Federal inspection record · CMS data as of October 1, 2026
Carriage Hill Bethesda
5215 Cedar Lane, Bethesda, MD · (301) 897-5500
- Certified beds
- 108
- Residents per day
- 104
- Ownership
- For-Profit
- Chain
- Vierra Communities
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 8, 1991
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Maryland.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Maryland homes
Carriage Hill Bethesda carries 87 inspection points. That is fewer than 54% of Maryland's 219 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Maryland: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–32 pts
- 4★ 32–72 pts
- 3★ 72–104.75 pts
- 2★ 104.75–158.12 pts
- 1★ over 158.12 pts
Bars show every rated home in Maryland by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
45 health citations on record since 2020. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning10F
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- E
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- E
Assure that each resident’s assessment is updated at least once every 3 months.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights7E
- D
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
- D
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.
- E
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care7D
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide routine and 24-hour emergency dental care for each resident.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service6D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure that residents are free from significant medication errors.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
Freedom from Abuse, Neglect, and Exploitation5D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Respond appropriately to all alleged violations.
Nutrition and Dietary4E
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental3F
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
- D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Nursing and Physician Services2D
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- B
Observe each nurse aide's job performance and give regular training.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-03-26
19 health deficiencies · 6 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
2025-01-17
19 health deficiencies · 9 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (7 deficiencies)
2020-02-14
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 57 min of nursing staff time a day, 47 min of it from a registered nurse.
This home
3 h 57 min
Maryland average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 27% of nursing staff and 42% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts worse | 1.5 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse | 1.8 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.6 pts worse | 86.5% | 93.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine14.9 pts worse | 81.2% | 96.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1 pts better | 1.5% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2 pts better | 21.8% | 23.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.6 pts better | 0.8% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.3 pts better | 7.5% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.6 pts better | 9.5% | 14.1% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.1 pts better | 11.8% | 19.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.4 pts better | 12.2% | 19.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.0% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts better | 0.4% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.1 pts worse | 25.3% | 24.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.9 pts better | 4.8% | 5.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine29.3 pts worse | 50.4% | 79.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.6 pts better | 8.8% | 9.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better | 0.5% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.9 pts worse | 64.4% | 81.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.6 pts worse | 21.8% | 20.2% | 23.4% |
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Who owns and runs it
19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Carriage Hill Bethesda LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Carriage Hill Opco Holdco LLC | 5% Or Greater Direct Ownership Interest · Organization | 0% | 1 facilities |
| Carriage Hill Propco Holdco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Cgd Trust | Adp Of The SNF · Organization | 0% | 1 facilities |
| Derek R. Vucich Revocable Trust | Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Derek R. Vucich Trust | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Joseph Gift Dynasty Trust | Adp Of The SNF · Organization | 0% | 2 facilities |
| Joseph L. Vucich Dynasty Trust | Adp Of The SNF · Organization | 0% | 2 facilities |
| Joseph Vucich | Trustee Of The SNF · Organization | 0% | 1 facilities |
| Lois Vucich | Trustee Of The SNF · Organization | 0% | 1 facilities |
| Mbeboh, Julius | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mbeboh, Julius | Adp Of The SNF · Individual | 0% | 1 facilities |
| Parkway Financial And Accounting Services LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Schiavi Wallace & Rowe Pc | Adp Of The SNF · Organization | 0% | 11 facilities |
| The Wright Group Consulting, LLC | Adp Of The SNF · Organization | 0% | 19 facilities |
| Vierra Communities LLC | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Vierra Management LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Vucich, Derek | 5% Or Greater Direct Ownership Interest · Individual | 0% | 3 facilities |
| Vucich, Derek | Corporate Officer · Individual | 0% | 3 facilities |
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Fire safety
15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
Miscellaneous2F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have proper medical gas storage and administration areas.
Egress2F
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- F
Have exits that are accessible at all times.
Emergency Preparedness2F
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Construction1F
- F
Meet other general requirements.
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Other homes nearby
-
Maplewood Park Place
Bethesda, MD
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- —
- Fines
- $0
-
Sterling Care Bethesda
Bethesda, MD · Sterling Care
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 9 min
- Fines
- $0
-
Tuckerman Rehabilitation And Healthcare Center
North Bethesda, MD · Marquis Health Services
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 9 min
- Fines
- $0