Mountain City Nursing & Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 49 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (9 vs median 8.0)
- High RN turnover (54%)
Bottom 25% in PA · Critically understaffed (RN) · Worst in SABER HEALTHCARE GROUP chain · $179,593 in fines · Abuse citation
What this means for your family
While many families report excellent care, particularly in the rehab and white building units, there is a recurring pattern of neglect and slow response times that cannot be ignored. If you choose this facility, we strongly recommend frequent, unannounced visits to monitor hygiene and call-bell response times, and to maintain direct contact with the administrative team.
Google Reviews
Google Reviews
49 reviews on Google“Mountain City Nursing & Rehabilitation Center receives highly polarized feedback, with some families praising the compassionate care and administrative support, while others report severe neglect and staffing issues. Critical concerns consistently include slow response times to call bells, poor hygiene, and inconsistent quality of care depending on the assigned staff. Families considering this facility should be aware of these significant discrepancies in resident experiences.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Supportive administrative team
- Effective rehabilitation therapy
- Engaging daily activities and events
Concerns
- Slow or non-responsive call bells (mentioned by 3 reviewers)
- Poor hygiene and lack of cleanliness (mentioned by 4 reviewers)
- Inconsistent quality of care (mentioned by 3 reviewers)
- Poor communication and difficulty reaching staff (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 45 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed your team is very active in responding to online feedback; how do you use that family input to improve the daily care experience for residents?
- 2With the current staffing levels, what is your specific protocol for ensuring call bells are answered promptly and that residents' needs are met in a timely manner?
- 3Can you walk me through your current housekeeping schedule and the specific steps taken to ensure high standards of cleanliness in resident rooms and common areas?
- 4Given the importance of consistent care, how do you ensure that information is effectively communicated between shifts and that families are kept in the loop regarding their loved one's health?
- 5What specific training or oversight measures are in place to ensure that medication management is handled accurately and safely for every resident?
- 6I see that your rehabilitation therapy is highly regarded; how do you integrate those therapy goals into the resident's daily activities and routine?
Personalized based on this facility's data
Key Review Excerpts
“Call bells rarely answered in a timely manner. Cleanliness was rarely tended to. My brother called me for me to have them care for him.”
“If you have loved ones that have dementia, Do not send them here. They do not know how to take care of patients with agitation.”
“My loved one has been cared for with the utmost respect, dignity, competent-compassionate care that I could ever have hoped and prayed for.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
4
measures
2
measures
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows a concerning pattern with 62 deficiencies across 13 surveys, nearly half triggered by family complaints. Recurring issues involve protection from abuse and neglect, accident prevention and safety hazards, and food service problems. While the facility has corrected most violations, the persistent complaints about resident protection and safety, combined with repeated violations in the same areas across multiple years, suggest ongoing systemic problems that families should carefully investigate before placement.
Jan 12, 2026Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Mar 27, 2025Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Feb 7, 2025Routine9
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Construction Deficiencies
Use approved construction type or materials.
Egress Deficiencies
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Feb 7, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jan 3, 2025Complaint1
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Jul 10, 2024Complaint5
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Federal Penalties
Fine
Mar 20, 2024
$171,403
Payment Denial
Mar 20, 2024
39-day denial
Ownership & Operations
Who Operates This Facility
Mountain City Nursing & Rehabilitation Center
for profit
Chain Affiliation
Saber Healthcare Group
127 facilities nationwide
Chain avg rating: 3.0/5 · Rank 120 of 125 (Worst)
Ownership & Management
Owners
Weisberg, William
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
49 reviews from families & visitors
Official Website
Visit saberhealth.com
Medicare data downloads
Original nursing home datasets
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Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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