Federal inspection record · CMS data as of October 1, 2026
Forestville Rehabilitation and Wellness Center
7420 Marlboro Pike, Forestville, MD · (301) 736-0240
- Cited for abuse (CMS abuse icon)
- Certified beds
- 162
- Residents per day
- 151
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 20, 1971
1
How this home got 2 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.
-
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.
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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
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Maryland homes
Forestville Rehabilitation and Wellness Center carries 234 inspection points. That is fewer than 6% 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
66 health citations on record since 2019. 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.
Harm and immediate-jeopardy citations (1)
-
G
Provide safe, appropriate pain management for a resident who requires such services.
Everything else, by area of care
Resident Assessment and Care Planning13D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- D
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
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Quality of Life and Care12E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide or obtain dental services for each resident.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide activities to meet all resident's needs.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate pain management for a resident who requires such services.
Resident Rights11E
- E
Honor the resident's right to manage his or her financial affairs.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
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.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
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.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
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.
Freedom from Abuse, Neglect, and Exploitation7D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 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
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Administration5F
- F
Hire a qualified full-time social worker in a facility with more than 120 beds.
- E
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
- D
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- D
Provide training in compliance and ethics.
- D
Employ staff that are licensed, certified, or registered in accordance with state laws.
Pharmacy Service5D
- 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 medication error rates are not 5 percent or greater.
- D
Ensure medication error rates are not 5 percent or greater.
- 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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Nutrition and Dietary4E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nursing and Physician Services3D
- D
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
- D
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
- C
Post nurse staffing information every day.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Environmental2D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2026-01-12
35 health deficiencies · 16 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (6 deficiencies)
2024-06-03
22 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2019-06-24
9 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 24 min of nursing staff time a day, 29 min of it from a registered nurse.
This home
3 h 24 min
Maryland average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 29% of nursing staff and 41% 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
Fines and payment denials
$16,039 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-06-03 | Fine | $16,039 |
6
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 daysAbout the same | 1.3 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 0.9 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccineAbout the same | 93.1% | 93.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts better | 97.9% | 96.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.5 pts better | 0.0% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms22.3 pts better | 1.5% | 23.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.4 pts better | 3.0% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.2 pts better | 13.6% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.3 pts better | 12.8% | 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 worsened0.6 pts better | 19.3% | 19.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.3 pts worse | 19.9% | 19.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.1% | 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 incontinence4.4 pts better | 19.8% | 24.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.9 pts better | 3.8% | 5.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.5 pts better | 85.2% | 79.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.5 pts worse | 14.9% | 9.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better | 0.4% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.7 pts better | 86.0% | 81.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admissionAbout the same | 20.2% | 20.2% | 23.4% |
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Fire safety
29 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Egress7F
- F
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
Provide two separate exits in rooms of more than 1000 square feet.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- F
Install proper backup exit lighting.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Provide two separate exits in rooms of more than 1000 square feet.
Miscellaneous5F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Have restrictions on the use of portable space heaters.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems5F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
Services2D
- D
Meet other general requirements that are deficient.
- D
Have elevators that firefighters can control in the event of a fire.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
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