Montcare At Potomac

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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

Quality measures — how residents actually fare

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

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

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

66.3% 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 689 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 89.9% 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 296 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 0.36 therapist hours per resident per day in 2026Q1 — more than 62% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 37% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 168 beds and averages 156.0 residents a day — about 93% occupied, or roughly 12 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.69 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.01 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.89 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 3.38 hrs/resident/day on weekends vs 3.81 on weekdays — 11% thinner on weekends. RN hours go from 1.10 to 0.80 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 17% is below the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

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

Inspection deficiencies

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

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

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 · D2026-02-18 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  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 Minimum Data Set (MDS) assessments were accurately coded, including coding related to wander/elopement risk status. This was evident for 2 (Residents #108 and #154) out of 5 residents reviewed for accidents during the recertification survey.The findings include: 1.Resident #108 diagnoses included Vascular Dementia and Depression. A review of Resident #108's clinical record on 2/13/26 at 8:00 AM revealed the quarterly Minimum Data Set (MDS) assessments with Assessment Reference Data (ARD) of 09/30/25 and 12/30/25 were inaccurately coded. Section N0415 (medication is taking) the resident was coded as not receiving an antipsychotic medication in the last 7 days. Further review of Resident#108's clinical record revealed a physician order dated 03/19/25 to administer Aripiprazole (Abilify) daily at bedtime. A review of the resident's Medication Administration Record revealed that Resident #108 had been receiving Aripiprazole (Abilify) daily at bedtime since 03/19/25. The MDS Coordinator #2 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-18 · 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 observation, record review, and interview, it was determined that the facility failed to develop and implement comprehensive care plan regarding the use of a nebulizer. This was evident for 1 (Residents #1) of 41 residents reviewed for care planning during the recertification survey.The findings include: A care plan is a guide that addresses the unique needs of each Resident. It is used to plan, assess, and evaluate the effectiveness of the Resident's care. The care plan consists of focus, goal and interventions. A nebulizer is a medical device that converts liquid medication into a fine mist, allowing it to be inhaled directly into the lungs through a mouthpiece or face mask.On 2/5/2026 at 1:55 PM, during the initial tour of the facility, a nebulizer machine with unlabeled tubing was observed on Resident #1's nightstand.On 2/11/2026 at12:43 PM, a review of the active physician orders confirmed the following: NEBULIZER - Change nebulizer mask and nebulizer tubing weekly every night shift every Monday, Saturday. NEBULIZER - Change nebulizer mask and nebulizer tubing weekly…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-18 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, clinical record reviews and interviews, it was determined that the facility failed to review and revise care plans to meet the specific needs of the residents. This was evident of 3 (Residents #4, #111 and #91) out of 41 residents reviewed for care plan timing and revision during the recertification survey. The findings include: 1. On 02/11/26 at 11:32 AM, a review of Resident #4's clinical record revealed that the resident was prescribed Triamterene-HCTZ 37.5-25 mg 1capsule by mouth once a day for Hypertension on 10/17/24. The resident was administered the medication from 10/17/24 until 12/24/24 when it was discontinued. Further review revealed an active Care Plan for Resident #4 with focus Resident is on diuretic therapy (HCTZ) r/t hypertension. Goal Resident will be free of any discomfort or Adverse side effects of diuretic therapy through the review date. Revised on 12/16/24 with Target date 03/21/26. The care plan had not been revised to reflect the medication was discontinued on 12/24/24. In an interview on 02/12/2026 at 10:03 AM the Unit Manager Staff #7…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-18 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, it was determined that the facility failed to provide necessary personal hygiene to dependent residents. This was evident for 2 (Residents #111 and #91) of 5 residents reviewed for Activities of Daily Living (ADLs) during the recertification survey.The findings include: ADL is a term used collectively to describe fundamental skills required to independently care for oneself, such as eating, bathing, and mobility. Minimum Data Set (MDS) is a core set of screening, clinical, and functional status data elements, including common definitions and coding categories, which form the foundation of a comprehensive assessment for all residents of nursing homes certified to participate in Medicare or Medicaid. On 02/05/2026 at 1:24 PM, Resident #111 was observed with long fingernails. A medical record review showed a (Brief Interview for Mental Status) BIMS score of 15.0 which indicated intact cognition and a Quarterly MDS with an Assessment Reference Date (ARD) of 11/07/25 indicating no impairment in range of motion, but a functional status 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-18 · 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 interviews, it was determined that the facility failed to provide residents with necessary respiratory care services consistent with professional standards. This was evident for 3 (Resident #28, #4 and #1) out of 4 residents reviewed for respiratory care during the recertification survey.The findings include:1.On 02/06/26 at 8:53 AM the surveyor observed Resident #28 in bed receiving oxygen via nasal canula at 2 liters per minute. The oxygen tubing and humidifier bottle were not labeled to indicate when they were changed. On 02/06/26 at 10:45 AM a review of Resident #28's clinical record revealed physician orders as follows: Oxygen at 2L per minute continuously Q Shift - Start Date 12/19/25 Oxygen tubing - change and date tubing, respiratory bag and humidified water (if applicable) weekly, every night shift every Sat. Please date tubing, date the respiratory bag for storage and date the humidified water bottle if applicable Start Date: 08/30/25 On 2/06/26 at 12:43 PM in an interview LPN #9 stated that oxygen tubing and humidifier bottles…

  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 before2026-02-18 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interviews, it was determined that the facility failed to ensure a resident received medication according to the physician's orders. This was evident for 1 (Resident #31) of 6 residents reviewed for unnecessary medications.The findings include:On 02/09/2026 at 8:15 AM Resident #31 was observed sitting in a wheelchair at nurse's station with a bandage over the left eye and bluish discoloration with swelling on the face. The resident said I fell.A review of the resident's clinical record on 02/15/2026 at 6:40 PM revealed that Resident #31 fell on [DATE] then again on 02/08/26 and was transferred to the Emergency Room.Further review of the clinical record revealed that the facility requested a pharmacy review of Resident #31's medications due to the resident's falls. On 02/09/26, the Pharmacy Consultant provided the facility with several recommendations. One recommendation was to decrease the dosage of the resident's medication, Gabapentin. A review of the resident's…

  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 before2026-02-18 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Number of residents sampled: Number of residents cited: Based on observation, interviews, and review of facility policy, the facility failed to ensure opened insulin pens were labeled with the date opened as required by policy. This was evident in 1 of 5 medication carts observed during the annual survey. The findings include: On 2/11/26 at 10:42 AM, during a random observation of a medication cart on the Medbridge Unit (1st floor), the surveyor observed two opened insulin pens for Resident #48 stored in the top drawer without an opened date documented on either pen.In an interview on 2/11/26 at 10:45 AM, RN Unit Manager #6 confirmed that both insulin pens were opened and did not contain an opened date label.In an interview on 2/11/26 at 10:51 AM, the Director of Nursing stated that once insulin pens are opened, they are expected to be labeled with the opened date.In a follow-up interview on 2/11/26 at 11:23 AM, RN Unit Manager #6 stated that the facility discarded the opened insulin pens and reordered new pens for Resident #48 because staff could not determine when the pens were…

  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 · D2026-02-18 · 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 interviews, it was determined that the facility failed to ensure appropriate infection prevention and control practices were followed. This was evident for 1 of 1 observation in the laundry room.The findings include:On 02/09/2026 at 8:20 AM during rounds in the laundry room, the surveyor observed Staff #12 removing clean linen from a dryer and placing them in a bin. In the process of removing the linen, a cream-colored blanket fell on the floor. Staff #12 picked up the blanket and placed it in the bin containing clean linen. After the surveyor voiced concern Staff #12 said I am sorry, I should not do that. At 8:35 AM, Supervisor Staff #13 arrived in the laundry room and the surveyor in an interview informed the supervisor of the findings. Supervisor Staff #13 communicated with Staff #12 who confirmed the findings in the presence of the surveyor. Supervisor Staff #13 stated that she would address the issue as Staff #12 was educated on infection control practices and should not have put the blanket in the bin with other clean linen.On 02/10/2026 at 7:04 AM 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-30 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  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 observation, interview, and record review it was determined the facility failed to ensure the call bell device was within reach of a resident (Resident #28). This was evident for 1 out of 34 facility residents observed by the surveyor during initial tours during the facility's recertification survey. The findings include: On 9/19/24 at 9:52AM the surveyor observed Resident #28 laying in their bed, repeatedly gesturing and pointing to their head. When the surveyor attempted interview of the resident and inquired as to if they had a call bell device to ask for staff assistance, the resident was observed looking around their bed for the call bell device. At this time, the surveyor observed the call bell cord was plugged into the wall and was laying draped over top of the resident's wheelchair with the call device located behind a pillow situated on the wheelchair parked next to the resident's bed, not within reach of the resident. Upon further observation, the surveyor noted this was a tap style type of call bell device. On 9/19/24 at 9:52AM the surveyor requested for a dual…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-30 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of facility reported incident investigation and interview, it was determined the facility staff failed to report a possible misappropriation of resident property within 24 hours of the incident to the regulatory agency, the Office of Health Care Quality (OHCQ). This was evident for 1 (Resident #48) of 12 residents reviewed for abuse during a recertification/complaint survey. The findings include: On 9/20/2024 at 11:27 AM, review of the investigation report of Facility Reported Incident (FRI), MD00180957, revealed Resident #48's medication (28 tablets of Ativan 0.5 mg) that was supposedly delivered to the facility on 3/13/2022 on the 3-11 PM shift was not found even though staff found the controlled substance log that was to accompany the medication on their desk. On 9/20/2024 at 11:56 PM, surveyor requested from the Director of Nursing (DON) the email/fax receipt of the initial and final (5-day) report of the FRI to the State Survey Agency (OHCQ). On 9/20/2024 at 12:56 PM, surveyor received from DON the email receipt for the initial and final self-report to OHCQ. 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

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

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

Follow the money — this home’s finances

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

This home reported $383K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MD