Silver Spring, MD

Bedford Court Healthcare Cent.

5-star overall rating with 4-star inspections with 13 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

3701 International Drive, Silver Spring, MD

(301) 598-2900

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Sunrise Senior Living

Operator or chain grouping

Approved since

1993-01-27

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

6 facilities

Chain averages 4 overall / 3 health / 4 staffing / 5 quality stars

Changed ownership

Within the last 12 months

Family council

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.51

Registered nurse staffing · state 0.81 · national 0.68

LPN hours / resident day

1.46

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

3.02

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

4.99

All reported nurse hours · state 3.87 · national 3.89

Licensed hours

1.97

RN + LPN hours · state 1.72 · national 1.54

Weekend hours

4.58

Weekend nurse staffing · state 3.46 · national 3.43

Weekend RN hours

0.37

Weekend registered nurse coverage · state 0.61 · national 0.47

Physical therapist

0.20

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.53

CMS adjusted RN staffing hours

Adjusted total hours

5.20

CMS adjusted total nurse staffing hours

Case-mix index

1.31

Higher values indicate more complex resident acuity

RN turnover

63%

Annual RN turnover · state 40% · national 45%

Total nurse turnover

28%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,085

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

60.08

Composite VBP score used to determine payment impact.

Payment multiplier

1.0152

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.68

Baseline 18.86% · Performance 18.80% · Measure score 5.68 · Achievement 5.68 · Improvement 0

Healthcare-associated infections

4.93

Baseline 7.31% · Performance 6.36% · Measure score 4.93 · Achievement 4.93 · Improvement 3.61

Total nurse turnover

8.75

Performance 27.91% · Measure score 8.75 · Achievement 8.75 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

4.66

Baseline 4.44 hours · Performance 4.40 hours · Measure score 4.66 · Achievement 4.66 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.47%	10.72% 1.8 pts worse	No Different than the National Rate · Eligible stays 349 · Observed rate 10.6% · Lower 95% interval 9.56%
Discharge to community	73%	50.57% 22.4 pts better	Better than the National Rate · Eligible stays 336 · Observed rate 71.73% · Lower 95% interval 68.29%
Medicare spending per beneficiary	0.97	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 197 · Denominator 197
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 197
Discharge self-care score	72.08%	53.69% 18.4 pts better	Numerator 111 · Denominator 154
Discharge mobility score	45.45%	50.94% 5.5 pts worse	Numerator 70 · Denominator 154
Pressure ulcers or injuries, new or worsened	2.04%	2.29% 0.2 pts better	Numerator 4 · Denominator 196 · Adjusted rate 2.3%
Healthcare-associated infections requiring hospitalization	6.36%	7.12% 0.8 pts better	No Different than the National Rate · Eligible stays 205 · Observed rate 4.39% · Lower 95% interval 4%
Staff COVID-19 vaccination coverage	12.12%	8.2% 3.9 pts better	Numerator 12 · Denominator 99
Staff flu vaccination coverage	29.93%	42% 12.1 pts worse	Numerator 44 · Denominator 147
Discharge function score	56.49%	56.45% About the same	Numerator 87 · Denominator 154
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 31 · Denominator 31
Transfer of health information to patient	99.33%	96.28% 3 pts better	Numerator 148 · Denominator 149
Resident COVID-19 vaccinations up to date	60.47%	25.2% 35.3 pts better	Numerator 52 · Denominator 86

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.3	1.3 About the same	1.9 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 0.9 · Expected 1.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0	1.2 1.2 pts better	1.8 1.8 pts better	Long Stay · 20240701-20250630 · Adjusted 0 · Observed 0 · Expected 1.1 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	84.3%	91.9% 7.6 pts worse	93.4% 9.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 82.1% · Q2 81.5% · Q3 80.8% · Q4 92.6% · 4Q avg 84.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	89.7%	96.6% 6.9 pts worse	95.5% 5.8 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 89.7%
Percentage of long-stay residents experiencing one or more falls with major injury	1.9%	2.3% 0.4 pts better	3.3% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.8% · Q4 3.7% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	21.4% 21.4 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	5.1%	5.7% 0.6 pts better	5.4% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 0.0% · Q3 14.3% · Q4 3.8% · 4Q avg 5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	29.4%	16.1% 13.3 pts worse	19.6% 9.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 34.6% · Q2 33.3% · Q3 21.7% · Q4 26.9% · 4Q avg 29.4%
Percentage of long-stay residents who received an antipsychotic medication	18.0%	15.3% 2.7 pts worse	16.7% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 21.7% · Q3 20.0% · Q4 16.7% · 4Q avg 18.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose need for help with daily activities has increased	12.2%	22.9% 10.7 pts better	14.9% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 12.5% · Q3 20.0% · Q4 0.0% · 4Q avg 12.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.1%	0.7% 0.4 pts worse	1.0% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.5% 1.5 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.3%	25.4% 1.1 pts better	19.8% 4.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 16.1% · Q3 36.0% · Q4 21.2% · 4Q avg 24.3%
Percentage of long-stay residents with pressure ulcers	5.3%	6.3% 1 pts better	5.1% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 3.6% · Q3 5.3% · Q4 6.1% · 4Q avg 5.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	81.2%	78.4% 2.8 pts better	81.7% 0.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 79.1% · Q2 82.5% · Q3 78.0% · Q4 85.1% · 4Q avg 81.2%
Percentage of short-stay residents who had an outpatient emergency department visit	8.7%	9.9% 1.2 pts better	12.0% 3.3 pts better	Short Stay · 20240701-20250630 · Adjusted 8.7% · Observed 7.1% · Expected 9.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.6%	1.3% 0.7 pts better	1.6% 1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.3% · 4Q avg 0.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	84.3%	80.6% 3.7 pts better	79.7% 4.6 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 84.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	20.0%	21.2% 1.2 pts better	23.9% 3.9 pts better	Short Stay · 20240701-20250630 · Adjusted 20.0% · Observed 14.8% · Expected 17.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-12 · Fire 2024-12-12

13 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2020-02-27 · Fire 2020-02-27

4 health deficiencies

Top issue: Infection Control (1 deficiency)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2019-04-11 · Fire 2019-04-11

6 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-12-12

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-02-11

F · Potential for more than minimal harm 2024-12-12

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-03-13

D · Potential for more than minimal harm 2020-02-27

K221 · Egress Deficiencies

Fire Safety

Provide rooms that can be unlocked from inside without a key.

Corrected 2020-03-11

D · Potential for more than minimal harm 2020-02-27

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2020-03-11

D · Potential for more than minimal harm 2020-02-27

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2020-03-11

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-12-12

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-01-26

E · Potential for more than minimal harm 2024-12-12

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-01-26

E · Potential for more than minimal harm 2024-12-12

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-01-26

E · Potential for more than minimal harm 2024-12-12

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2025-01-26

E · Potential for more than minimal harm 2024-12-12

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2025-01-26

D · Potential for more than minimal harm 2024-12-12

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-01-26

D · Potential for more than minimal harm 2024-12-12

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2025-01-26

D · Potential for more than minimal harm 2024-12-12

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-01-26

D · Potential for more than minimal harm 2024-12-12

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2025-01-26

D · Potential for more than minimal harm 2024-12-12

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-01-26

D · Potential for more than minimal harm 2024-12-12

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-01-26

D · Potential for more than minimal harm 2024-12-12

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-01-26

D · Potential for more than minimal harm 2024-12-12

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-01-26

D · Potential for more than minimal harm 2024-12-12

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-01-26

D · Potential for more than minimal harm 2024-12-12

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-01-26

D · Potential for more than minimal harm 2020-02-27

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2020-04-11

D · Potential for more than minimal harm 2020-02-27

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2020-04-11

E · Potential for more than minimal harm 2019-04-11

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2019-05-15

E · Potential for more than minimal harm 2019-04-11

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2019-05-15

D · Potential for more than minimal harm 2019-04-11

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2019-05-15

D · Potential for more than minimal harm 2019-04-11

F761 · Pharmacy Service Deficiencies

Health

Corrected 2019-05-15

D · Potential for more than minimal harm 2019-04-11

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2019-05-15

B · Minimal harm 2019-04-11

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2019-05-15

Penalties and ownership