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Ingleside At King Farm

701 King Farm Boulevard, Rockville, MD 20850 · Non profit - Other · 45 certified beds · (240) 499-9015 Medicare & Medicaid certified

Call the home — (240) 499-9015 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citations — no harm found (F0604, F0609) — most recent Feb 2025
Insights

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

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (5/5)
  • lower-than-typical staff turnover (15% 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 (F0604, F0609) — 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 (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags

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

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

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

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1396 Piccard Dr · (800) 777-7904 · Call to confirm hours
Pharmacy
20 Upper Rock Cir · (301) 963-8932 · Call to confirm hours
Grocery
10 Upper Rock Cir · (301) 250-1165 · Call to confirm hours
Park
King Farm Community Garden · Typically dawn to dusk
Place of worship
9009 Shady Grove Ct · (301) 987-7009

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

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 5 of 5

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

Trend — is this home getting better or worse?

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

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

Overall rating5★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased34.5%20.4%15.4%worse
Long-stay residents who lose too much weight5.0%5.4%5.4%typical
Long-stay residents with a catheter left in their bladder2.1%0.5%0.9%worse
Long-stay residents with a urinary tract infection1.8%1.5%2.0%typical
Long-stay residents with depressive symptoms0.0%22.8%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury1.8%2.4%3.3%better
Long-stay residents whose ability to walk worsened18.7%22.2%16.1%worse
Long-stay residents on antianxiety or hypnotic medication31.1%16.7%18.9%worse
Long-stay residents given the seasonal flu vaccine92.9%96.6%95.3%typical
Long-stay residents with pressure ulcers3.5%5.9%4.7%better
Long-stay residents with worsening bladder/bowel control26.4%25.0%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table23.3%13.8%17.1%worse
Short-stay residents who newly got an antipsychotic medication3.4%1.1%1.4%worse
Short-stay residents given the seasonal flu vaccine86.4%80.6%79.4%typical
Short-stay residents rehospitalized after admission16.6%21.0%22.6%better
Short-stay residents with an outpatient ER visit5.8%9.8%12.0%better
Long-stay hospitalizations per 1,000 resident days0.691.331.67better
Long-stay outpatient ER visits per 1,000 resident days0.181.201.80better

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

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

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

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

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

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

59.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 118 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

59.8%U.S. median 51.5%
Got home and stayed home
10.2%U.S. median 10.7%
Went back to hospital
82.6%U.S. median 56.6%
Met the expected recovery
0.56U.S. median 0.31
Therapy hours / resident / day
0.22hours / resident / day
Physical therapy
0.27hours / resident / day
Occupational therapy
0.07hours / resident / day
Speech therapy

Met the expected recovery: 82.6% 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 46 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 0.56 therapist hours per resident per day in 2026Q1 — more than 86% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 11% 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 SNF59.8%CMS range 49.1–67.851.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.2%CMS range 6.7–14.710.7%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 discharge82.6%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 discharge80.4%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 discharge71.7%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 settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened1.8%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 hospitalization8.3%CMS range 4.6–15.07.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.701.02Oct 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

1.27
RN hours/ resident / day
0.92
LPN hours/ resident / day
3.09
Aide hours/ resident / day
5.28
Total nurse hours/ resident / day
1.12
RN hoursweekends
14.9%
Total nursing turnover
9.1%
RN turnover

How full it usually is: this home is certified for 45 beds and averages 35.7 residents a day — about 79% occupied, or roughly 9 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 5.28 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.27 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.09 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.98 hrs/resident/day on weekends vs 5.40 on weekdays — 8% thinner on weekends. RN hours go from 1.33 to 1.12 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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

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

Inspection trend

4
deficiencies at the latest standard inspection (2026-03-31)
14
at the previous standard inspection (2025-02-19)

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.

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.

19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.

  • Potential for harm · E2026-03-31 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interview with facility staff, it was determined that the facility failed to provide a sanitary environment for residents, staff and the public. This was evident during the initial kitchen tour of the annual survey. The findings include:At 10:30 AM, the surveyor observed steam escaping from both ends of the high temperature conveyor dish machine and scattering throughout the dish machine room. In addition, the surfaces and the open seams of the two vent stacks were found to be covered in an excessive buildup of black substances. Furthermore, there was significant buildup of black substances along the edges of the dropdown ceiling tiles and the drywalls in the mechanical dish room.At 10:35 AM, an interview was conducted with Staff #3, Staff 4, and Staff #6 all of whom confirmed that the dish machine room will be scheduled for deep cleaning, and a work order will be submitted to the maintenance staff to evaluate the vent stacks and the adjustable dampers to ensure proper ventilation.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-31 · tag F0712 — isolated
    Ensure that the resident and his/her doctor meet face-to-face at all required visits.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on a medical record review and interviews, it was determined that the facility staff failed to ensure that residents were seen by an attending provider at least every 60 days. This was evident for 1 (Resident #5) of 1 resident reviewed for hospice care.The findings include:A review of Resident #5's medical record on 3/26/26 at 1:11 PM revealed attending provider visit notes for 3/4/25, 3/5/25, 3/10/25, 3/12/25, 3/31/25, 4/1/25, 4/8/25, 4/11/25, 4/21/25, 4/28/25, and 6/18/25. However, there were no documented visits by an attending provider for August 2025 until the next visit on 12/1/25, indicating that Resident #5 was not seen by an attending provider for 166 days between visits.During an interview on 3/31/26 at 10:30 AM, the director of clinical operations stated that residents must be seen by an attending provider at least every 60 days after admission.In an interview on 3/31/26 at 11:14 AM, the attending provider for Resident #5 stated that his residents received visits every 60 days after admission. However, the visits were alternated between him and a nurse practitioner,…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-31 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    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 that attending physicians reviewed and acted on Irregularities identified by the pharmacist in a timely manner. This was evident for one (Resident #4) of 5 Residents reviewed for unnecessary medications.The findings include:A medical record review on 3/30/26 at 7:33 AM showed that Resident #4 had been residing in the facility since 2019 and received multiple drugs, including an antidepressant.The ongoing review included monthly medication review (MRR) notes for Resident #4 from March 2025 to the present. On 8/8/2025, there was a recommendation stating, This resident has been using DULOXETINE 60mg QD [every day] since 9/11/20. If this therapy is required to prevent future depressive episodes, please document that effect in your progress notes. Please consider if it may be possible to conduct a trial GDR [gradual dose reduction-an approach to tapering or discontinuing medications] at this time, perhaps to DULOXETINE 40mg QD.The review showed that Resident #4's attending provider signed 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-31 · tag F0908 — failed to keep essential equipment working — isolated
    Keep all essential equipment working safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview with facility staff, it was determined that the facility failed to maintain essential equipment in proper operating conditions. This was evident for 2 of 2 pieces of equipment reviewed during the annual survey.The findings include:All essential kitchen equipment, including but not limited to walk-in coolers, steam tables, dishwashers, convection ovens, stoves, and warming cabinets, must be maintained in safe operating condition in accordance with the manufacturer's specifications and remain accessible throughout kitchen operations.On 03/26/2026 at 9:50 AM, an initial kitchen tour was conducted with Staff #4 and Staff #6. The surveyor observed a sign posted on a nonfunctional hand sink located by the food preparation area which indicated that the hand sink faucet had not been working since 3/18/2026. At 9:52 AM, an interview with Staff #4 and Staff #6 confirmed that a work order had been submitted on that date. At 10:10 AM, the surveyor observed that a Continental undercounter freezer was turned off. An interview with Staff #4 confirmed that 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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2025-02-19 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview with facility staff, it was determined that the facility failed to store food in a manner that maintained professional standards of food service safety. This practice had the potential to affect all residents who eat the food prepared in the facility's kitchen. The findings include: On 2/13/2025 at 8:05 AM, during a tour of the main kitchen, the Surveyor observed the produce refrigerator. The Surveyor observed an opened and unlabeled bag of carrots, bag of lettuce, and bag of spinach. During a continued tour of the kitchen, the Surveyor observed the meat/fish cooler. The Surveyor observed an uncovered large tub of apple cider and uncovered pan of greens on a short metal rolling cart. There was an uncovered large tub of chicken stock and an uncovered container of BBQ sauce on a shelving unit. There was an opened and unlabeled 4.4lb jug of kalamata olives, 1 liter carton of lemon juice, 32oz container of chopped garlic in water, two 32oz containers of basil pesto, 105oz jug of Frenches Dijon mustard, 1 gallon jug of Cattlemens BBQ sauce, 1 gallon jug…

    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 · D2025-02-19 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews, it was determined that the facility staff failed to maintain a homelike environment as evidenced of marring on the wall behinds residents' beds. This deficient practice was evidenced in 3 (Resident #4, #11, #28) of 6 resident rooms entered during the medication administration assessment conducted during the survey. The findings include: On 02/14/25 at 8:44 AM, during Resident #11 medication administration observation with Registered Nurse (RN) #7, the surveyor observed damaged drywall behind the resident's bed. RN #7 confirmed the surveyor's observation. At 9:12 AM, during a continuation of the medication administration observation of Resident #28 medications, the surveyor observed marring on the wall behind the bed. RN #7 confirmed the surveyor's observation. At 9:31 AM, during Resident #4 medication administration observation with Licensed Practical Nurse (LPN) #8 the surveyor observed damaged drywall behind the resident's bed. LPN #8 confirmed the surveyor's observation and verbalized the resident's bed may have caused the damage although the…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-19 · tag F0604 — failed to not use physical restraints improperly — isolated
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on the review of a facility reported incident and interviews with staff, it was determined that the facility failed to maintain an environment free of physical restraints. This was evident for 1 (MD00182052) out of 4 facility reported incidents reviewed during the annual and complaint survey. The facility implemented corrective measures following this incident and prior to the start of this Survey. The facilities plan and actions were verified during this survey, therefore this deficiency was found to be past noncompliance with a compliance date of 8/15/2022. The findings include: A physical restraint is any manual method, physical or mechanical device/equipment or material that limits a resident's freedom of movement and cannot be removed by the resident in the same manner as it was applied by staff. A gait belt or transfer belt is an assistive device put on a person who has mobility issues, by a care giver, prior to moving the person and can be used to help a person transfer from one surface to another, stand, or walk around. On 2/19/2025 at 9:30 AM, during a review 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Potential for harm · D2025-02-19 · 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 a facility reported incident (FRI) and interview with staff, it was determined that the facility failed to report an injury of unknown origin within 2 hours and submit the results of the investigation within 5 days as required to the Office of Health Care Quality. This was evident for 1 (MD00210330) out of 4 Facility Reported Incidents (FRI's) reviewed during the survey. The findings include: On 2/19/2025 at 9:15 AM, during a review of the investigative file for facility reported incident MD00210330, the Surveyor discovered that during activities of daily living (ADL) care on 9/28/2024 at 11:50AM Resident #11 was noted with a swollen left leg and bruise to the left shin. The Director of Nursing was made aware on 9/28/2024 at 12:05PM and started an investigation. BIMS stands for Brief Interview for Mental Status, a cognitive screening tool used to assess a person's mental status and is scored from 0-15, with lower the scores indicating a decline in cognitive performance. An additional review of the investigative file revealed that at the time of the incident,…

    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 · D2025-02-19 · tag F0622 — isolated
    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
    What the surveyor found here — the official record, unedited, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, it was determined that the facility failed to include the resident care plan with the required documentation during a transfer. This was evident for 1 (Resident #35) of 2 residents reviewed for hospitalization. The findings include: On 02/14/25 at 08:09 AM, review of Resident #35's medical record revealed he/she was hospitalized on [DATE]. On 02/18/25 at 10:17 AM, an interview with Registered Nurse (Staff #5) revealed that staff would not send the care plan goals as part of the documentation sent with the resident upon transfer. On 02/19/25 at 04:45 PM, the surveyor reviewed the concern at the time of exit.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-19 · tag F0623 — isolated
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and interview it was determined that the facility staff failed to notify the ombudsman when a resident was transferred to the hospital, and provide written notification of transfer and to ensure the resident and the responsible representative were provided a copy. This was evident for 2 (Resident #35 and #37) of 2 residents reviewed for hospitalization. The findings include: 1) On 02/18/25 at 1:56 PM, a review of Resident #37 electronic medical record (EMR) revealed the resident was sent to a local hospital on [DATE] for further medical evaluation. Further review of the EMR notes, the surveyor was unable to find a note indicating the ombudsman was made aware of the resident's transfer to the hospital. On 02/18/25 at 3:29 PM, during an interview with Social Services Director #6, the surveyor asked whether the ombudsman receive a copy of Resident #37 transfer notice. Social Services Director #6 verbalized they normally do not send a copy of the transfer notice to the Ombudsman when a…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
Show the remaining 9 citations
  • Potential for harm · D2025-02-19 · tag F0624 — isolated
    Prepare residents for a safe transfer or discharge from the nursing home.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, it was determined that the facility failed to document the orientation and preparation of a resident upon a transfer. This was evident for 1 (Resident #35) of 2 residents reviewed for hospitalization. The findings include: On 02/14/25 at 08:09 AM, review of Resident #35's medical record revealed she/he had a past medical history of cerebral infarction, cognitive impairment, and expressive aphasia. Cerebral Infarction can significantly impact cognitive function, leading to various issues like memory problems, difficulty with attention, language comprehension, and understanding. Expressive Aphasia is a condition when one may know what they want to say, but have difficulty finding the right words to express it and speak in fluent sentences. On 02/14/25 at 08:09 AM, further review of Resident #35's medical record revealed he/she was hospitalized on [DATE]. On 02/14/25 at 08:10 AM, review of Resident #35's record revealed a progress note dated 2/7/25 at 3:04 PM which…

    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 · D2025-02-19 · tag F0625 — isolated
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    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 interview and medical record review, it was determined the facility staff failed to notify the resident/resident representative in writing of the bed hold policy upon transfer. This was evident for 2 (Resident #35 and #37) of 2 residents reviewed for hospitalization. The findings include: 1) A review of Resident #37 electronic medical record (EMR) on 02/18/25 at 1:56 PM, revealed the resident was sent to a local hospital on [DATE] for further medical evaluation. Further review of the EMR revealed that a transfer form was completed by Licensed Practical Nurse #21 who documented a bed hold notice was not sent with the resident upon transfer. On 02/18/25 at 2:50 PM, Administrator #1 provided the surveyor with a copy of a Bed Hold Notice of Policy & Authorization with Resident #37 name written on the form and another name written as the representative/guardian/POA. Further review of the form revealed the document was not signed or dated by Resident #37, the resident representative, and/or the center…

    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 · D2025-02-19 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview with staff, it was determined that the facility failed to ensure a resident centered care plan had been revised to meet the needs of the resident in response to current interventions. This was evident for 1 (Resident #4) out of 2 residents investigated for communication/sensory during the survey. The findings include: A care plan is used to summarize a person's health conditions, specific care needs, and current treatments. It outlines what needs to be done to plan, assess, and manage care needs. This helps to evaluate the effectiveness of the resident's care. On 2/18/2025 at 11:45 AM during a review of Resident #4's electronic medical record, the Surveyor discovered that the resident had diagnoses including but not limited to dementia, anxiety, hearing deficit, and major depressive disorder. An additional review revealed physician orders to assist resident putting on bilateral hearing aids (on in AM and off at bedtime), place hearing (aids) on charger every bedtime after removing them, and patient needs to see a person face and mouth 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-19 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and staff interview, it was determined that the facility failed to ensure services provided maintained professional standards of practice regarding resident weights. This was evident for 2 (Resident #7 and #21) of 4 residents reviewed for nutrition. The findings include: 1) On 02/13/25 at 01:10 PM, record review revealed Resident #7 weighed 108.2 lbs on 01/04/2025. Further review of the resident's record revealed on 02/03/2025, the resident weighed 97.2 pounds which was a 10.17% weight loss within about a month of time. On 02/14/25 at 07:28 AM, record review revealed a nutrition/dietary note dated 2/10/25 at 09:51 AM, which indicated the resident had triggered for significant weight loss and that it may have potentially been a scale error. On 02/14/25 at 12:11 PM, an interview with the Registered Dietician (Staff #23) revealed she was able to see which residents are triggered for weight loss and communicates to the nurses to determine if they are aware. She further indicated that she was part time and came into the facility on Mondays and Wednesdays, and did…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-19 · tag F0726 — failed to have competent, trained nursing staff — isolated
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    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 interviews, it was determined that the facility staff failed to ensure the staff completed a competency required to care for resident's effectively. This was evident for 1 (Resident #8) of 5 staff records reviewed for training during the Medicare/Medicaid survey. The findings include: On [DATE] at 12:20 PM, a review of Licensed Practical Nurse (LPN) #8's training revealed their last documented completed Dementia training expired on [DATE]. During the survey LPN #8 worked on the memory care unit. On [DATE] at 12:30 PM, during an interview with Director of Human Resources #15 he/she verbalized the RELIAS trainings are assigned yearly to the staff and a report was sent to supervisors to keep track of the staff who need to complete their training. Twelve months of trainings are assigned for everyone. Different tracks are assigned to the nurses and Geriatric Nursing Assistants (GNA). Director of Human Resources #15 provided documentation to verify LPN #8 completed a training titled, Caring…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-19 · tag F0732 — isolated
    Post nurse staffing information every day.
    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 interviews, it was determined that the facility staff failed to update the staffing sheets on the units after the staffing schedule changed. This was evident for 2 of 2 units in the Long-Term Care Wing. The findings include: On 02/19.25 at 10:25 AM, the surveyor reviewed the Daily Nursing Schedule log. While on [NAME] Grove unit the surveyor accounted for each staff member documented on the staffing sheet. The surveyor walked to [NAME] Park unit and asked where Geriatric Nursing Assistant (GNA) #22 was. Registered Nurse #5 verbalized GNA #22 called out. The staffing sheet did not indicate the GNA was not working. On 02/19/25 at 11:07 AM, during an interview with Director of Nursing #2 he/she verbalized sometimes the staff call the scheduler directly when they are unable to work. The master schedule is computer generated, and the updates are transcribed to the daily staffing sheet. GNA's #18 & GNA #19 were called into work that day. GNA #19 started working around 9 AM. DON #2 was made…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-19 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview it was determined that the facility's pharmacy failed to administer a prescribed supplement with a dosage. This was evident for 1 (Resident #19) of 5 resident medication administration observations during survey. The findings include: On 02/14/25 at 9:41 AM, during medication administration observation of Resident #19 medications, while Licensed Practical Nurse #8 prepared the resident's medications, the surveyor noticed the blister package with Vitron C did not have a dose. Vitron C 65-125 MG (Iron -Vitamin C) 1 tab by mouth (PO) two times a day (BID) for anemia was on Resident #19 medication administration record (MAR). The surveyor asked LPN #8 did he/she know if that was the correct dose. LPN #8 verbalized calling the pharmacy in the past to verify the dose. On 02/18/25 at 9:01 AM, the surveyor spoke with Pharmacist #17 and asked does they pharmacy typically sends medications/supplements that do not have a dose. Pharmacist #17 replied, no. On 02/18/25 at 11:12 AM, during an interview with Pharmacist #12 they verbalized it was not feasible 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-19 · tag F0790 — failed to provide dental care — isolated
    Provide routine and 24-hour emergency dental care for each resident.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and staff interview, it was determined that facility staff failed to ensure a resident received routine dental care. This was evident for 1 of 1 resident (Resident #15) reviewed for dental services during the survey. The findings include: On 02/14/25 at 09:05 AM, review of Resident #15's medical record revealed a progress note dated 11/9/2021 at 11:15 PM which indicated that an order was created for the resident to receive a dental evaluation for a broken tooth. On 02/14/25 at 09:05 AM, further review of Resident #15's medical record failed to reveal documentation that indicated Resident #15 received dental services prior to the broken tooth. On 02/19/25 at 12:44 PM, an interview with the NHA revealed that the facility would not provide residents with routine dental services. She further indicated that residents are informed to arrange their own routine dental services or could have dental appointments arranged by the facility which would only be when a concern is identified.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-19 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and staff interview, it was determined that facility staff failed to ensure a resident's medical record included all documentation related to dental treatment, and beneficiary notification documentation was correctly completed. This was evident for 1 (Resident #15) of 1 resident reviewed for dental services, and 2 (Resident #189 and #190) of 3 residents reviewed for beneficiary notification during the survey. The findings include: 1) On 02/14/25 at 09:05 AM, review of Resident #15's medical record revealed a progress note dated 11/9/2021 at 11:15 PM which indicated that an order was created for the resident to receive a dental evaluation for a broken tooth. On 02/18/25 at 10:44 AM, review of a document provided by NHA titled, Dental Notes with a letterhead of SENIOR smile dated 12/09/21 revealed visit notes from the dental provider. The dental notes indicated that the visit occurred on 11/29/21 and the treatment plan was to be determined (TBD) with the Power of Attorney (POA). On 02/18/25 at 11:57 AM, the surveyor requested documentation of what the treatment…

    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
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 INGLESIDE ENGAGED LIVING — 2 facilities. Here is how its ratings compare with the chain’s average across all its homes:

RatingThis homeChain avg
Overall 5 of 55.0≈ chain avg
Health inspection 4 of 53.5+0.5 vs chain
Staffing 5 of 55.0≈ chain avg
Quality measures 5 of 55.0≈ chain avg
The other 1 home this chain runs (chain average 5.0★, per CMS)

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
BARTELS, BRUCEIndividualCORPORATE DIRECTORsince 03/04/2015
BOARDMAN, DONALDIndividualCORPORATE DIRECTORsince 01/01/2024
CECCHINE, MARGARETIndividualCORPORATE DIRECTORsince 04/01/2023
COX, SALLYIndividualCORPORATE DIRECTORsince 01/01/2018
GLECKMAN, HOWARDIndividualCORPORATE DIRECTORsince 01/01/2024
HAUGE, JENNIFERIndividualCORPORATE DIRECTORsince 01/01/2022
JOHNSON, GREGGIndividualCORPORATE DIRECTORsince 01/01/2021
KATZ, RUTHIndividualCORPORATE DIRECTORsince 01/01/2024
KEARNEY, JONATHANIndividualCORPORATE DIRECTORsince 02/01/2025
KREUTZER, JOHNIndividualCORPORATE DIRECTORsince 01/01/2018
KUHN, NANCYIndividualCORPORATE DIRECTORsince 10/07/2015
MAGIDSON, PHILLIPIndividualCORPORATE DIRECTORsince 01/01/2023
MASSEY, NATHANIELIndividualCORPORATE DIRECTORsince 01/01/2025
ORTIZ, ELIZABETHIndividualCORPORATE DIRECTORsince 01/01/2025
WAGNER, STEVENIndividualCORPORATE DIRECTORsince 01/01/2017
ALLEY, TRACIIndividualCORPORATE OFFICERsince 08/02/2021
DELOVSKA-TRAJKOVA, DUSANKAIndividualCORPORATE OFFICERsince 01/01/2013
MOUR, CHRISTINEIndividualCORPORATE OFFICERsince 08/24/2015
O'CONNOR, LYNNIndividualCORPORATE OFFICERsince 07/01/2010
SILVERBLOOM CONSULTING, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/01/2021
WESTMINSTER INGLESIDE KING FARM RETIREMENT COMMUNITIES INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2011
ADENIYI-OLADAPO, MORINATU AJIBIKEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/31/2022
BRYANT, KENYAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/01/2022
GREEN, LYNNIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/14/2024
LIWANAG, MARIAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/05/2024
MASSETTI, AMANDAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/11/2020
STALNAKER, TISHIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/04/2016
BAKER TILLY ADVISORY GROUP LPOrganizationADP OF THE SNFsince 01/01/2015
BAKER TILLY US LLPOrganizationADP OF THE SNFsince 01/01/2015
FLAGSHIP REHABILITATION, INCOrganizationADP OF THE SNFsince 09/01/2010
MARSH & MCLENNAN COMPANIESOrganizationADP OF THE SNFsince 10/01/2023
RICHTER AND ASSOCIATESOrganizationADP OF THE SNFsince 11/10/2015
SPRING HEALTHCARE INCOrganizationADP OF THE SNFsince 12/01/2024
SHARMA, SANDEEPIndividualADP OF THE SNFsince 12/04/2025
TESFAY, AKBERTIndividualADP OF THE SNFsince 12/05/2023
THOMAS, DEBORAHIndividualADP OF THE SNFsince 07/20/2020

CMS files one row per role, so the 44 rows in the source record cover these 36 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.

8 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.

$44.3M
Net patient revenuemost recent cost report
-11.7%
Operating marginrevenue minus expenses
$2.5M
Related-party expense5% of expenses

This home reported $2.5M paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

$310per resident / day
operating cost
$9,412per month
≈ monthly operating cost
$277per 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 215353. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-31, 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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