Montcare At Bethesda

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.

52.7% 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 240 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 78.1% 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 105 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 0.29 therapist hours per resident per day in 2026Q1 — more than 45% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 34% 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 120 beds and averages 104.8 residents a day — about 87% occupied, or roughly 15 beds typically open. It runs fairly full. 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 3.32 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.79 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.87 is below 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 3.12 hrs/resident/day on weekends vs 3.40 on weekdays — 8% thinner on weekends. RN hours go from 0.88 to 0.57 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 36% is below the national median of 45%. 1 administrator has left in the past year.

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.

28 citations, most serious first. The 10 most serious are shown; the remaining 18 are one tap away and print in full.

• Potential for harm · E2026-02-25 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  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 observations and interviews, the facility failed to ensure a homelike environment was provided for all residents. This was evident to be true for 9 out of 44 resident rooms observed during an annual recertification survey. The findings include: During observational rounds and interview with staff #22 on 02/18/2026 at 7:45 AM the following observations were made: room [ROOM NUMBER]-bathroom sink hot water facet dial was broken off and missing with water running continuously.room [ROOM NUMBER]-bathroom wallpaper was torn, no towel rack, lightbulbs in light fixture were not working, and bathroom cove base was noted to be missing and or not in good repair.room [ROOM NUMBER]-bathroom had a brown color, resembling rust, substance found around the base of the toilet seal as well as on the back of the toilet seat. The bathroom floor was found to have several areas of a brown substance smeared throughout.room [ROOM NUMBER]-bathroom wallpaper was torn, and cove base was separating from wall and not in good…

  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 · D2026-02-25 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interviews, it was determined that the facility failed to ensure that each resident formulated an advance directive. This was evident for 2 (Resident #29, Resident #59) residents out of 36 residents reviewed for advance directives.The findings include:1) On 2/19/2026 at 9:03 AM, Review of medical records reveals that the surveyor was unable to find the advance directives for Resident #29. However, it was noted that Resident #29 has a living will.An interview with the social worker (Staff #16) was conducted on 2/19/26 at 1:37 pm, and asked if she knew where the copy of the living will was in the resident's records. Staff #16 stated that she thought that there was a copy in the records, but she was unable to locate it in the chart. She then stated that she would have to get in touch with Resident #29's daughter to get a copy.On 2/24/2026 at 9:21 AM, Review of medical records stated that Resident #29 has a living will and that his/her daughter is the Power Of Attorney. Staff #16 tried to contact the daughter to obtain a copy of the living will. Staff…

  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 · Dcited before2026-02-25 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interviews, it was determined that the facility failed to ensure that the comprehensive care plan was reviewed and revised by an interdisciplinary team composed of individuals who know the resident and his/her needs, and failed to ensure that each resident's care plan meeting was done quarterly. This was evident for 4 (Resident #29, #9, #32, and #59) out of 36 residents reviewed for comprehensive care plan revision.The findings include:The Interdisciplinary team (IDT) must, at a minimum, consist of the resident's attending physician, a registered nurse, and a nurse aide with responsibility for the resident, a member of the food and nutrition services staff, and, to the extent possible, the resident and resident representative, if applicable.1) On 2/18/2026 at 11:51 AM, the surveyor conducted an interview with Resident #29 and asked if s/he participated in their care plan meetings. Resident #29 stated that s/he has not had any care plan meetings.On 2/24/2026 at 11:07 AM, a review of medical records revealed that Resident #29's last care plan meeting…

  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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-25 · tag F0800 — isolated
  Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and staff interviews, it was determined that the facility failed to provide the resident with a diet that meets his/her nutritional needs. This was evident for 1 resident (Resident # 116) out of 8 residents reviewed during the annual recertification survey.The findings include: On 02/21/2026 at 7:47 AM, the surveyor observed Resident #116's breakfast tray. Resident #116's breakfast tray was observed to have scrambled eggs, toasted white bread, oatmeal, a banana, a 4-ounce carton of cranberry juice, and a carton of reduced fat milk. On 02/21/2026 at 7:48 AM, the surveyor conducted a record review. The record review revealed that Resident #116's breakfast meal ticket, dated 02/21/2026, indicates that Resident #116 has a standing order for 4 ounces of cranberry juice and a half cup of fresh apples. When the surveyor compared Resident #116's breakfast meal ticket to the breakfast tray, it revealed that Resident #116 did not receive a half cup of fresh apples. On 02/21/2026 at 7:50 AM, the surveyor conducted a staff interview. During the staff…

  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 · Dcited before2026-02-25 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record reviews and staff interviews, it was determined that the facility failed to ensure that residents' records were accurate and complete. This was evident for 2 (Resident #9 and #59) residents out of 36 residents reviewed during this annual Medicare/Medicaid recertification survey.The findings include:1) On 2/24/2026 at 11:30 AM, an interview with the social worker, Staff #16, was conducted. Staff #16 was asked when the last care plan meeting was done with Resident #9. Staff #16 reviewed the resident's records on her laptop and answered on 1/16/26. Staff #16 was asked when the care planning meeting was done before that. Staff #16 reviewed the resident's records on her laptop and responded on 10/10/25. Staff #16 was asked to open the document and tell the surveyor why there was an error next to the document. Staff #16 opened the document and said that the error indicated that the document was not complete and signed off. Staff #16 was then asked who the social worker working on the document was. Staff #16 stated that the social worker was no longer working at 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-25 · tag F0908 — failed to keep essential equipment working — isolated
  Keep all essential equipment working safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interviews it was determined the facility failed to maintain patient care equipment in working operating conditions. This was evident for 1 resident #83 out of 5 residents reviewed for patient care equipment. The findings include:During observational rounds and interview on 02/18/2026 at 7:45 AM with Staff #22, Resident #83's bed was observed having a pressure reducing mattress and pump that was not on and not working. Staff #22 confirmed this observation and was unable to get the air mattress pump to work and stated, It is not working and I will have someone come and look at it. Review of Resident #83's medical record on 02/18/2026 at 11:30 AM revealed an order dated 10/28/2025 for Resident #83 to have a pressure reducing mattress every shift.During observational rounds and interview on 02/19/2026 at 9:15 AM with the Director of Nursing, Staff #3, Resident #83's bed was still observed having a pressure reducing mattress and pump that was not on and not working. Staff #3 stated, I will get Maintenance to look at it. During an interview on 02/20/2026 at…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-10-10 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  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 record review and interview, it was determined that the facility failed to update the comprehensive care plan. This was found to be evident for 1 (Resident #11) out of 12 residents reviewed for care plans.The findings include:According to the Centers for Medicare & Medicaid Services (CMS), a comprehensive care plan is a detailed, individualized plan developed for each resident that addresses the resident's medical, nursing, psychosocial, and functional needs. The care plan specifies interventions, services, and treatments required to meet the resident's needs and achieve the desired outcomes, and it must be reviewed and updated regularly to reflect any changes in the resident's condition or care requirements.On 10/08/2025 at 8:57 AM, this surveyor conducted a record review of Resident #11's progress notes. A Skin and Wound Note documented, Patient has new wounds to [Resident #11's] bilateral buttocks abscess.On 10/08/2025 at 10:14 AM, a review of the documentation for Resident #11's Wound assessment…

  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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-10-10 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of facility-reported incident and a complaint, record review and interview, it was determined that the facility failed to obtain a physician's order prior to performing a straight catheterization. This was evident for 1 (Resident #4) of 14 residents reviewed during the complaint survey. The findings include:A straight catheterization is a procedure where a thin, hollow tube is inserted into the bladder through the urethra to drain urine and then removed after the bladder is empty.On 10/6/25 at 11:24 AM, a review of the facility-reported incident #292100 dated 11/3/24, at 8:27 PM, revealed an incident involving Resident #4 and the alleged Licensed Practical Nurse (LPN #3) and Registered Nurse (RN #4). Both nurses were suspended pending investigation. Also, a complaint #292101 regarding the same issue was reported by Resident #4 on 11/4/25 at 3:34 PM.On 10/7/25 at 8:26 AM, a review of progress notes written on 11/2/24 at 10:40 PM indicated that the Director of Nursing (DON) received a call from Resident #4, who stated that on 11/1/24 around 3:00 AM, 2 nurses collected…

  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 · D2025-10-10 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review and interviews it was determined that the facility failed to provide appropriate wound care. This was evident for 1 (Resident #8) of 1 residents evaluated for pressure ulcer care during the complaint survey.The findings include:A pressure ulcer, also known as a bed sore or decubitus ulcer, is a localized area of skin damage that develops when prolonged pressure or shear forces disrupt blood flow to the tissues resulting in damage to the underlying tissue. Pressure ulcers are staged based on their severity from Stage I (area of persistent redness), Stage II (superficial loss of skin such as an abrasion, blister, or shallow crater), Stage III (full-thickness skin loss involving damage to subcutaneous tissue presenting as a deep crater) or Stage IV (full thickness skin loss with extensive damage to muscle, bone or tendon). During a medical record review on 10/07/25 at 1:17 PM it was revealed that Resident #8 had a Stage #3 pressure ulcer to the sacral area. A Skin and Wound progress note from 8/20/25 written at 6:56 PM reported the sacral wound was…

  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 · Dcited before2025-10-10 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record reviews and interviews it was determined that the facility failed to ensure medical records were accurate. This was evident for 1 (Resident #9) of 12 residents reviewed for accurate medical record documentation during the complaint survey. The findings include:A mediport is a small, implantable device with a catheter, surgically placed under the skin to provide long-term, reliable venous access for medications, blood transfusions, and blood draws.During a medical record review on 10/08/25 at 10:07 AM it was discovered Resident #9 had a mediport in place and had an order starting on 5/04/25 to Flush implanted port monthly every day shift every 1 month starting on the 4th for 28 days. It was revealed the order had been signed off as completed daily from 5/04/25 -5/31/25, 6/04/25 - 6/31/25, 7/01/25, 7/04/25 -7/07/25 on the Treatment Administration Record (TAR).Additional record review revealed that Resident #9 had his/her mediport removed on 6/13/25. The order to flush the mediport monthly continued to be signed off as completed every day from 6/14 -6/30, 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.

  Resident Assessment and Care Planning 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

CMS files one row per role, so the 7 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

This home reported $237K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. 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, FY2023). 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 MD