 2 on April 17, 2025, 4 on May 1, 2024.
Every fire safety citation8 citations
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Install corridor and hallway doors that block smoke.
- F Meet requirements for sections of health care facilities separated by fire resistive construction.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- C Have simulated fire drills held at unexpected times.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| December 3, 2024 | Fine | $8,400 |
| December 3, 2024 | Fine | $8,401 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Pennsylvania | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.42 | 3.89 | 3.86 |
| Registered nurses | 0.72 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.87 | 3.53 | 3.42 |
| Nurse aides | 2.62 | ||
| Licensed practical nurses | 1.08 | ||
| Nursing staff turnover (share who left in a year) | 26.8% | 44.5% | 45.8% |
| Registered nurse turnover | 10.0% | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.50 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.65 on weekdays and 3.87 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.36 in April to June 2025 to 4.42 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.42 | 0.72 | 4.65 | 3.87 | 0.3% | 0 of 90 | 49 |
| Oct to Dec 2025 | 4.43 | 0.69 | 4.61 | 3.97 | 1.2% | 0 of 92 | 49 |
| Jul to Sep 2025 | 4.34 | 0.69 | 4.49 | 3.94 | 2.1% | 0 of 92 | 49 |
| Apr to Jun 2025 | 4.36 | 0.70 | 4.56 | 3.85 | 6.6% | 0 of 91 | 50 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Pennsylvania, Jan to Mar 2026 | 3.69 | 0.65 | 3.82 | 3.34 | 11.3% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Pennsylvania | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 20.1 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 4.4 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.1 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.2 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 23.4 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 11.1 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 21.9 | 17.7 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.2 | 1.8 |
Owners and operators
Legal business name: FULTON COUNTY MEDICAL CENTER.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Makosky, Michael | Indirect ownership interest | Individual | 07/01/2018 | |
| Stern, Douglas | Managing control - governing body | Individual | 01/01/2024 | |
| Alexander, Scott | Corporate director | Individual | 01/01/2017 | |
| D'amelio, Frank | Corporate director | Individual | 01/01/2012 | |
| Daniels, Lisa | Corporate director | Individual | 01/01/2018 | |
| Fraker, Sean | Corporate director | Individual | 01/01/2020 | |
| Gress, Tina | Corporate director | Individual | 01/01/2019 | |
| Hann, Timothy | Corporate director | Individual | 01/01/2015 | |
| Makosky, Michael | Corporate director | Individual | 07/01/2018 | |
| Mellott, Mark | Corporate director | Individual | 01/01/2017 | |
| Palmer, Virginia | Corporate director | Individual | 01/01/2015 | |
| Shives, Penelope | Corporate director | Individual | 01/01/2015 | |
| Slee, Kimberly | Corporate director | Individual | 10/06/2017 | |
| Wright, Mary | Corporate officer | Individual | 01/01/2018 | |
| Slee, Kimberly | Operational/managerial control | Individual | 10/06/2017 | |
| Slee, Kimberly | Adp of the SNF | Individual | 05/07/2025 | |
| Stern, Douglas | Adp of the SNF | Individual | 10/14/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on May 13, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on April 17, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on May 13, 2026: "Provide for the safe, appropriate administration of IV fluids for a resident when needed."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on May 13, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- Transitions Healthcare Shook Home Chambersburg, 18.5 mi · 3 of 5 stars · 30 citations
- Chambersburg Skilled Nursing and Rehabilitation Ce Chambersburg, 19.1 mi · 2 of 5 stars · 20 citations
- Chambers Pointe Health Care Center Chambersburg, 19.1 mi · 4 of 5 stars · 18 citations
- Menno Haven Rehabilitation Center Chambersburg, 20 mi · 5 of 5 stars · 11 citations
- Brookview Health Care Center Chambersburg, 20.1 mi · 4 of 5 stars · 14 citations
- Laurel Lakes Rehabilitation and Wellness Center Chambersburg, 20.1 mi · 2 of 5 stars · 39 citations
- Embassy of Woodland Park Orbisonia, 21.7 mi · 2 of 5 stars · 53 citations
- Concordia at Spiritrust Luther Ridge Chambersburg, 23.4 mi · 3 of 5 stars · 20 citations
Pennsylvania contacts for a concern about a nursing home
These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Pennsylvania Department of Health, Division of Nursing Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Pennsylvania Long-Term Care Ombudsman Program, Department of Aging, 717-783-8975. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Pennsylvania Department of Health Nursing Care Facility Locator, where Pennsylvania publishes its own records on licensed homes.
Common questions
- What is Fulton County Medical Center's Medicare star rating?
- CMS rates Fulton County Medical Center 3 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Fulton County Medical Center get at its last inspection?
- 3 health deficiencies at the standard inspection on May 13, 2026. The Pennsylvania average is 10.
- Has Fulton County Medical Center been fined?
- Yes. CMS lists 2 fines totaling $16,801 in the last three years.
- Does Fulton County Medical Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Fulton County Medical Center?
- CMS lists 17 owners and managers. Legal business name: FULTON COUNTY MEDICAL CENTER.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.