Rockville, MD

Collingswood Rehabilitation And Healthcare Center

2-star overall rating with 2-star inspections with 34 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle

299 Hurley Avenue, Rockville, MD

(301) 762-8900

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

160

Certified beds

Average residents

146

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Marquis Health Services

Operator or chain grouping

Approved since

1973-06-12

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

81 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.69

Registered nurse staffing · state 0.81 · national 0.68

LPN hours / resident day

1.08

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.35

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

4.12

All reported nurse hours · state 3.87 · national 3.89

Licensed hours

1.77

RN + LPN hours · state 1.72 · national 1.54

Weekend hours

3.47

Weekend nurse staffing · state 3.46 · national 3.43

Weekend RN hours

0.36

Weekend registered nurse coverage · state 0.61 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.49

CMS adjusted RN staffing hours

Adjusted total hours

2.93

CMS adjusted total nurse staffing hours

Case-mix index

1.92

Higher values indicate more complex resident acuity

RN turnover

45%

Annual RN turnover · state 40% · national 45%

Total nurse turnover

31%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,649

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

Performance score

43.30

Composite VBP score used to determine payment impact.

Payment multiplier

0.9963

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.75

Baseline 18.24% · Performance 18.77% · Measure score 5.75 · Achievement 5.75 · Improvement 0

Healthcare-associated infections

1.57

Baseline 7.63% · Performance 7.36% · Measure score 1.57 · Achievement 1.57 · Improvement 0.52

Total nurse turnover

10

Baseline 32.03% · Performance 23.20% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

0

Baseline 2.91 hours · Performance 2.93 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 13.03%
10.72%
2.3 pts worse
Worse than the National Rate · Eligible stays 370 · Observed rate 17.57% · Lower 95% interval 10.8%
Discharge to community 55.39%
50.57%
4.8 pts better
No Different than the National Rate · Eligible stays 410 · Observed rate 39.76% · Lower 95% interval 49.95%
Medicare spending per beneficiary 1.16
1.02
0.1 pts worse
Drug regimen review with follow-up 97.65%
95.27%
2.4 pts better
Numerator 249 · Denominator 255
Falls with major injury 1.57%
0.77%
0.8 pts worse
Numerator 4 · Denominator 255
Discharge self-care score 35.38%
53.69%
18.3 pts worse
Numerator 23 · Denominator 65
Discharge mobility score 23.08%
50.94%
27.9 pts worse
Numerator 15 · Denominator 65
Pressure ulcers or injuries, new or worsened 4.71%
2.29%
2.4 pts worse
Numerator 12 · Denominator 255 · Adjusted rate 2.8%
Healthcare-associated infections requiring hospitalization 7.36%
7.12%
0.2 pts worse
No Different than the National Rate · Eligible stays 244 · Observed rate 10.25% · Lower 95% interval 5.34%
Staff COVID-19 vaccination coverage 77.02%
8.2%
68.8 pts better
Numerator 124 · Denominator 161
Staff flu vaccination coverage 53.47%
42%
11.5 pts better
Numerator 131 · Denominator 245
Discharge function score 23.08%
56.45%
33.4 pts worse
Numerator 15 · Denominator 65
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 111 · Denominator 111
Transfer of health information to patient 97.75%
96.28%
1.5 pts better
Numerator 87 · Denominator 89
Resident COVID-19 vaccinations up to date 64.12%
25.2%
38.9 pts better
Numerator 84 · Denominator 131

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.6
1.3
0.3 pts worse
1.9
0.3 pts better
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.9 · Expected 2.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.0
1.2
0.2 pts better
1.8
0.8 pts better
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.0 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.2%
91.9%
2.3 pts better
93.4%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 91.5% · Q2 89.8% · Q3 97.6% · Q4 98.3% · 4Q avg 94.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.4%
96.6%
0.2 pts worse
95.5%
0.9 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.4%
Percentage of long-stay residents experiencing one or more falls with major injury 4.2%
2.3%
1.9 pts worse
3.3%
0.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 4.7% · Q3 3.2% · Q4 3.4% · 4Q avg 4.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 96.2%
21.4%
74.8 pts worse
11.4%
84.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 94.0% · Q2 97.4% · Q3 96.1% · Q4 97.3% · 4Q avg 96.2%
Percentage of long-stay residents who lose too much weight 9.1%
5.7%
3.4 pts worse
5.4%
3.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 9.1% · Q3 10.7% · Q4 5.2% · 4Q avg 9.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 12.2%
16.1%
3.9 pts better
19.6%
7.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 10.6% · Q3 15.3% · Q4 12.2% · 4Q avg 12.2%
Percentage of long-stay residents who received an antipsychotic medication 3.4%
15.3%
11.9 pts better
16.7%
13.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 4.8% · Q3 2.2% · Q4 3.4% · 4Q avg 3.4% · 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 ability to walk independently worsened 33.7%
26.6%
7.1 pts worse
16.3%
17.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 57.1% · Q3 23.3% · 4Q avg 33.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 29.4%
22.9%
6.5 pts worse
14.9%
14.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 53.9% · Q2 29.6% · Q3 29.3% · Q4 2.8% · 4Q avg 29.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.1%
0.7%
0.6 pts better
1.0%
0.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.8%
1.5%
0.7 pts better
1.7%
0.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 0.8% · Q4 0.9% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 23.8%
25.4%
1.6 pts better
19.8%
4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 29.4% · Q2 28.9% · Q3 16.7% · Q4 19.4% · 4Q avg 23.8%
Percentage of long-stay residents with pressure ulcers 8.0%
6.3%
1.7 pts worse
5.1%
2.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 7.6% · Q3 10.7% · Q4 8.1% · 4Q avg 8.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 54.7%
78.4%
23.7 pts worse
81.7%
27 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 45.5% · Q2 46.7% · Q3 58.4% · Q4 67.8% · 4Q avg 54.7%
Percentage of short-stay residents who had an outpatient emergency department visit 8.6%
9.9%
1.3 pts better
12.0%
3.4 pts better
Short Stay · 20240701-20250630 · Adjusted 8.6% · Observed 10.9% · Expected 14.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.4%
1.3%
0.9 pts better
1.6%
1.2 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 0.8% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 48.3%
80.6%
32.3 pts worse
79.7%
31.4 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 48.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 20.8%
21.2%
0.4 pts better
23.9%
3.1 pts better
Short Stay · 20240701-20250630 · Adjusted 20.8% · Observed 32.8% · Expected 37.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-08 · Fire 2025-08-08

34 health deficiencies

Top issue: Quality of Life and Care (9 deficiencies)

15 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)

Cycle 2 Health 2022-08-23 · Fire 2022-08-23

30 health deficiencies

Top issue: Pharmacy Service (7 deficiencies)

12 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2019-12-09 · Fire 2019-12-09

10 health deficiencies

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

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-08

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-11-24

F · Potential for more than minimal harm 2025-08-08

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-11-24

F · Potential for more than minimal harm 2025-08-08

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-11-24

F · Potential for more than minimal harm 2025-08-08

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-11-24

F · Potential for more than minimal harm 2025-08-08

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2025-11-24

F · Potential for more than minimal harm 2025-08-08

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-11-24

F · Potential for more than minimal harm 2025-08-08

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-11-24

F · Potential for more than minimal harm 2025-08-08

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-11-24

E · Potential for more than minimal harm 2025-08-08

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2025-11-24

E · Potential for more than minimal harm 2025-08-08

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2025-11-24

E · Potential for more than minimal harm 2025-08-08

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-11-24

E · Potential for more than minimal harm 2025-08-08

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2025-11-24

E · Potential for more than minimal harm 2025-08-08

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-11-24

D · Potential for more than minimal harm 2025-08-08

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-11-24

D · Potential for more than minimal harm 2025-08-08

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-11-24

E · Potential for more than minimal harm 2022-08-23

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2022-09-27

E · Potential for more than minimal harm 2022-08-23

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2022-09-27

E · Potential for more than minimal harm 2022-08-23

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-09-27

E · Potential for more than minimal harm 2022-08-23

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-09-27

E · Potential for more than minimal harm 2022-08-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-09-27

E · Potential for more than minimal harm 2022-08-23

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2022-09-27

E · Potential for more than minimal harm 2022-08-23

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-09-27

E · Potential for more than minimal harm 2022-08-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-09-27

D · Potential for more than minimal harm 2022-08-23

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2022-09-27

D · Potential for more than minimal harm 2022-08-23

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2022-09-27

D · Potential for more than minimal harm 2022-08-23

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-09-27

D · Potential for more than minimal harm 2022-08-23

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-09-27

F · Potential for more than minimal harm 2019-12-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-02-19

F · Potential for more than minimal harm 2019-12-09

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2020-02-19

E · Potential for more than minimal harm 2019-12-09

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2020-02-19

D · Potential for more than minimal harm 2019-12-09

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2020-02-19

D · Potential for more than minimal harm 2019-12-09

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2020-02-19

C · Minimal harm 2019-12-09

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2020-02-19

B · Minimal harm 2019-12-09

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2020-02-19

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-07

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-01-30

D · Potential for more than minimal harm 2026-01-07

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2026-01-30

D · Potential for more than minimal harm 2026-01-07

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 2026-01-30

F · Potential for more than minimal harm 2025-08-08

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 2025-09-05

E · Potential for more than minimal harm 2025-08-08

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 2025-09-05

E · Potential for more than minimal harm 2025-08-08

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-09-05

E · Potential for more than minimal harm 2025-08-08

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-09-05

E · Potential for more than minimal harm 2025-08-08

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-09-05

E · Potential for more than minimal harm 2025-08-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-05

E · Potential for more than minimal harm 2025-08-08

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2025-09-05

D · Potential for more than minimal harm 2025-08-08

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-09-05

D · Potential for more than minimal harm 2025-08-08

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-09-05

D · Potential for more than minimal harm 2025-08-08

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-09-05

D · Potential for more than minimal harm 2025-08-08

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 2025-09-05

D · Potential for more than minimal harm 2025-08-08

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2025-09-05

D · Potential for more than minimal harm 2025-08-08

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-09-05

D · Potential for more than minimal harm 2025-08-08

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-09-05

D · Potential for more than minimal harm 2025-08-08

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-09-05

D · Potential for more than minimal harm 2025-08-08

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-09-05

D · Potential for more than minimal harm 2025-08-08

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-09-05

D · Potential for more than minimal harm 2025-08-08

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-09-05

D · Potential for more than minimal harm 2025-08-08

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 2025-09-05

D · Potential for more than minimal harm 2025-08-08

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-09-05

D · Potential for more than minimal harm 2025-08-08

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2025-09-05

C · Minimal harm 2025-08-08

F577 · Resident Rights Deficiencies

Health

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

Corrected 2025-09-05

E · Potential for more than minimal harm 2025-05-15

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-06-14

E · Potential for more than minimal harm 2025-05-15

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-06-14

D · Potential for more than minimal harm 2025-05-15

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-06-14

D · Potential for more than minimal harm 2025-05-15

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-06-14

D · Potential for more than minimal harm 2025-05-15

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-06-14

D · Potential for more than minimal harm 2025-05-15

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 2025-06-14

D · Potential for more than minimal harm 2025-05-15

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 2025-06-14

D · Potential for more than minimal harm 2025-05-15

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-14

D · Potential for more than minimal harm 2025-05-15

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-06-14

F · Potential for more than minimal harm 2022-08-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-10-31

E · Potential for more than minimal harm 2022-08-23

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2022-10-31

E · Potential for more than minimal harm 2022-08-23

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2022-10-31

E · Potential for more than minimal harm 2022-08-23

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2022-10-31

E · Potential for more than minimal harm 2022-08-23

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 2022-10-31

E · Potential for more than minimal harm 2022-08-23

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2022-10-31

E · Potential for more than minimal harm 2022-08-23

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-10-31

E · Potential for more than minimal harm 2022-08-23

F711 · Nursing and Physician Services Deficiencies

Health

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Corrected 2022-10-31

E · Potential for more than minimal harm 2022-08-23

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 2022-10-31

D · Potential for more than minimal harm 2022-08-23

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 2022-10-31

D · Potential for more than minimal harm 2022-08-23

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 2022-10-31

D · Potential for more than minimal harm 2022-08-23

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2022-10-31

D · Potential for more than minimal harm 2022-08-23

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2022-10-31

D · Potential for more than minimal harm 2022-08-23

F625 · Resident Rights Deficiencies

Health

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.

Corrected 2022-10-31

D · Potential for more than minimal harm 2022-08-23

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-10-31

D · Potential for more than minimal harm 2022-08-23

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 2022-10-31

D · Potential for more than minimal harm 2022-08-23

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-10-31

D · Potential for more than minimal harm 2022-08-23

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-10-31

D · Potential for more than minimal harm 2022-08-23

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2022-10-31

D · Potential for more than minimal harm 2022-08-23

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2022-10-31

D · Potential for more than minimal harm 2022-08-23

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2022-10-31

D · Potential for more than minimal harm 2022-08-23

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2022-10-31

D · Potential for more than minimal harm 2022-08-23

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2022-10-31

D · Potential for more than minimal harm 2022-08-23

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2022-10-31

D · Potential for more than minimal harm 2022-08-23

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2022-10-31

D · Potential for more than minimal harm 2022-08-23

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-10-31

D · Potential for more than minimal harm 2022-08-23

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2022-10-31

D · Potential for more than minimal harm 2022-08-23

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 2022-10-31

D · Potential for more than minimal harm 2022-08-23

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 2022-10-31

D · Potential for more than minimal harm 2022-08-23

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2022-10-31

E · Potential for more than minimal harm 2019-12-09

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 2020-01-23

E · Potential for more than minimal harm 2019-12-09

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2020-01-23

D · Potential for more than minimal harm 2019-12-09

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2020-01-23

D · Potential for more than minimal harm 2019-12-09

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 2020-01-23

D · Potential for more than minimal harm 2019-12-09

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2020-01-23

D · Potential for more than minimal harm 2019-12-09

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2020-01-23

D · Potential for more than minimal harm 2019-12-09

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 2020-01-23

D · Potential for more than minimal harm 2019-12-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2020-01-23

D · Potential for more than minimal harm 2019-12-09

F883 · Infection Control Deficiencies

Health

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

Corrected 2020-01-23

D · Potential for more than minimal harm 2019-12-09

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2020-01-23

Penalties and ownership

What sits behind the stars

Ownership

Quinto Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

89% 7 facilities 2022-01-01
Ukr Consulting LLC

5% Or Greater Direct Ownership Interest · Organization

10% 26 facilities 2022-01-01
Bao, Truong

Operational/Managerial Control · Individual

0% 1 facilities 2019-01-01
El Bey, Titania

Operational/Managerial Control · Individual

0% 1 facilities 2024-04-08
El Bey, Titania

Corporate Director · Individual

0% 1 facilities 2024-04-08
Live Well Plus LLC

Operational/Managerial Control · Organization

0% 3 facilities 2025-02-04
Manufacturers & Traders Trust Company

5% Or Greater Security Interest · Organization

0% 12 facilities 2019-01-01
Marquis Limited LLC

Operational/Managerial Control · Organization

0% 65 facilities 2021-01-01
Nfr 2020 Irrv Tr

5% Or Greater Indirect Ownership Interest · Organization

0% 70 facilities 2021-12-31
Posen, Mindee

Corporate Officer · Individual

0% 81 facilities 2019-01-01
Reliant Pro Rehab LLC

Operational/Managerial Control · Organization

0% 65 facilities 2019-10-17
Rsbrmk Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 71 facilities 2021-12-31
Sk 2013 Delta Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 13 facilities 2021-12-31
Sora Kohn Fam Tr Uad 120120

5% Or Greater Indirect Ownership Interest · Organization

0% 8 facilities 2021-12-31
Tryko Holdings, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 8 facilities 2022-01-01
Uak 2020 Irrv Tr

5% Or Greater Indirect Ownership Interest · Organization

0% 70 facilities 2021-12-31
Yr 2013 Delta Tr Ua 03252013

5% Or Greater Indirect Ownership Interest · Organization

0% 13 facilities 2021-12-31

Nearby options

Other facilities in reach

#1

Sterling Care Rockville Nursing

Rockville, MD

4-star overall rating with 3-star inspections with 23 recent health deficiencies with 23 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
3 / 5
Staffing
2 / 5
Fines
$0
#2

The Village At Rockville

Rockville, MD

3-star overall rating with 2-star inspections with $17,345 in total fines with 21 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
2 / 5
Staffing
4 / 5
Fines
$17,345
#3

Shady Grove Nursing And Rehabilitation Center

Rockville, MD

2-star overall rating with 1-star inspections with $12,735 in total fines with 43 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
1 / 5
Staffing
2 / 5
Fines
$12,735

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