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Montgomery Village Care Center

19301 Watkins Mill Road, Gaithersburg, MD 20879 · For profit - Limited Liability company · 147 certified beds · (301) 527-2500 Medicare & Medicaid certified

Call the home — (301) 527-2500 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 21 lower-level deficiencies on record (see below)
Insights

On the public record, this home looks stronger than most — but visit before you decide.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • lower-than-typical staff turnover (23% vs 45% nationally) — better care continuity
Worth asking about
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • about 36% of its spending goes to commonly-owned related companies

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

5/5
CMS overall
5 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 5 of 5

Location & what’s nearby

Hospital
★ 1/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
19650 Club House Rd · (410) 970-2640 · Call to confirm hours
Pharmacy
9999 Stedwick Rd · (240) 912-7784 · Call to confirm hours
Grocery
19227 Watkins Mill Rd · (301) 977-6005 · Call to confirm hours
Park
19003 Watkins Mill Rd · (301) 948-0110 · Typically dawn to dusk
Place of worship
10350 Watkins Mill Dr · (301) 987-2023

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

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 5 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 5 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating5★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased14.3%20.4%15.4%typical
Long-stay residents who lose too much weight6.8%5.4%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.5%0.9%better
Long-stay residents with a urinary tract infection0.9%1.5%2.0%better
Long-stay residents with depressive symptoms94.7%22.8%6.5%worse than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury1.8%2.4%3.3%better
Long-stay residents whose ability to walk worsened11.4%22.2%16.1%better
Long-stay residents on antianxiety or hypnotic medication14.4%16.7%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%96.6%95.3%typical
Long-stay residents with pressure ulcers4.8%5.9%4.7%typical
Long-stay residents with worsening bladder/bowel control25.7%25.0%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table11.1%13.8%17.1%better
Short-stay residents who newly got an antipsychotic medication0.8%1.1%1.4%better
Short-stay residents given the seasonal flu vaccine87.9%80.6%79.4%better
Short-stay residents rehospitalized after admission19.6%21.0%22.6%better
Short-stay residents with an outpatient ER visit7.9%9.8%12.0%better
Long-stay hospitalizations per 1,000 resident days1.141.331.67better
Long-stay outpatient ER visits per 1,000 resident days0.491.201.80better

‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

60.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 625 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

60.0%U.S. median 51.5%
Got home and stayed home
16.6%U.S. median 10.7%
Went back to hospital
75.0%U.S. median 56.6%
Met the expected recovery
0.45U.S. median 0.30
Therapy hours / resident / day
0.22hours / resident / day
Physical therapy
0.17hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Met the expected recovery: 75.0% 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 232 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 0.45 therapist hours per resident per day in 2025Q4 — more than 76% of the 13,714 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 19% 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 14% — 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF60.0%CMS range 55.6–63.351.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF16.6%CMS range 14.2–19.010.7%Oct 2022–Sep 2024worse than U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge75.0%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge59.5%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge66.4%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge99.6%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened1.9%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.5%CMS range 5.0–9.97.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.361.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.95
RN hours/ resident / day
0.69
LPN hours/ resident / day
1.95
Aide hours/ resident / day
3.59
Total nurse hours/ resident / day
0.68
RN hoursweekends
22.9%
Total nursing turnover
30.0%
RN turnover

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 3.59 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.95 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.95 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 3.22 hrs/resident/day on weekends vs 3.66 on weekdays — 12% thinner on weekends. RN hours go from 0.96 to 0.58 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 23% 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

9 →
deficiencies at the latest standard inspection (2026-06-05)
9
at the previous standard inspection (2025-04-16)

Deficiencies are unchanged from the previous inspection. 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.

ABCDEFGHIJKL

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.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

  • Potential for harm · D2026-06-05 · tag F0551 — isolated
    Give the resident's representative the ability to exercise the resident's rights.
    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 staff interviews, it was determined that the facility failed to properly identify, verify, and document a legally authorized resident representative to exercise the rights of a resident who lacks capacity. This deficient practice was evident for 2 (Resident #8 and Resident #71) of 2 residents reviewed for rights exercised by representative during the annual survey. The findings include: The BIMS score, short for Brief Interview for Mental Status, comes from a quick test that looks at how well you think, learn and remember. Scores range from 0 to 15. Lower scores can point to difficulties with memory or thinking (cognitive) skills. BIMS score: 13 to 15: Normal thinking and memory (no or very little impairment) 8 to 12: Moderate problems with thinking and memory 0 to 7: Severe problems with thinking and memory 1.) On 06/02/2026 at 11:56 AM, a review of Resident #8's medical records revealed the resident was admitted to the facility on [DATE]. At the time of admission, the residents BIMS…

    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 · D2026-06-05 · tag F0552 — isolated
    Ensure that residents are fully informed and understand their health status, care and treatments.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and staff interviews, it was determined the facility failed to ensure consent for psychotropic medications was obtained and maintained in accordance with resident decision-making capacity. This deficient practice was evident for 4 (Resident #4, Resident #5, Resident #3, Resident#8) of 5 residents reviewed for psychotropic medication consent during the annual survey.The findings include:Psychotropic medication is any drug that affects brain activities associated with mental processes and behavior.1.) On 06/03/2025 at 7:45 AM, a review of Resident #4's medical record revealed that on 11/30/2022, and 12/05/2022, two physicians certified the resident lacked decision-making capacity due to dementia and delirium. Further review of the record showed the facility identified the resident's family member as the substitute decision maker. However, the records failed to show documented evidence that the resident's family accepted or agreed to serve in the role of a surrogate decision maker. Records also showed that on 07/23/2025, the resident's family member consented to…

    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 before2026-06-05 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, it was determined that facility staff failed to properly manage care choices for residents in the absence of an advance directive. This deficient practice was evident for 2 (Resident #16 and Resident #4) of 7 residents reviewed for Advance Directives during the annual survey. The findings include: 1.) On 06/02/2026 at 8:24 AM, a review of Resident #16's medical records revealed the resident was admitted to the facility in February 2025 with multiple medical diagnoses including dementia. At the time of admission, the resident was screened for Advance Directive (AD). Records revealed that an AD form was reviewed with the resident, and a copy was provided; however, the resident declined to formulate an AD. Further review of the medical records revealed that on 04/05/2025, two physicians certified that the resident lacked the capacity to make healthcare decisions due to dementia. The records failed to show documented evidence that the facility made attempts to establish a…

    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 · D2026-06-05 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    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 observation and interviews with facility staff, it was determined that the facility failed to ensure that the environment of resident's care area was kept safe and sanitary. This was evidenced by the paper towel dispenser missing the front cover, which exposed paper towels in the bathroom. This was evident for 2 (Resident #9 and Resident #14) of 160 residents observed during the annual survey. The findings include: On 06/01/2026 at 11:10 AM, during the initial observation of room [ROOM NUMBER] for Resident #9 and #14's bathroom, the front cover of the paper towel dispenser was missing, exposing brown paper towels. The dispenser was located next to the mirror on the wall between the toilet and the sink. On 06/01/2026 at 1:25 PM, the Director of Nursing (DON) was informed that the paper towel dispenser was missing the front cover in Resident's #9 and #14's bathroom and that this was a concern. The DON verbalized understanding. On 06/02/2026 at 9:15 AM, during the second observation of the bathroom for…

    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 · D2026-06-05 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    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 review of resident medical records and staff interviews, it was determined that the facility failed to ensure the Minimum Data Set (MDS) assessment was accurately completed for a resident receiving hemodialysis. This was evident in 1 (Resident #15) of 8 residents reviewed for MDS accuracy during the recertification survey. The findings include: In the long-term care (LTC) setting, MDS stands for Minimum Data Set. It is a federally mandated, standardized clinical assessment tool used in Medicare and Medicaid-certified nursing homes to evaluate every resident's functional, cognitive, and health status. On 6/2/2026 at 12:24 PM, the surveyor interviewed Staff #24 regarding Resident #15's MDS 5 Day assessment dated [DATE]. Staff #24 stated that s/he did not code hemodialysis in Section O of the MDS assessment because there was no documentation in the progress notes indicating the resident had attended hemodialysis. Staff #24 stated there was no other way to determine this information. On 6/3/2026 at 7:30 AM,…

    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 · D2026-06-05 · 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

    Based on interviews and record review, it was determined that facility staff failed to ensure residents responsible party were provided care plan meeting invitations and failed to conduct quarterly care plan meetings within the required timeframe. This deficient practice was evident for 2 (Resident #2 and Resident #5) of 3 residents reviewed for care plans during the annual survey. The findings include: 1.) On 06/01/2026 at 12:33 PM, during an interview, Resident #2, stated they were unsure how often care plan meetings were conducted. The resident further stated they were not certain whether care plan meetings occurred at least every three months. A review of Resident #2's medical records on 06/02/2026 at 9:07 AM revealed the resident's family member was identified as the legal guardian. Further review of the records indicated that care plan meeting invitations were provided to the resident rather than the resident's guardian. The records also revealed a care plan meeting was scheduled in October 2024, and the following care plan meeting was scheduled in March 2026 which exceeded…

    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 · D2026-06-05 · tag F0694 — isolated
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interviews, and record review, it was determined that the facility failed to follow professional standards of practice when administering intermittent intravenous (IV) antibiotic infusions. This was evident for 1 (Resident #53) out of 1 resident observed for IV therapy. The findings include: On 6/1/2026 at 9:49 AM, the surveyor observed Resident #53's IV tubing. The IV tubing was not dated or labeled. On 6/3/2026 at 12:28 PM, the surveyor again observed Resident #53's IV tubing. The IV tubing was not dated or labeled. In addition, the end of the IV tubing was not capped and was connected to the lower port. On 6/3/2026 at 12:31 PM, the surveyor interviewed RN #6 regarding IV tubing practices. Registered Nurse, RN #6 stated that IV tubing should be changed every day and that the end of the IV tubing should be capped when not in use. On 6/3/2026 at 12:41 PM, the surveyor conducted an additional review of Resident #53's medical record. The record revealed an order for an IV antibiotic to be administered every 12 hours. However, there was no physician's order…

    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 before2026-06-05 · 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 review and interviews, it was determined that the facility failed to ensure that residents' Electronic Health Records (EHR) accurately reflected their cognitive status. This was evident for 2 out of (Resident #11 and #93) out of 7 residents reviewed for advanced directives during the recertification survey. The findings include: On 06/01/2026 at 12:18 PM, the surveyor performed a record review. Resident #11's EHR stated that the resident was his/her responsible party. Resident #11 had a medical diagnosis of dementia, a Brief Interview for Mental Status (BIMS) score of 1, and a physicians' certification of incapacity to make an informed decision. Resident #11's discharge summary note from 05/19/26 stated that he/she is alert, oriented, verbalized understanding of all discharge instructions provided and will sign all necessary discharge paperwork prior to discharge. On 06/01/2026 at 12:35 PM, the surveyor performed a record review. Resident #93's EHR stated that the resident was his/her responsible party. Resident #93 had a medical diagnosis of dementia, a Brief…

    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 · D2026-06-05 · 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 and interview with facility staff, it was determined that the facility failed to ensure the environment was maintained in a manner that minimized the potential spread of infection as evidenced by 1) oxygen tubing was on the floor, 2) foley catheter bag was on the floor, and 3) the laundry area. This was evident for 2 (Resident #1, #17) of 160 residents and the laundry area observed during the annual survey. The findings include: 1.) On 06/01/2026 at 8:57 AM, Resident #1's oxygen tubing was observed wrapped around the oxygen concentrator with the nasal cannula, the part of the tubing that goes in Resident #1's nose, was observed on the floor. On 06/01/2026 at 8:59 AM, Staff #8, Registered Nurse (RN) was shown Resident #1's oxygen tubing was on the floor. Staff #8 verbalized that the oxygen tubing being on the floor was an issue and put on gloves, discarded the tubing and went to get new oxygen tubing for Resident #1. 2.) On 06/01/2026 at 8:14 AM, Resident #17's foley catheter was observed on the floor. On 6/01/2026 at 9:10 AM, Resident #17's foley catheter 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-04-16 · tag F0558 — failed to accommodate residents' needs and preferences — pattern
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and staff interviews, it was determined that the facility failed to ensure that call bells were kept within reach for residents to utilize. This was found to be evident for 8 (Residents #3, #23, #45, #49, #53, #73, #99, and #105) of 44 residents observed on the 4th floor of the facility during the recertification survey. The findings include: During observations of the 4th floor of the facility during the morning on 4/3/2025, the surveyor observed call bells on the floor and not within reach of Residents #3, #23, #49, #53, #73, #99, and #105. Further observations by surveyor on 4/4/2025 revealed the call bell on the floor for Resident #45 and call bells on the floor and not accessible for Residents #3, #49, and #73. On 4/7/2025 at 3:30 PM, Geriatric Nursing Assistant (GNA) #15 was interviewed by the surveyor and stated that it is the facility's expectation that call bells are within reach of residents and that facility staff will check when entering and exiting resident rooms that call bells are accessible. The Director of Nursing (DON) was interviewed 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 Rights Deficiencies · Deficient, Provider has date of correction
Show the remaining 11 citations
  • Potential for harm · D2025-04-16 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interviews, it was determined that facility nursing staff failed to follow professional standards of nursing practice when administering medications to residents.This was evident for 1 (Resident # 393) of 39 residents during a random observation on the annual survey. The findings include: Based on complaint MD00214790, allegedly Resident # 396 on two different occassions, medications were found on his/her bed. It was noted to have 5 medications found on the first occassion and 1 medication on the second occurence. On 4/09/2025 at 11:19 AM, two Surveyors entered Resident #393's room to conduct an interview. The surveyors observed a medication cup on top of the overbed table for Resident #393. There were 5 pills inside the medicine cup, unlabeled. Resident #393 stated that it was left by Staff # 24 around 2 minutes ago before the surveyors came in. The Surveyor asked if he/she knew what those pills were. He/She was able to identify a few but not all. While surveyors were interviewing the resident, Staff # 24, registered nurse (RN), came to the room and asked…

    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 · D2025-04-16 · tag F0660 — isolated
    Plan the resident's discharge to meet the resident's goals and needs.
    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 review of resident medical records and interview with facility staff, it was determined that the facility failed to implement an effective discharge process that adequately prepared Resident # 394 for transition to post-discharge care. This was evidenced by the failure to: 1) develop a discharge care plan for Resident # 394, 2) coordinate the referral to an outside provider for the transition of care, 3) order the recommended medical equipment and 4) provide complete and adequate discharge instructions for Resident # 394. This was evident for 1 (Resident #394) of 39 residents reviewed during the annual survey. The findings include: On 4/14/2025 at 10:10 AM, the Surveyor reviewed a complaint, MD00206515, submitted to the Office of Health Care Quality. The facility allegedly failed to adequately coordinate the discharge of Resident #394 from the facility. A record review was conducted for Resident # 394. He/She was admitted to this facility on 5/3/2024 from the hospital due to multiple fractures post fall…

    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 · D2025-04-16 · tag F0661 — isolated
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    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 review of interviews and record review, it was determined that the facility staff failed to provide a resident with a completed discharge summary upon discharge. This was found to be evident for 1 of 39 residents (Resident #335) that were reviewed during the recertification survey. The findings include: On 4/14/2025 at 8:42 AM, the Director of Social Services for the facility was interviewed by surveyors. The Director stated that social services is responsible for arranging home health referrals and discharge paperwork will have contact information for any post facility agencies continuing care in the community. He/She also stated that residents and family members are made aware of any home health agencies that have been sent referrals by the facility. Resident #335's medical record was reviewed on 4/15/2025 at 8:25 AM. Record review revealed that the resident was admitted to the facility on [DATE] for short term rehabilitation after an acute care stay at a hospital due to a fall with fracture. 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 · D2025-04-16 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of resident medical records and interviews with residents and facility staff, it was determined that the facility failed to ensure that the resident received care to promote the highest practicable wellbeing as evidenced by failure to monitor the resident's mood state after an assessment was completed. This was evident for 1 of 39 residents (Resident # 124) that were reviewed during the survey. The findings include: The PHQ-2 to 9 (Patient Health Questionnaire-9), is a brief assessment tool used to screen for and diagnose depression in adults. It is a validated interview that screens for symptoms of depression. It provides a standardized severity score and a rating for evidence of a depressive disorder. The Total Severity Score is a summary of the frequency scores on the PHQ2 to 9 that indicates the extent of potential depression symptoms. This score provides a standard score which can be communicated to the resident's physician, other clinicians and mental health specialists for…

    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 · D2025-04-16 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record reviews, and staff interviews, it was determined that the facility failed to develop an effective method to determine when the oxygen tubing needed replacing. This was found to be evident for 7(Residents #45 # 71, #73, #83, #96, # 107,# 437) of 7 residents reviewed for respiratory care during the annual survey. The findings include: Oxygen therapy is the medical administration of supplementary oxygen to individuals experiencing low blood oxygen levels or conditions that require increased oxygen delivery to the body. It involves providing extra oxygen to the lungs through various methods to improve oxygen saturation in the blood and to support vital functions. 1) An oxygen concentrator is a medical device that uses the air in the atmosphere, filters it, and delivers to the patient air that is 90%-95% oxygen. On 4/3/2025 at 12:30 PM, Resident #83 was observed with an oxygen concentrator with humidity. It was observed that there were no labels indicating the date and time when either the oxygen tubing or the humidifier water filter bottle was present. 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-04-16 · tag F0710 — isolated
    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, family and staff interviews, and record reviews, it was determined that the facility failed to provide supervision for a resident with significant weight loss. This was found to be evident for 1 (Resident # 66) out of 1 resident reviewed for weight loss. The findings include: According to the Centers of Medicare and Medicaid (CMS) a significant weight loss is defined as: 5% in one month; 7.5% in 3 months; or 10% in 6 months. On 04/03/25 at 12:13 PM, Resident #66 was observed sitting in a wheel chair near the nurses station desk and appeared frail. Resident # 66 was unresponsive to interview attempts. During interview on 04/03/25 at 12:52 PM, Resident # 66's family member reported that her mother had dementia, a very poor appetite, and was losing weight. Record reviewed on 4/3/2025 at 1:00 PM, showed that on 03/10/2025, the resident weighed 107.8 lbs. On 04/02/2025, the resident weighed 102.0 pounds which is a -5.38 % loss in 23 days. A record review on 4/3/2025 at 11:00 AM, revealed that Resident # 66's weight loss was identified and documented by 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-04-16 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation of the medication carts on unit 1 and unit 3 and interviews with facility staff it was determined that the facility failed to ensure that medications were stored appropriately, and that wasted medication was disposed of properly. This was evident with 3 out of 4 medication carts reviewed during the medication storage facility task. The findings include: On Monday, April 7, 2025, at 11:25 AM-While performing the Medication Storage facility task, the surveyor discovered 21 loose pills in the back of the 2nd drawer of medication cart 2 and 2 loose pills and an unmarked pharmacy type medication bottle with approximately 20 quarter tablets in the drawer on medication cart 1on unit 1. While interviewing the Nurse Manager on unit 1, the Unit Manager stated that it can be a problem of the blister packs and that he would educate the nurses on checking for and disposing of any lost pills. While conducting the Medication Storage facility task on unit 3 at 1:30 PM on Monday, April 7, 2025, the surveyor discovered 2 loose pills in the back of the 2nd drawer of medication…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-04-16 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, it was determined the facility staff failed to maintain an accurate wound treatment order for a pressure ulcer. This was evident for 1 (Resident #56) of 39 residents reviewed during this annual survey. The findings include: A medical record is the official documentation for a healthcare organization. As such, it must be maintained in a manner that follows applicable regulations, accreditation standards, professional practice standards, and legal standards. All entries to the record should be legible and accurate resident records. The sacrum is primarily considered part of the back, specifically the lower back. It is located at the base of the spine and forms the back wall of the pelvis. A Stage 4 pressure ulcer, also known as a bedsore, is the most severe stage, characterized by full-thickness skin loss with exposed bone, muscle, tendon, or ligament. On 04/07/25 at 11:24 AM, a record review was conducted for Resident # 56. He/She was admitted to this facility…

    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 · D2025-04-16 · tag F0908 — failed to keep essential equipment working — isolated
    Keep all essential equipment working safely.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interviews, the facility failed to provide safe, functioning equipment in the shower room. This was found to be evident for 1 out of 6 shower chairs observed in the 2nd floor shower room. The findings include: On 04/07/25 at 10:40 AM, the surveyor observed a broken shower chair in a shower stall in the second-floor shower room. The chair's seat was wet with large puddles, had a large crack, and one leg was pushed through the seat, creating a jagged edge. On 04/07/25 at 10:50 AM, interviews with GNA#6 and GNA #7 confirmed that the broken chair was wet and appeared to have been recently used. GNA #6 stated, we typically call maintenance to remove broken equipment. On 04/07/25 at 11:17 AM, the Director of Nursing (DON) acknowledged the concern about the broken chair being used and stated maintenance would be called to remove it. The chair was subsequently removed from the second-floor shower room.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-01-28 · 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 surveyor review of clinical records and staff interviews, it was determined that the facility staff failed to implement a resident's wishes as stated in an advance directive, and failed to verify the authority of a medical decision maker on a Maryland Medical Orders for Life-Sustaining (MOLST) form. This finding was evident for 1 of 3 residents reviewed for advance directive care area (Resident #72). The findings include: A MOLST is a portable and enduring medical order form covering options for cardiopulmonary resuscitation and other life-sustaining treatments. Advance directive is a written instruction, such as a living will or durable power of attorney for health care, recognized under State law (whether statutory or as recognized by the courts of the State), relating to the provision of health care when the individual is incapacitated. On 01-25-2021, a review of Resident #72's clinical record revealed the resident had an advance medical directive which stated that the resident required to be certified incompetent for making informed medical decisions before Resident…

    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 before2021-01-28 · 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 — the official record, unedited, may be distressing

    Based on medical record review, resident interview and staff interview, it was determined that the facility staff failed to maintain complete and accurate medical records for residents. This finding was evident for 1 of 26 residents reviewed during survey ( Resident #88). The findings include: On 01-25-2021 at 10:00 AM, surveyor interview with Resident #88 revealed the resident received a lab report on 12-11-2020 which had the wrong room number. On 01-26-2021 review or Resident #88's clinical record revealed her/his lab report on 12-11-2020 had her name and date of birth correct but had wrong room number. On 01-27-2021 at 5:00 PM unit manager accompanied by facility administrator came to surveyor and provided evidence that the resident had blood draw order on 12-11-2020. They said the nurse who filled out the lab requisition form might have entered wrong room number on the form. On 01-28-2021 at 3:00 PM, an interview with DON revealed no additional information.

    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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleShareSince
MONTGOMERY OPERATOR HOLDCO, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 03/01/2022
GREEN, DOVIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 03/01/2022
MERMELSTEIN, BORUCHIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 03/01/2022
ZAGER, NACHUMIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 03/01/2022
LOFTON, CHRISTOPHERIndividualW-2 MANAGING EMPLOYEE—since 03/01/2022
STERN, SAMUELIndividualCORPORATE OFFICER—since 03/01/2022

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.

$24.6M
Net patient revenuemost recent cost report
+2.1%
Operating marginrevenue minus expenses
$8.6M
Related-party expense36% of expenses
Who pays — share of resident-days
Medicaid 58%Medicare 34%Other / private 8%

This home reported $8.6M paid to related parties — landlords or management companies under common ownership — equal to about 36% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

$462per resident / day
operating cost
$14,052per month
≈ monthly operating cost
$472per day
avg. revenue, all payers

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

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Maryland Medicaid page.

Typical monthly cost in Maryland
$12,927/mo
Nursing home (semi-private)
$14,448/mo
Nursing home (private)
$7,173/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-09-01 — CMS provider number 215272. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-06-05, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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