Riderwood Village
3160 Gracefield Road, Silver Spring, MD 20904 · For profit - Limited Liability company · 44 certified beds · (301) 572-8420 Medicare & Medicaid certified
On the public record, this home looks stronger than most — but visit before you decide.
- a strong health-inspection score (5/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (5/5)
- lower-than-typical staff turnover (19% vs 45% nationally) — better care continuity
- a high number of inspection citations overall (18) — 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.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 5 of 5 |
| StaffingFrom payroll records (PBJ) | 5 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
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
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 4 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 improved from 4 to 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 9.6% | 20.4% | 15.4% | better |
| Long-stay residents who lose too much weight | 5.8% | 5.4% | 5.4% | typical |
| Long-stay residents with a catheter left in their bladder | 0.4% | 0.5% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 1.0% | 1.5% | 2.0% | better |
| Long-stay residents with depressive symptoms | 0.0% | 22.8% | 6.5% | check this* — see note marked star below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 3.1% | 2.4% | 3.3% | typical |
| Long-stay residents on antianxiety or hypnotic medication | 27.8% | 16.7% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 96.4% | 96.6% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 4.4% | 5.9% | 4.7% | typical |
| Long-stay residents with worsening bladder/bowel control | 16.9% | 25.0% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 9.1% | 13.8% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.8% | 1.1% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 86.8% | 80.6% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 23.6% | 21.0% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 8.1% | 9.8% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 0.50 | 1.33 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 0.24 | 1.20 | 1.80 | better |
* 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.
66.9% 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 356 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 43.6% 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 140 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 0.42 therapist hours per resident per day in 2026Q1 — more than 71% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 17% 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
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 66.9%CMS range 61.5–71.2 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 11.9%CMS range 9.0–15.6 | 10.7% | Oct 2022–Sep 2024 | no 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 discharge | 43.6% | 56.6% | Oct 2024–Sep 2025 | CMS 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 discharge | 52.1% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 36.4% | 50.0% | Oct 2024–Sep 2025 | CMS 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 identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS 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 setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS 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 stay | 0.6% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.6% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 5.7%CMS range 3.7–8.4 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.78 | 1.02 | Oct 2022–Sep 2024 | CMS 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
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 5.37 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.54 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.13 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 4.63 hrs/resident/day on weekends vs 5.66 on weekdays — 18% thinner on weekends. RN hours go from 1.74 to 1.05 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 19% is below the national median of 45%. 3 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.
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 more than at the previous inspection — worsening. 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.
18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.
- Potential for harm · Dcited before2025-09-22 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her 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 Number of residents sampled: Number of residents cited: Based on observation, record review and interviews, it was determined that the facility staff failed to treat resident with dignity and care for resident's Activities of Daily Living (ADLs) /hygiene in a manner that promotes maintenance or enhancement of resident's quality of life. This was evident for 1 (Resident #69) out of 3 residents reviewed resident's dignity and ADLs/hygiene care during an annual survey.The findings include:Activities of Daily Livings (ADLs): Activities of daily living are activities related to personal care. They include bathing or showering, grooming, dressing, eating, using the toilet, getting in and out of bed or a chair and walking and more.On 09/15/2025 at 10:55 AM, Resident #69 was alert, and a Geriatric Nursing Assistant (GNA) earlier fed the resident. Surveyor observed this resident was in bed ungroomed; with disheveled hair, a dirty face, eye crust, and in a food-stained gown.On 09/16/2025 at 11:00 AM, The surveyor observed…
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.
- Potential for harm · D2025-09-22 · tag F0679 — failed to provide activities — isolatedProvide activities to meet all resident's needs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Number of residents sampled: Number of residents cited: Based on observation, interview, record review and facility policy review, it was determined that the facility failed to ensure meaningful activities to meet the needs/interests of the residents and to provide consistent resident centered/personalized activities for the dependent, confined residents in a manner that promotes maintenance or enhancement of residents' quality of life. This was evident for 2 (Resident #35 and Resident #69) out of 3 residents reviewed for ongoing resident centered activities program during an annual survey. The findings include-1) On 09/15/2025, at 10:09 AM, Resident #35 was observed in their room, awake and knee was contracted to chest. No TV, music or other activity was observed at these times. This resident was able to engage in a short conversation.Observation, on 09/16/2025 at 11:20 AM, Resident #35 was observed in bed, staff were in the room but not interacting with the resident at the time of the observation. This…
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.
- Potential for harm · D2025-09-22 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations and interviews with staff, it was determined that the facility failed to ensure that the environment of 1) resident's rooms and 2) a resident's shower chair was maintained in a manner that minimized the potential for the spread of infection. This was evident for 3 of 4 areas reviewed during the annual recertification survey. The findings include: 1) On 09/15/2025, at 11:40 AM, during an initial tour of Resident #7's bathroom and room, a grey fall mat was observed on the bathroom floor, touching the toilet. A clear plastic bag containing a black object was also seen on the bathroom floor. In Resident #7's room, a clear plastic bag was found on the floor under the medicine cabinet, containing a light green and grey chuck and a gown. On 09/15/ 2025, at 11:54 AM Staff #7, a Licensed Practical Nurse (LPN), was shown the fall mat and the plastic bags in both the bathroom and the room. Staff #7, LPN was asked about the policy/procedure for floor mats in bathrooms and linens on the floor. Staff #7 explained that aides typically bathe residents, change bed linens, and…
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.
- Potential for harm · D2025-09-22 · tag F0919 — failed to provide a working call system — isolatedMake sure that a working call system is available in each resident's bathroom and bathing area.
What the surveyor found here — the official record, unedited, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Number of residents sampled: Number of residents cited: Based on observation and interviews with staff, it was determined that the facility failed to ensure that the call system cord was accessible in the resident's bathroom. This was evident for 1 (Resident #57) of 1 resident's bathroom observed during the annual survey. The findings include:On 09/16/2025 11:40 AM, the surveyor visited room [ROOM NUMBER] to verify the call bell systems at the bed and the bathroom. The surveyor noted that the call bell cord was too short and tucked behind a trashcan that was placed directly next to the toilet. At 12:50 PM, a tour of room [ROOM NUMBER] was conducted with the Assistant Director of Nursing (ADON) 1 and ADON 2. They both confirmed the call bell cord was inaccessible to the residents due to its length and the placement of the call bell cord in the resident's bathroom. On 09/19/2025 at 4:13 PM, the Assistant Administrator, Assistant Director of Nursing (ADON) 1 and ADON 2 were made aware of these findings.
- Potential for harm · D2025-09-22 · tag F0924 — isolatedPut firmly secured handrails on each side of hallways.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Number of residents sampled: Number of residents cited: Based on observation and staff interview, it was determined that the facility staff failed to ensure that handrails were on all walls in resident areas including both resident's rooms and all resident common areas. This was evident for 2 of 2 nursing units and all common areas observed during the survey. This deficient practice had the potential to affect all residents, staff, and visitors on the units. The findings include: On Tuesday, 09/16/2025 at 9:16 AM during a tour of the facility, it was noted that there were no handrails near the elevator, an activities room (Garden Room), the hallway near the dining area (Grace's Table). On 9/16/2025 at 11:35 AM, met with the Administrator and employee #8 from the [NAME] Corporation. Employee #8 stated that they thought handrails only needed to be in the areas where resident rooms were located. He was shown the regulation on the surveyors laptop and it was also emailed to him that stated that handrails had to be…
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.
- Potential for harm · D2023-10-18 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide 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 observation, medical record review and interview it was determined the facility failed to follow physician's orders and the resident's care plan for the administration of oxygen. This was evident for 1 (#56) of 1 resident reviewed for the administration of oxygen. The findings include. Resident #56 was observed in bed on 10/10/23 at 1:40 PM receiving oxygen via nasal cannula (a tube worn in the nostrils to administer oxygen) that was attached to an oxygen concentrator (a machine that concentrates oxygen from room air). The flow meter scale with a metal ball was observed between the 4 and 5 lines to show an oxygen flow rate of 4.5 liters per minute. At 1:52 PM the facility's infection preventionist (staff #6) entered Resident #56's room to observe the oxygen concentrator. An interview followed and she indicated that she was documenting when the oxygen tubing was replaced. She was asked about the current oxygen flow rate, and she went back into the resident's room and upon exit she indicated that the metal ball was above the 4 line. On 10/10/23 at 2:50 PM the director 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.
- Potential for harm · D2023-10-18 · tag F0883 — failed to offer flu and pneumonia vaccines — isolatedDevelop and implement policies and procedures for flu and pneumonia vaccinations.
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 staff failed to ensure documentation of residents' Pneumococcal vaccination status in their medical records. This was evident for 1 (Resident #369) of 5 residents reviewed who were eligible for Pneumococcal vaccines during the survey. The findings include: Pneumococcal vaccine helps prevent Pneumococcal disease, any type of illness caused by streptococcus pneumonia bacteria. The Centers for Disease Control and Prevention (CDC) recommends a Pneumococcal vaccine for those age [AGE] and older and adults 19 through 64 with certain medical conditions or risk factors. (Centers for Disease Control and Prevention- vaccines and preventable disease) On 10/18/23 at 9:49 AM, randomly selected five residents' (eligible for the Pneumococcal, Flu, and COVID vaccination) vaccination statuses were reviewed. Reviewing Resident #369's paper medical chart revealed blank vaccination consent forms (for Influenza, Pneumococcal, and COVID-19) without any…
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.
- Potential for harm · Dcited before2019-02-07 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and staff interview it was determined that facility staff failed to ensure that residents' dignity was provided in 1) Providing personal grooming care, and 2) Long call light response times. This was evident for 2 out of 32 residents (R#63 and R#93) reviewed during the survey process. The resident has a right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility. The findings include: 1) On 01/30/19 at 2:13 P.M, during an interview with Resident # 93 in the resident's room the surveyor observed R#93 sitting in his/her wheel chair cluttered with food and fluid, wearing a soiled dirty shirt and pants, with long dirty fingernails and eyeglasses. Resident #93 asked this surveyor for help. The surveyor informed the Unit Clerk that R#93 needed care and assistance. 2) On 01/30/19 at 02:35 P.M. during an interview of Resident #63 and spouse, R#63 informed the surveyor (writer) that he/she must wait over 30 minutes for staff to respond to the call bells during the day, afternoon, night and…
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.
- Potential for harm · D2019-02-07 · tag F0622 — isolatedNot 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
Based on the medical record and staff interviews, the facility staff failed to provide a Care Plan for Resident #69's continuing care, to the hospital where the resident was being sent. This was evident for 1 out of 2 residents investigated for hospitalization during the survey process. The findings include: On 01/31/19, around 12:07 PM, while reviewing Resident #69's medical record for a recent hospitalization, it was noted that on 12/18/18 the resident was observed to be unresponsive with labored breathing. The doctor assessed the resident and ordered the resident to be transferred to the hospital for a questionable CVA (stroke). Review of the hospital transfer record and the resident's chart did not reveal the below required information: 1) A copy of Resident #69's Care Plan This information was discussed with staff #6 who acknowledged the omission.
- Potential for harm · Dcited before2019-02-07 · tag F0623 — isolatedProvide 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 — the official record, unedited, may be distressing
Based on the medical record and staff interviews, the facility staff failed to provide necessary written notices for Resident #69, or the resident's responsible party, of a transfer out of the facility. This was evident for 1 out of 2 residents investigated for hospitalization during the survey process. The findings include: On 01/31/19 around 12:07 PM while reviewing Resident #69's medical record for a recent hospitalization, it was noted that on 12/18/18 the resident was observed to be unresponsive with labored breathing. The doctor assessed the resident and ordered the resident to be transferred to the hospital for a questionable CVA (stroke). Review of the hospital transfer record and the resident's chart did not reveal the below required information: 1. The name of the location where the resident was being sent. 2. Written notice to the resident or the resident's responsible party. 3. Notification to the Ombudsman of the hospital visit. This information was discussed with staff #6 who acknowledged the omissions.
Show the remaining 8 citations
- Potential for harm · D2019-02-07 · tag F0625 — isolatedNotify 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
Based on the medical record and staff interviews, the facility staff failed to provide required written notice for Resident #69, or the resident's responsible party, of the bed hold policy during a transfer out of the facility. This was evident for 1 out of 2 residents investigated for hospitalization during the survey process. The findings include: On 01/31/19 around 12:07 PM while reviewing Resident #69's medical record for a recent hospitalization, it was noted that on 12/18/18 the resident was observed to be unresponsive with labored breathing. The doctor assessed the resident and ordered the resident to be transferred to the hospital for a questionable CVA (stroke). Review of the hospital transfer record and the resident's chart did not reveal that a bed hold policy was given to the resident or the resident's responsible party prior to the transfer. The bed hold policy educates the resident on whether a bed can be held during the resident's absence, and/or if not, the possibility of having to privately pay to hold the resident's bed, until the resident's return. This…
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.
- Potential for harm · D2019-02-07 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical records review and interview with staff it was determined that the facility staff failed to ensure that the information used to complete the Minimum Data Set (MDS) significant change in condition assessment was accurate and complete when a diagnosis for hospice care was not coded into the MDS assessment. This was evident for 1 of 32 residents (Resident #1) reviewed in the annual survey. The findings include: The Resident Assessment Instrument (RAI) is a mandated process that ensures that residents in nursing homes receive comprehensive and periodic assessments that are both standardized and reproducible to ensure that each resident's needs are clearly understood and that care can be appropriately and effectively planned and delivered (based on the assessment). The Minimum Data Set (MDS) is a core set of screening questions that provide the foundation for the RAI process. Providers must complete the MDS screening assessments at specified times during resident admissions. Some MDS assessments are comprehensive and others are abbreviated updates to the comprehensive…
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.
- Potential for harm · D2019-02-07 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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 medical record review it was determined the facility staff failed to develop a care plan for residents with impaired skin integrity. This was evident for 2 out of 4 resident's reviewed with non-pressure related skin conditions. Resident #8 and Resident #37 were affected by the deficient practice. The findings include: Resident #37's medical record was reviewed on 1/30/19 and 1/31/19. Medical record review revealed that on 1/16/19 the resident underwent excision of an infiltrative basal cell carcinoma on the left superior upper back. Wound care instructions included: 1) Leave the original dressing in place for 24 hours; 2. Clean the wound once a day; allow water, shampoo and soap from the shower to wash over the wound; 3. Cover the wound with Aquaphor or Vaseline and then apply a bandage for 1 - 2 weeks. Change the bandage daily. Additional instructions included reporting the following symptoms to the physician: increase in redness more than 1/4 inch on each side of the biopsy site; swelling; increasing or severe pain; drainage of pus; fever over 100.5 degrees; bleeding…
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.
- Potential for harm · D2019-02-07 · tag F0657 — failed to keep the care plan current — isolatedDevelop 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 facility staff interview, family interview, and observation of residents' records, the facility failed to individualize the care plan for Resident # 72. This was evident for 1 out of 32 residents investigated for care plan revision. The findings include: On 2/1/19 at 2:10 PM Resident # 72 was reviewed for unnecessary psychotropic medication, and dementia care. The resident has a history of major depression, adjustment disorder, Vascular dementia, anxiety, CAD (coronary heart disease), Hypertension, diabetes 2, muscle weakness, gout, hyperlipidemia, hypercalcemia, insomnia and cancer among other diagnoses. On 9/12/18 the resident was seen by Behavior Health to discuss gradual dose reduction of Klonopin and Seroquel. Record review revealed that the resident is alert and responsive on most days. Speech is soft, no anxiety present and the resident does not have acute distress. The behavior documentation sheet for the last 2 months indicated no behaviors present. Facility staff (# 6, 7, 8) were interviewed on 2/1/19 at approximately 1:30 PM with the federal surveyor present.…
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.
- Potential for harm · D2019-02-07 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, medical record review and interviews of facility staff it was determined the facility failed to ensure that staff were transferring residents from bed to chair/chair to bed in accordance with the residents' care plans. This was evident for 2 of 7 sampled residents reviewed for accidents. Resident #1 and Resident #5 were affected by the deficient practice. The findings include: 1) On 1/29/19 at 1:07 P.M. the surveyor knocked on Resident #5's bedroom door. A Geriatric Nursing Assistant, GNA (Staff #11), answered the door. The resident was observed by the surveyor in the sit-to-stand mechanical lift. The resident had been left unattended in the sit-to-stand mechanical lift while Staff #11 answered the surveyor's knock on the door. Interview of the GNA, Staff #12, on 2/5/19 at 3:37 P.M. revealed that the care plans are located in the residents' rooms and provide information related to how a resident is transferred. Further interview of Staff #12 revealed that she utilizes the sit-to-stand mechanical lift to transfer Resident #5 and the resident is a 1 person…
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.
- Potential for harm · D2019-02-07 · tag F0732 — isolatedPost nurse staffing information every day.
What the surveyor found here — the official record, unedited, may be distressing
Based on observations and staff interviews it was determined that required staff posting information was not in a prominent place readily accessible to residents and visitors. This was evident during the entire survey process. The findings include: On 2/1/19, 2/5/19, 2/6/19, 2/7/19, 2/8/19 the required nursing staffing information per this regulation was observed posted in the nursing administration area of the facility facing the interior wall not visible or readily assessible to residents and visitors. On 2/6/19 at 3:00 P.M. interview with the Administrator and Director of Nursing verified that the required staff posting was not available for resident or visitors during the survey process.
- Potential for harm · D2019-02-07 · tag F0744 — failed to care for residents with dementia — isolatedProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interviews with family and staff; and record review, the facility failed to individualize the care plan for 1 out of 32 residents investigated for individualized care plans. The findings include: On 02/01/19 at 11:53 AM record review revealed that Resident # 72 has a history of major depression, adjustment disorder, Vascular dementia, anxiety, CAD (coronary artery disease,) HTN (hypertension), DM2, (diabetes) muscle weakness, gout, hyperlipidemia, hypercalcemia, insomnia and cancer. Review of the Social Worker's note completed on 1/30/19 indicated that the social worker spoke with family regarding hospice services. It was noted that Family agree with the hospice services but will look at the different hospice facilities and what they provide and then decide on the best option. The Family would let the social worker know. The resident is alert and responsive most days. She eats in the dining room with assistance. Family, husband and daughter very involved with mother. It was discussed with staff to not put Resident #72 back to bed unless she is with someone. Continued record…
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.
- No harm found · Ccited before2023-10-18 · tag F0623 — widespreadProvide 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
Based on medical record review and staff interview it was determined the facility failed to notify the resident/resident representative in writing of a transfer/discharge of a resident along with the reason for the transfer. This was evident for 3 (#52, #65, #218) of 3 residents reviewed for hospitalization. The findings include: 1.) Resident #52's medical record was reviewed on 10/11/23 at 11:20 AM. Review of a RN nursing note (staff #5) on 7/28/23 at 11:31 AM revealed Resident #52 was evaluated by a nurse practitioner and a doctor and an order for transfer to the emergency room via 911. Review of a nurses note of 8/1/22 effective for 6:30 PM revealed that after a nurse practitioner's skin wound assessment, the nurse practitioner ordered to transfer resident back to the hospital. Resident #52 was transferred to the hospital via 911. There was no written documentation in the medical record that the responsible party and/or resident was notified in writing of the 2 hospital transfers. The unit's clinical manager (staff #3) was interviewed on 10/13/23 at 12:43 PM. She was asked how…
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.
“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.
- 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.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to ERICKSON SENIOR LIVING — 17 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 5 of 5 | 4.2 | +0.8 vs chain |
| Health inspection | 5 of 5 | 3.6 | +1.4 vs chain |
| Staffing | 5 of 5 | 4.8 | +0.2 vs chain |
| Quality measures | 5 of 5 | 4.1 | +0.9 vs chain |
The other 16 homes this chain runs (chain average 4.2★, 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 / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| NATIONAL SENIOR COMMUNITIES, INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | 100% | since 01/14/2021 |
| BROWN, IAN | Individual | CORPORATE DIRECTOR | — | since 04/01/2023 |
| BROWN, PATRICIA | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | — | since 04/01/2022 |
| CLUPPER, KATHERINE | Individual | CORPORATE DIRECTOR | — | since 04/01/2024 |
| COLINS, MARY | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | — | since 04/01/2018 |
| ERSTAD, EILEEN | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | — | since 02/15/2007 |
| JACQUE, ZINA | Individual | CORPORATE DIRECTOR | — | since 04/01/2018 |
| LEONARD, MONTY | Individual | CORPORATE DIRECTOR | — | since 04/01/2022 |
| MOSCATO, MARY | Individual | CORPORATE DIRECTOR | — | since 04/01/2024 |
| PAULK, PAMELA | Individual | CORPORATE DIRECTOR | — | since 04/01/2022 |
| POMERANZ, WILLIAM | Individual | CORPORATE DIRECTOR | — | since 04/01/2025 |
| REEL, STEPHANIE | Individual | CORPORATE DIRECTOR | — | since 04/22/2013 |
| ROSKIEWICZ, MICHAEL | Individual | CORPORATE DIRECTOR | — | since 04/01/2019 |
| SHARP, RUSSEL | Individual | CORPORATE DIRECTOR | — | since 04/01/2023 |
| WALLICK, DANIEL | Individual | CORPORATE DIRECTOR | — | since 04/01/2025 |
| WANNER, LINDA | Individual | CORPORATE DIRECTOR | — | since 04/01/2023 |
| EMBLEY, MARK | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 10/27/2021 |
| GANTERT, NEAL | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/01/2018 |
| HALL, JOHN | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/30/2010 |
| SAWICKI, SCOTT | Individual | CORPORATE OFFICER | — | since 04/01/2024 |
| STINER, PAMELA | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/01/2024 |
| TYLER, DANIEL | Individual | CORPORATE OFFICER | — | since 04/01/2025 |
| ERICKSON SENIOR LIVING LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/12/2025 |
| BUTLER, RICHARD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 01/01/2014 |
| DIGGS, LYNNE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/12/2025 |
| LOOMIS, MEAGAN | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 09/29/2025 |
| SWEETSER, CHRISTIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/01/2022 |
| BISON, MICHAEL | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 10/15/2025 |
| RIDLEY, FRED | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 10/15/2025 |
| SONES, RANDALL | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 10/15/2025 |
CMS files one row per role, so the 47 rows in the source record cover these 30 parties — each is shown once here with every role it holds. Nothing is omitted.
2 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.
This home reported $12.3M 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.
What families pay in MD
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.
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 215343. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-09-22, 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.