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Tuckerman Rehabilitation And Healthcare Center

5550 Tuckerman Lane, North Bethesda, MD 20852 · For profit - Corporation · 41 certified beds · (301) 897-8566 Medicare & Medicaid certified

Call the home — (301) 897-8566 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citations — no harm found (F0605, F0610) — most recent Nov 2025Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

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

In its favor
  • a strong health-inspection score (5/5) — 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 (36% vs 45% nationally) — better care continuity
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (23) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its last standard health inspection was over 5 years ago — the star rating may not reflect current conditions

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 5 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 5 of 5

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
11119 Rockville Pike · (301) 230-8989 · Call to confirm hours
Pharmacy
11125 Rockville Pike Ste 102 · (301) 881-3828 · Call to confirm hours
Grocery
10401 Grosvenor Pl · (301) 493-6217 · Call to confirm hours
Park
10800 Gloxinia Dr · (301) 495-2595 · Typically dawn to dusk
Place of worship
5409 Hillery Way · (240) 787-1517

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
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
Short-stay residents who newly got an antipsychotic medication0.2%1.1%1.4%better
Short-stay residents given the seasonal flu vaccine73.1%80.6%79.4%typical
Short-stay residents rehospitalized after admission19.2%21.0%22.6%better
Short-stay residents with an outpatient ER visit8.4%9.8%12.0%better

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.

65.4% 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 462 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

65.4%U.S. median 51.5%
Got home and stayed home
12.4%U.S. median 10.7%
Went back to hospital
73.4%U.S. median 56.6%
Met the expected recovery
0.33U.S. median 0.31
Therapy hours / resident / day
0.12hours / resident / day
Physical therapy
0.15hours / resident / day
Occupational therapy
0.05hours / resident / day
Speech therapy

Met the expected recovery: 73.4% 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 79 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 0.33 therapist hours per resident per day in 2026Q1 — more than 55% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 30% 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.

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 SNF65.4%CMS range 60.7–68.751.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF12.4%CMS range 9.8–15.310.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge73.4%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 discharge78.5%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 discharge65.8%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 discharge100.0%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 stay1.6%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 worsened2.8%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 hospitalization7.3%CMS range 4.5–10.57.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.111.02Oct 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

1.13
RN hours/ resident / day
0.80
LPN hours/ resident / day
1.92
Aide hours/ resident / day
3.84
Total nurse hours/ resident / day
0.83
RN hoursweekends
35.7%
Total nursing turnover
22.2%
RN turnover

How full it usually is: this home is certified for 41 beds and averages 34.3 residents a day — about 84% occupied, or roughly 7 beds typically open. It usually has some room. 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 3.84 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.13 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.92 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 3.51 hrs/resident/day on weekends vs 3.98 on weekdays — 12% thinner on weekends. RN hours go from 1.25 to 0.83 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%.

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

1
deficiencies at the latest standard inspection (2021-02-25)
3
at the previous standard inspection (2019-07-03)

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.

This trend is not current. The most recent of these two inspections was over 5 years ago; the arrow describes what inspectors found then, not what the home is like now.

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.

23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.

  • Potential for harm · E2025-11-05 · tag F0627 — pattern
    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/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 record review and interview, it was determined that the facility discharged a resident without an appropriate reason and failed to appropriately document the discharge of a resident. This was evident for 2 (#3 and #4) of 2 residents reviewed for an inappropriate discharge. The findings include:Hospice care - focuses on the care, comfort, and quality of life of a person with a serious illness who is approaching the end of life. It is a service covered under Medicare Part A, but if a resident is in a nursing facility, they may have to pay room and board. Notice of Medicare Non-Coverage (NOMNC) is issued to a resident when their Medicare Part A coverage is going to end. Medicare Part A designates a certain number of days it will cover a stay in a nursing home. Advanced Beneficiary Notice (ABN) is issued to a resident when services they are receiving will not be covered by Medicare any longer. Such as, therapy services. 1. A medical record review for Resident #3 on 10/28/25 at 9:44 AM revealed a discharge…

    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 · E2025-11-05 · tag F0628 — pattern
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, it was determined that the facility failed to issue a 30-day notice to residents when they planned to discharge them. This was evident for 2 (#3 and #4) of 2 residents reviewed for an inappropriate discharge. The findings include:Notice of Medicare Non-Coverage (NOMNC) is issued to a resident when their Medicare Part A coverage is going to end. Medicare Part A designates a certain number of days it will cover a stay in a nursing home. 1. A medical record review for Resident #3 on 10/28/25 at 9:44 AM revealed the Social Services Director (SSD) wrote on 6/16/25 that she attempted to issue a Notice of Medicare Non-Coverage (NOMNC) with the last date of coverage as 6/18/25 and a discharge date of 6/19/25. She noted the family declined to sign it, and she explained to them that the resident cannot be in hospice care at the facility. (A NOMNC was not required for a resident who was choosing hospice care because these services were covered by Medicare, but the resident's room and board may not be covered). Further review of the medical record failed 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 · D2025-11-05 · 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

    Based on record review and interview, it was determined that the facility failed to honor the wishes of the resident representative and allow the resident to stay at the facility while receiving hospice services. This was evident for 1 (#3) of 2 residents reviewed for discharge. The findings include:An interview with Resident #3's representative (RR) on 10/30/25 at 1:39 PM revealed that they were informed by the Social Services Director (SSD) the facility wanted to discharge the resident because they were unable to provide hospice services at the facility. The RR reported that s/he told facility staff they wanted the resident to stay at the facility and receive hospice care instead of taking the resident home. The RR reported that it was after they appealed the discharge two times, attempted to find another nursing home but were denied because of the wound care, and feeling pressured by facility staff to take the resident home; they finally took the resident home. A medical record review on 10/28/25 at 9:44 AM revealed a progress note dated 6/18/25 written by the SSD, that…

    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 · D2025-11-05 · tag F0605 — failed to not use drugs as a restraint — isolated
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, it was determined that facility staff failed to ensure that residents were free of chemical restraints and that PRN (as needed medications) psychotropics were limited to 14 days. This was evident for 1 (#4) of 2 residents reviewed for discharge. The findings include:A review of the transferring facility's medication list for Resident #4 on 11/4/25 at 11:00 AM revealed the resident was on quetiapine (an antipsychotic medication) for sundowning since 3/12/25 and lorazepam as needed every 8 hours for anxiety since 5/16/25. A medical record review on 10/30/25 at 11:40 AM for Resident #4 revealed a an informed consent form for use of psychotropic (mind altering drugs to include antipsychotics and antianxiety medications) medications that documented the resident was on quetiapine and lorazepam because all nonpharmacological approaches had been attempted with no alleviation of the symptoms, however this form was signed on the day the resident was admitted to the facility. A review of the physician's orders revealed an order for lorazepam 0.5 mg tablet…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-11-05 · tag F0620 — isolated
    Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, it was determined that the facility failed to inform residents and/or resident representatives about limitations in the care services that they provided. This was evident for 1 (#3) of 2 residents reviewed for discharge.The findings include:Hospice care - focuses on the care, comfort, and quality of life of a person with a serious illness who is approaching the end of life. On 11/3/25 at 2:15 PM a review of the facility admission packet, that was signed by Resident #3, was conducted. In section 2, care and services, ancillary it read that hospice services were provided. In section 3, transfers and discharges it read that resident will not be discharged unless the following criteria which did not include the need for hospice care or long-term care. In addition, the section regarding Medicaid coverage read, the facility participated in the Medicaid program and had a provider agreement with the state. There was no indication that there were limited services provided by the facility. A medical record review 10/28/25 at 9:44 AM revealed the discharge…

    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 · D2025-04-25 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record reviews and interviews, it was determined that the facility failed to ensure a thorough investigation was completed for allegations of abuse. This was found to be evident for 2 (Resident #189 & 180) out of 8 Residents investigated for abuse during the recertification and complaint survey. The findings include: A review of the Facility Reported Incident (FRI) MD00183205 conducted on 04/24/25 at 9:07 AM revealed an allegation of abuse for Resident #189. The facility investigated the allegation of abuse, however failed to interview staff and obtain statements. During an interview conducted on 04/24/2025 at 10:19 AM, the Director of Nursing (DON) reviewed the facility ' s investigation and confirmed the investigation did not include staff interviews and statements. The DON further stated that he would look for staff statements and would follow up. The DON returned on 04/24/2025 at 12:03 PM and advised this surveyor that he was unable to locate staff interviews and statements. A review of the Facility Reported Incident (FRI) MD00181282 conducted on 04/25 /25 at 7:05 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-02-25 · tag F0773 — isolated
    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, clinical record review and staff interview, it was determined that the facility's staff failed to promptly notify the ordering physician of laboratory results for 1 of 5 residents selected for review of Unnecessary Medications during the survey (Resident #122). The findings include: On 02-24-2021, review of Resident #122 physician's orders revealed that the primary doctor ordered a thyroid-stimulating hormone (TSH) test on 02-12-2021. Further record review revealed a lab report dated 02-13-2021 that documented the TSH result was pending. On 02-24-2021 at 3:00 PM, surveyor interviewed the Director of Nursing (DON) about the pending TSH result and she said she would follow up. On 02-24-2021 at 4:07 PM, the DON provided the TSH result that was reported by the lab on 02-16-2021 with a result of 8.37 (H) which was out of reference range (0.35-5.50 uIU/mL). Further interview revealed the staff didn't notify the physician of the results until after surveyor inquired about the results on 02-24-2021.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2019-07-03 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on surveyor observation and staff interviews, it was determined that the facility staff failed to store and serve food under sanitary conditions. This finding was evident in the facility's kitchen, dining room and passing of trays during Lunch observation. The findings include: 1. On 07-01-19 at 09:01 AM, surveyor tour of the kitchen revealed the following: A. Rotting lemons in a hard carton box among other non-spoiled lemons, middle shelf of walk-in refrigerator. B. Unlabeled one bag of carrots and 2 bags of bread, upper shelf and middle shelf of walk-in refrigerator C. Uncovered one bag of salad, middle shelf of walk-in refrigerator. D. Open and unlabeled one pack of frozen chicken and one pack of frozen burgers, middle shelf freezer room. E. Unlabeled and loosely covered with paper towel one strawberry cake, middle shelf freezer room. F. Three cartridges labeled Butane sitting next to food, middle shelf dry area food. On 07-01-19 at 09: 20AM, surveyor interview with the Dietary Manager revealed no further information. 2. On 07-01-19 at 12:20 PM surveyor observed 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-07-03 · 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 resident interview, staff interview and record review, it was determined that facility staff failed to provide timely treatment and care. This was evident for 1 of 17 residents selected to review during the survey (#77). The findings include: On 07-01-19 at 10:30 AM, surveyor interview of resident #77 revealed that he/she was having a burning sensation on urination. Resident #77 was alert and oriented to self, time, place and situation. Resident #77 said he/she had not informed nursing staff or physician about it. However, resident #77 said he/she will talk to staff about his/her condition. On 07-02-19 10:54 AM, surveyor interview with resident #77 revealed that the burning sensation on urination had gotten worse and he/she talked to the evening nursing staff the night before. On 07-02-19 10:32 AM, surveyor interview with staff #2 revealed that resident #77 had not complained of burning on urination and was afebrile. Staff #2 said she/he did not get any report on the resident's condition from the previous shift nursing staff. Staff #2 said he/she will talk to resident #77…

    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 · D2019-07-03 · 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 surveyor observation and interview of facility staff, it was determined that the facility staff failed to inspect and maintain an electrically powered air mattress in safe operating condition. This finding was evident for 1 of 17 residents selected for review during the survey (#19). The findings include: On 07-01-19 at 1PM, surveyor observation revealed that resident # 19 was laying on an electrically powered air mattress. However, the mattress on the bed was deflated. Surveyor made staff #1 aware. He/she unplugged the mattress power cord and plugged it back in the same wall plug. He/she said it was fixed. Surveyor saw on/off switch in the mattress had light on which indicates electrical power is on. Surveyor noted that the mattress was re-inflated. On 07-02-19, at 9AM, surveyor observed resident #19 laying on the deflated mattress again. Surveyor observed mattress power cord was plugged in wall plug but the on/off switch in the mattress had no light on which indicated that the electrical power was off. Surveyor made the Director of Nursing (DON) aware. The DON came 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.

    Environmental Deficiencies · Deficient, Provider has date of correction
Show the remaining 13 citations
  • Potential for harm · Ecited before2018-05-14 · tag F0684 — failed to provide proper treatment and quality of care — pattern
    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 surveyor review of the clinical records, observation of staff practice and interview of facility staff, it was determined that the facility staff failed to provide care and treatment to meet an individual's need as ordered. This finding was evident for 4 of 16 residents selected for review during the survey process (#1, #73, #20, and #122). The findings include: 1. On 05-09-18 at 11AM, resident #1 was observed playing piano in the sitting room. The resident was alert, but only oriented to name. The facility staff provided total assistance to the resident for activities of daily living. On 05-10-18, review of a nursing note, dated 03-13-18, revealed that the director of rehabilitation (DOR) requested a physician's order to evaluate resident #1's sitting and repositioning. Further review of the Minimum Data Set (MDS), dated [DATE], revealed the resident had impairment on both lower extremities. The MDS is an assessment tool used to assess an individual's physical and functional status. However, there 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 · E2018-05-14 · tag F0842 — failed to keep accurate, complete medical records — pattern
    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 surveyor review of the clinical records and interview of facility staff and the consultant, it was determined that the facility staff failed to obtain a psychiatric nurse practitioner's progress notes timely. This finding was evident for 3 of 16 residents selected for review during the survey process (#12, #20, and #21). The findings include: 1. On 05-08-18 at 12:30 PM, resident #12 was observed eating lunch in the dining room with others. The resident was alert, but oriented to name only. On 04-27-18, a psychiatric nurse practitioner (NP) increased an anti-depressant, Lexapro, from 10 mg to 15 mg for depression. However, there was no NP's progress note available for review on 05-09-18, which was 12 days after the NP wrote the order. On 05-09-18 at 4 PM, interview of the director of nursing (DON) revealed no additional information. On 05-11-18 at 8:30 AM, interview of the NP revealed that the NP documented his/her assessment electronically. Then, the progress note would be sent electronically in 24 hours after the visit. The NP did not know why the progress note 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2018-05-14 · tag F0880 — failed to prevent and control infections — pattern
    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 surveyor observation of staff practices, review of the clinical records and facility policy, and staff interviews, it was determined that the facility staff failed to use the correct transmission-based precautions for two residents with infections. This finding was evident for 2 of 16 residents selected for review during the survey process (#16 and #122). The findings include: 1. On 05-09-18 at 7:40 AM, surveyor observation of resident #16's door frame, revealed a sign stop see nurse for instructions; there was a cart near the doorway that held PPE (personal protective equipment). Personal protective equipment is equipment worn to minimize exposure to and transmission of infections. On 05-09-18 at 8 AM, surveyor review of the clinical record for resident #16 revealed a diagnosis of chronic C-diff colitis and had been on contact precautions since 04-03-18. Clostridium difficile infection (C-diff) is a symptomatic infection due to the spore-forming bacterium, Clostridium difficile. Symptoms include watery diarrhea, fever, nausea, and abdominal pain. In the health care…

    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 · D2018-05-14 · 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 surveyor review of the clinical records, observation of resident and staff practice, and interview of a family member and the facility staff, it was determined that the facility staff failed to honor an individual's advance directives. This finding was evident for 2 of 3 residents selected for review of advance directives (#1, #22). The findings include: 1. On 05-09-18, review of resident #1's living will, signed in 2008, revealed the resident's instructions: not to do any form of surgery or invasive diagnostic test when he/she became incompetent, incapacitated or in any way permanently unable by reason of a physical and /or mental disability to participate in decisions regarding medical care. In 2015, two physicians determined that resident #1 was in a terminal condition. Further review of the Maryland Medical Orders for Life-Sustaining Treatment (MOLST) form, which was signed in [DATE], revealed instructions were written to only perform limited medical tests necessary for symptomatic treatment or…

    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 · D2018-05-14 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on surveyor review of the clinical records, observation of resident and staff practice, and interview of a resident, a family member, facility staff and a consultant, it was determined that the facility staff failed to notify the responsible parties when a change of treatment was made. This finding was evident for 2 of 2 residents selected for review of notification of change (#12 and #20). The findings include: 1. On 05-08-18 at 12:30 PM, resident #12 was observed eating lunch in the dining room with others. The resident was alert, but oriented to name only. The resident required assistance with activities of daily living. On 05-10-18, review of the interdisciplinary care conference/meeting note revealed a care plan meeting was held on 04-24-18. At that time, the resident had no change in mood. On 04-27-18, a psychiatric nurse practitioner (NP) increased an anti-depressant medication, Lexapro, from 10 mg to 15 mg for depression for resident #12. However, there was no evidence that the resident's responsible party was notified about this change. See F 758 & F 842. On 05-10-18…

    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 · D2018-05-14 · tag F0678 — failed to provide CPR when needed — isolated
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on surveyor review of the clinical record and staff interviews, it was determined that the facility staff failed to address how resident preferences and physician orders related to CPR are communicated throughout the facility so that staff know immediately what action to take or not take when an emergency arises. This finding was evident for 1 of 1 resident selected for review of resident death (#22). The findings include: An advance directive is a written statement of a person's wishes regarding medical treatment, made to ensure those wishes are carried out should the person be unable to communicate them. Code status refers to whether or not a person wishes to have cardiopulmonary resuscitation (CPR). On 05-11-18 at 1 PM, surveyor review of the closed clinical record for resident #22 revealed that, on 03-05-18, he/she was found unconscious, pulseless and not breathing. The facility staff initiated cardiopulmonary resuscitation (CPR) prior to determining the code status. When it was discovered that resident #22 had an advance directive for no CPR, the staff stopped CPR. 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 · D2018-05-14 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on surveyor review of the clinical records and interview of the facility staff, it was determined that the facility staff failed to ensure that an individual was free from excessive dosage of an antibiotic therapy for a prolonged period of time. This finding was evident for 1 of 7 residents selected for medication regimen review (#7). The findings include: On 05-11-18, review of the clinical record revealed that resident #7 was re-admitted to the facility in May 2017 following a hospitalization. In May 2017, a new order was written to clean the suprapubic site with normal saline solution, pat dry, apply Bacitracin ointment on the suprapubic site every day shift for infection control, and cover with a dry dressing. Bacitracin is an antibiotics to prevent bacterial infections. Further review of Medication Administration Record (MAR) for resident #7 revealed that Bacitracin was being used daily between May 2017 and May 2018. However, there was no clinical rationale documented to explain the continuous use of Bacitracin in the past 12 months. On 05-11-18 at 2:30 PM, interview of…

    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 · D2018-05-14 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on surveyor observation, review of the clinical records and interview of a family member, facility staff and consultant, it was determined that the facility staff failed to ensure that an individual receive anti-depressants with appropriate clinical indications. This finding was evident for 2 of 7 residents selected for medication regimen review (#12 and #20). The findings include: 1. On 05-08-18 at 12:30 PM, resident #12 was observed eating lunch in the dining room with others. The resident was alert, but oriented to name only. On 05-10-18, review of the interdisciplinary care conference/meeting notes revealed a care plan meeting was held on 04-24-18. There was no change in the resident's mood status in the past 3 months. Further review of a physician's order revealed that a psychiatric nurse practitioner increased an anti-depressant, Lexapro, from 10 mg to 15 mg on 04-27-18 due to depression, but there was no clinical assessment available for review to support the change of Lexapro. See F 842. In addition, review of the resident's behavior sheet for April 2018 revealed no…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2018-05-14 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on surveyor observation, review of the clinical record and staff interviews, it was determined that the facility staff failed to ensure that medication error rates were not 5 percent or lower. This finding was evident during the surveyors' observation of medication administration. The findings include. Medication administration observations were conducted by 2 surveyors on 05-09-18 at 5 PM and 05-10-18 at 9:45AM and 10AM. Surveyors observed 27 opportunities with the outcome of 2 errors. The result was a medication administration error rate of 7.4%. On 05-10-18 at 9:45AM, surveyor observation of medication administration by the nurse (staff #3) revealed that 9 medications were given to resident #21. On 05-10-18 at 10:30 AM, surveyor review of the clinical record for resident #21 revealed that, in addition to the medications that were administered, 2 other medications were scheduled to be given at 10 AM: metoprolol 12.5 mg (cardiac/hypertensive medication) and one multivitamin tablet. The nurse initialed the two medications on the May 2018 Medication Administration to indicate…

    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
  • No harm found · C2018-05-14 · tag F0814 — failed to dispose of garbage properly — widespread
    Dispose of garbage and refuse properly.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on surveyor observation of the building and interview of the facility staff, it was determined that the facility staff failed to maintain the garbage storage in a sanitary condition. The findings include: On 05-08-18 at 12:20 PM, and 05-09-18 at 7:45 AM, the surveyor observed the garbage storage area at the back of the facility building. There were over 20 cardboard boxes and old furniture (hospital bed frames, commode, and dresser) left next to a recycle dumpster. In addition, the lid of the recycle dumpster was open due to the overflow cardboard boxes. Haystacks were stored at the back of the recycle dumpster. On 05-09-18 at 8 AM, interview of the food service manager revealed that the maintenance department was responsible to schedule the recycle dumpster and junk pick up. On 05-09-18 at 12: 30 PM, interview of the administrator revealed that the last recycle dumpster and junk pick up was done in March 2018. Failure to maintain garbage storage in a sanitary and orderly condition could cause harborage and feeding of pests.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2018-05-14 · tag F0655 — pattern
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    What the surveyor found here — the official record, unedited, may be distressing

    Based on surveyor review of the clinical record and interview of a resident and the facility staff, it was determined that the facility staff failed to develop a baseline care plan within 48 hours after admission (#73). This finding was evident for 1 of 5 residents who were admitted within 30 days of the survey. The findings include: On 05-09-18 at 8:30 AM, interview of resident #73 revealed the resident was admitted to the facility in the evening on 05-05-18 following a hospitalization. On 05-10-18, review of the clinical record revealed that an anticoagulant (blood thinner), Eliquis, was prescribed twice a day upon admission for resident #73. However, there was no evidence that a baseline care plan was developed to address the use of the anticoagulant. On 05-11-18 at 2 PM and 05-14-18 at 9 AM, interview of the director of nursing revealed no additional information.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2018-05-14 · tag F0656 — failed to write and follow a full care plan — pattern
    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 surveyor review of the clinical records, observation of resident and staff practice and interview of the facility staff, it was determined that the facility staff failed to develop a person-centered care plan for an individual. This finding was evident for 2 of 16 residents reviewed for comprehensive care plans (#11 and #122). The findings include: 1. On 05-08-18 at 10:30 AM, resident #11 was observed wearing a left hand splint during lunch on 05-08-18. The resident was alert and oriented to name only. On 05-11-18 at 10 AM, interview of staff #1 revealed resident #11 required total assistance with all activities of daily living. Review of the Minimum Data Set (MDS) assessment dated on 02-10-18, 11-10-17 and 08-12-17 revealed resident #11 had impairment on the left upper extremity and bilateral (both) lower extremities. The MDS is an assessment tool to reflect an individual's physical and functional status completed at least quarterly and with a change in condition. Further review revealed a care plan related to the resident's left upper extremity was developed in 2017.…

    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
  • No harm found · B2018-05-14 · tag F0867 — failed to act on quality-improvement findings — pattern
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    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 surveyor review of the Quality Assurance (QA) minutes and interview of the administrator, it was determined that the QA committee failed to conduct ongoing monitoring of complaint and grievances. In addition, the QA committee failed to evaluate quality of care for an individual, who expired in the facility. The findings include: 1. On 05-14-18, review of the QA minutes between [DATE] and [DATE] revealed that there was no data related to complaints and grievances collected during monthly QA meeting. Further review of the complaint book revealed a family member filed a complaint about the course of the antibiotic therapy in [DATE]. On 05-14-18 at 12:30 PM, interview of the administrator revealed no additional information. 2. On 05-14-18, review of the closed record revealed resident #22's code status was no CPR (cardiopulmonary resuscitation). However, the director of rehabilitation (DOR) immediately performed CPR when resident #22 was found unconscious with no pulse and respiration in [DATE]. See F 578.…

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

    Administration Deficiencies · Deficient, Provider has date of correction

“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.

Part of a chain

This home belongs to MARQUIS HEALTH SERVICES — 87 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 5 of 53.0+2.0 vs chain
Health inspection 5 of 52.6+2.4 vs chain
Staffing 3 of 52.3+0.7 vs chain
Quality measures 5 of 54.3+0.7 vs chain
The other 86 homes this chain runs (chain average 3.0★, per CMS)
1 of 5Avalon Rehabilitation And Healthcare CenterHamilton, NJ 1 of 5Bay Harbor Post Acute Healthcare CenterSalisbury, MD 1 of 5Blueberry Hill Rehabilitation And Healthcare CtrBeverly, MA 1 of 5Canterbury Rehabilitation And Healthcare CenterRichmond, VA 1 of 5Cape Cod Post Acute CareBrewster, MA 1 of 5Crest Pointe Rehabilitation And Healthcare CenterPt Pleasant, NJ 1 of 5Highland Park Rehabilitation And Healthcare CenterChelsea, MA 1 of 5Mount Holly Rehabilitation & Healthcare CenterLumberton, NJ 1 of 5Nashua Post Acute CareNashua, NH 2 of 5Arbor Ridge Rehabilitation And Healthcare CenterWayne, NJ 2 of 5Atlantic View Post AcuteNewport News, VA 2 of 5Bayview Rehabilitation and Healthcare CenterNorth Kingstown, RI 2 of 5Collingswood Rehabilitation And Healthcare CenterRockville, MD 2 of 5Elmhurst Rehabilitation and Healthcare CenterProvidence, RI 2 of 5Graduate Post AcutePhiladelphia, PA 2 of 5Heritage Hills Nursing & Rehabilitation CenterSmithfield, RI 2 of 5Laurel Brook Rehabilitation And Healthcare CenterMount Laurel, NJ 2 of 5Lawrence Rehab & Hcc/The Meadows At LawrenceLawrenceville, NJ 2 of 5Lawrence Rehabilitation HospitalLawrenceville, NJ 2 of 5Lighthouse Rehabilitation And Healthcare CenterRevere, MA 2 of 5Lincolnwood Rehabilitation and Healthcare CenterNorth Providence, RI 2 of 5North End Rehabilitation And Healthcare CenterBoston, MA 2 of 5Orchard Hill Rehabilitation And Healthcare CenterTowson, MD 2 of 5Palm Springs Post AcuteChelmsford, MA 2 of 5Riverview Healthcare CommunityCoventry, RI 2 of 5Roosevelt Rehabilitation And Healthcare CenterPhiladelphia, PA 2 of 5Southampton Rehabilitation And Healthcare CenterRichmond, VA 2 of 5Springfield Rehabilitation And Healthcare CenterSpringfield, PA 2 of 5West Chester Rehabilitation And Healthcare CenterWest Chester, PA 2 of 5Westgate Hills Rehab & Healthcare CtrBaltimore, MD 2 of 5Willow Brook Rehabilitation And Healthcare CenterWilmington, MA 2 of 5YORK Post AcuteYorktown, VA 3 of 5Alexandria Rehabilitation And Healthcare CenterAlexandria, VA 3 of 5Aspen Hill Rehabiliation & Healthcare CenterHaverhill, MA 3 of 5Belmont Bay Rehabilitation And Healthcare CenterWoodbridge, VA 3 of 5Brighton Post Acute CareBrighton, MA 3 of 5Cambridge Rehabilitation And Healthcare CenterMoorestown, NJ 3 of 5Capitol Rehabilitation And Healthcare CenterHarrisburg, PA 3 of 5Chelsea Rehabilitation And Healthcare CenterGoochland, VA 3 of 5Exton Post AcuteExton, PA

Showing 40 of 86; lowest-rated first.

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleSince
QUINTO NEXGEN LLCOrganizationDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 05/01/2023
SKILLED VENTURE LLCOrganizationDIRECT OWNERSHIP INTERESTsince 05/01/2023
UKR NEXGEN LLCOrganizationDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 05/01/2023
RSBRMK HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 05/01/2023
SK NEXGEN TROrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 05/01/2023
TRYKO NEXGEN HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 05/01/2023
UAK 2020 IRRV TROrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 05/01/2023
YK NEXGEN TROrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 05/01/2023
YR NEXGEN TROrganizationINDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 05/01/2023
ISRAEL DISCOUNT BANK OF NEW YORK - IDB BANK OF YORKOrganization5% OR GREATER SECURITY INTERESTsince 05/21/2023
DAWODU, HAKEEMIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/18/2024
GUNTHORPE, JAHIRIIndividualMANAGING CONTROL - GOVERNING BODY; ADP OF THE SNFsince 05/01/2023
VIROJA, YOGESHIndividualMANAGING CONTROL - GOVERNING BODY; ADP OF THE SNFsince 05/01/2023
POSEN, MINDEEIndividualCORPORATE OFFICER; ADP OF THE SNFsince 05/01/2023
MARQUIS LIMITED LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/01/2023
NUTRACO LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/12/2024
RELIANT PRO REHAB LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/01/2023
RONAGHIAN, SHERINIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/01/2023
NFR 2020 IRRV TROrganizationADP OF THE SNFsince 05/01/2023
TUCKERMAN PROPERTY LLCOrganizationADP OF THE SNFsince 05/01/2023

CMS files one row per role, so the 37 rows in the source record cover these 20 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

15 organizational owners 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.

$4.7M
Net patient revenuemost recent cost report
+11.7%
Operating marginrevenue minus expenses
$491K
Related-party expense12% of expenses

This home reported $491K paid to related parties — landlords or management companies under common ownership — equal to about 12% 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

$526per resident / day
operating cost
$16,005per month
≈ monthly operating cost
$596per 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 2026-08-01 — CMS provider number 215320. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2021-02-25, 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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