Montgomery County Nursing Home

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

37.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 54 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 82.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 39 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.13 therapist hours per resident per day in 2026Q1 — more than 9% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 17% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 112 beds and averages 69.4 residents a day — about 62% occupied, or roughly 43 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.14 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.50 is below the 0.55-hour RN benchmark and nurse-aide staffing of 3.79 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.51 hrs/resident/day on weekends vs 5.39 on weekdays — 16% thinner on weekends. RN hours go from 0.52 to 0.45 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 15% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

• Potential for harm · D2025-05-30 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and facility policy review, it was determined that the facility did not ensure Enhanced Barrier Precautions (EBP) were implemented and that staff wore proper personal protective equipment (PPE) when care was provided for 1 (Resident #61) of 3 residents reviewed for wound care. The findings include: 1. A review of the quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 05/11/2025, revealed Resident #61 had a Brief Interview for Mental Status (BIMS) score of 15, which indicated the resident was cognitively intact. Resident #61 had diagnoses which included diabetes mellitus and dementia. a. A review of Resident #61 ' s Care Plan report, revised 05/13/2025, indicated the resident had a diabetic ulcer to the bottom of the right foot. The care plan did not address the need to implement EBP while performing wound care to the resident ' s foot. b. A review of Resident #61 ' s Treatment Administration Record (TAR) indicated wound care orders for the resident's right foot. c. A review of a Physician ' s Order dated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-03-21 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure dishcloths and scouring pads were stored in a safe, sanitary manner, and the staff failed to ensure proper hand hygiene when handling food, and food was placed down in an unsanitary manner to prevent cross contamination. These failed practices had the potential to affect all 67 residents that eat from the kitchen. The findings are: 1. On 03/20/2024 at 07:53 AM, the Surveyor observed 5 white dishcloths, and 2 scouring pads resting to the right side of the sink, resting on dishwater and soap subs, while Dietary #3 was observed washing dishes. The Surveyor asked the Dietary Manager if it was their procedure to store rags at the side of the sink. The Dietary Manager told the Surveyor it was not sanitary, and the wash rags should be in a container with sanitizer. 2. On 03/20/2024 at 10:22 AM, the Surveyor observed Dietary #2 holding two pieces of bread in both gloved hands. Dietary #2 was observed setting the 2 slices of bread down on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-03-21 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to protect 1 (Resident #53) sampled resident ' s privacy by leaving the Medication Administration Record [MAR] book open and unattended on the medication cart across from the nurses station. This failed practice had the potential to affect 4 sampled residents that ambulate and self-propel in the facility. The findings are: a. On 03/19/2024 at 08:10 AM, the Surveyor walked by an unattended 100-Hall medication cart parked near the nurses station and observed the MAR book open to Resident #53. The Surveyor was able to view residents name, diagnoses, allergies, and current medications. The Surveyor noted Licensed Practical Nurse [LPN] #1 was giving medication in the dining room with LPN #1's back to the cart. b. On 03/19/2024 at 08:12 AM, LPN #1 approached the medication cart and the Surveyor asked if the medication chart should be left open, and why staff would be expected to keep it closed when unattended. LPN #1 told the Surveyor they had went to the dining area to give medication and forgot to close the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-03-21 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure fingernails were kept clean to promote good personal hygiene and grooming for 1 (Resident #47) of 6 sampled residents who were dependent on staff for nail care on 100 Hall. The findings are: 1. Resident #47 had diagnoses of Dementia, Brain dysfunction, Encephalopathy, and Depression. On the Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 02/18/2024, Resident #47 had a score of 10 (8-12 indicates moderate cognitive impairment) on the Brief Interview for Mental Status (BIMS). a. On 03/18/2024 at 12:20 PM, Resident #47 was observed using his/her hands to pick up food to eat. There was a dark brown substance under the fingernails on the left hand. b. On 03/19/2024 at 12:42 PM, Resident #47 was observed using his/her hands to pick up food to eat. There was a dark brown substance under the fingernails on the left hand. c. On 03/20/2024 at 08:57 AM, the Administrator provided an in-service from January 2024 titled Residents Rights/Abuse & Neglect which covers nail care not being…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-03-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interview, and record review, the facility failed to ensure the resident environment was as free of potential accident hazards as possible, as evidenced by failure to ensure medication carts containing medications were locked to prevent access to the medications, and the possible risk for misappropriation of medications. This failed practice had the potential to affect 4 (Residents #1, #34, #53, #58) sampled residents of 23 residents who were independent for ambulation or self-propelled in wheelchairs. The findings are: On 03/19/2024 at 08:10 AM, between the nurse's station and the dining room there were two medication carts against the wall. The other cart was unattended. The Surveyor walked by and pulled on the drawer of the medication cart and the drawer opened. Inside were bottles of medications. On 03/19/2024 at 08:14 AM, Licensed Practical Nurse #1 (LPN) returned to the medication cart. The LPN was asked if it's ok to leave the medication cart unattended and unlocked. The LPN stated that it is never ok to leave the medication cart unattended while…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2023-02-10 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to ensure food items stored in the refrigerator and dry storage areas were sealed, covered and dated; leftover food items were maintained to promote food quality and or prevent potential food borne illness for residents who received meal trays from 1 of 1 kitchen; expired food items were promptly removed from stock; staff washed their hands between dirty and clean tasks and before handling clean dishes or food items; 1 of 2 ice scoop holders was maintained in a clean and sanitary condition. These failed practices had the potential to affect 68 residents (total Census 68) who received meals from 1 of 1 kitchen as documented on a list provided by the Dietary Supervisor on 02/08/23 at 2:58 PM. The findings are 1. On 02/06/23 at 10:58 AM, the following were on the bread rack in the Storage Room: a. 11 loafs of wheat bread with no received date on the bags. b. 9 loafs of white sandwich bread with no received date on the bags. 2. On 02/06/23 at 11:09 AM, the following spices were on a rack in the Storage Room with no…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2023-02-10 · tag F0836 — widespread
  Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, and record review, the facility failed to be in compliance with all applicable Federal, State, and local laws, regulations, and codes by failing to ensure the admission Packets were completed with original signatures for 7 (Residents #9, #19, #27, #34, #40, #46 and #60) of 7 sampled residents. This failed practice had the potential to affect all 68 residents who resided in the facility as documented on the Resident Census provided by the Administrator on 02/06/23. The findings are: 1. On 02/06/23 at 1:20 PM, during review of the resident charts, the Surveyor noted Do Not Resuscitate (DNR) and/or Power of Attorney (POA) forms in Residents #9, #19, #27, #34, #40, #46 and #60 charts that were not dated. 2. On 02/06/23 at 7:30 PM, in the first sample admission Packet provided by the Administrator on 02/06/23 at 11:03 AM, the Surveyor noted the Living Will, DNR and the POA pages in the admission Packet contained a photocopy of the physician's stamp on the physician's signature line and two witnesses and were copied. 3. On 02/07/23 at 1:34 PM, the second sample…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-02-10 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to ensure residents in the same Dining Room and at the same table were served concurrently to promote dignity and respect for 1 (Residents #29) of 4 (Residents #2, #29, #39 and #46) sampled residents who ate meals in the Unit Dining Room and were dependent for eating. These failed practices had the potential to affect 4 residents who were dependent for eating and had the potential to affect all 21 residents who resided in the Unit on the 400 Hall as documented on lists provided by the Assistant Director of Nursing (ADON) on 02/10/23. The findings are: 1. Resident #29 had diagnoses of Dementia, Altered Mental Status, Gastroesophageal reflux disease (GERD) and Anemia. The Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) date of 11/28/22 documented the resident was severely impaired in cognitive skills for daily decision making per a Staff Assessment for Mental Status (SAMS) and was totally dependent on one person for eating. a. The Physician's Order dated 03/16/17 documented, .Diet:…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-02-10 · tag F0567 — failed to protect residents' money held by the home — pattern
  Honor the resident's right to manage his or her financial affairs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, and record review, the facility failed to ensure residents who had a resident Trust Fund account with the facility received monthly applicable interest deposited into the account of each entitled resident for 3 (Residents #1, #2 and #34) of 3 sampled residents whose Trust Fund accounts were reviewed. This failed practice had the potential to affect 20 residents who had resident Trust Fund accounts managed by the facility as documented on the Trust Fund Report dated 02/06/23 provided by the Bookkeeper on 02/08/23 at 9:21 AM. The findings are: 1. On 02/07/23 at 10:26 AM, the Surveyor asked the Bookkeeper what type of account the resident Trust Funds were kept in. The Bookkeeper stated, All funds are in an interest-bearing account. 2. On 02/08/23 at 2:24 PM, the Trust Fund account transaction printouts from 08/01/22 to 02/06/23 provided by the Bookkeeper for Residents #1, #2 and #34 documented the residents had not received any interest since September 30, 2022. The Surveyor asked the reason no interest had been allocated since September 2022. The Bookkeeper stated,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-02-10 · tag F0568 — pattern
  Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, and record review, the facility failed to ensure generally accepted proper bookkeeping techniques were followed to accurately reconcile individual resident Trust Funds for 3 (Residents #23, #26 and #70) of 13 (Resident #1, #2, #3, #8, #10, #23, #26, #29, #34, #35, #45, #55, and #70) sampled residents who had Trust Funds managed by the facility. This failed practice had the potential to affect 20 residents who had their personal Trust Funds managed by the facility as documented by the Trust Fund Report dated 02/06/23 provided by the Bookkeeper on 02/08/23 at 9:21 AM. The findings are: 1. On 02/07/23 at 10:26 AM, the Surveyor requested the resident Trust Fund balances, the most recent reconciliation, and the Surety Bond from the Bookkeeper. 2. On 02/08/23 at 8:48 AM, the Surveyor asked for an update on the requested personal funds documentation. The Bookkeeper stated, I am sorry it is taking me so long. I made some errors a few months back and we have a handful of accounts in the negative. Luckily, they [residents] haven't asked for any money lately. I have reached…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in AR