Cycle 1
Health 2025-05-14 · Fire 2025-05-14
8 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Sandy Spring, MD
Friends Nursing Home
5-star overall rating with 4-star inspections with $22,965 in total fines with 8 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
17340 Quaker Lane, Sandy Spring, MD
(301) 924-7531
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
82
Certified beds
Average residents
65
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1990-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.73
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
0.90
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.40
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
4.03
All reported nurse hours · state 3.87 · national 3.89
Licensed hours
1.63
RN + LPN hours · state 1.72 · national 1.54
Weekend hours
4.05
Weekend nurse staffing · state 3.46 · national 3.43
Weekend RN hours
0.81
Weekend registered nurse coverage · state 0.61 · national 0.47
Physical therapist
0.21
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.79
CMS adjusted RN staffing hours
Adjusted total hours
4.39
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
18%
Annual RN turnover · state 40% · national 45%
Total nurse turnover
19%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,897
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.68
Composite VBP score used to determine payment impact.
Payment multiplier
0.9885
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.24
Baseline 21.88% · Performance 21.04% · Measure score 1.24 · Achievement 0.85 · Improvement 1.24
Healthcare-associated infections
0
Baseline 7.50% · Performance 9.94% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
9.29
Baseline 43.75% · Performance 25.71% · Measure score 9.29 · Achievement 9.29 · Improvement 9
Adjusted total nurse staffing
3.34
Baseline 4.39 hours · Performance 4.03 hours · Measure score 3.34 · Achievement 3.34 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.5% |
10.72%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 347 · Observed rate 10.95% · Lower 95% interval 9.83% |
| Discharge to community | 66.5% |
50.57%
15.9 pts better
|
Better than the National Rate · Eligible stays 345 · Observed rate 63.48% · Lower 95% interval 61.28% |
| Medicare spending per beneficiary | 0.95 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 95.56% |
95.27%
0.3 pts better
|
Numerator 172 · Denominator 180 |
| Falls with major injury | 0.56% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 180 |
| Discharge self-care score | 51.82% |
53.69%
1.9 pts worse
|
Numerator 71 · Denominator 137 |
| Discharge mobility score | 66.42% |
50.94%
15.5 pts better
|
Numerator 91 · Denominator 137 |
| Pressure ulcers or injuries, new or worsened | 1.11% |
2.29%
1.2 pts better
|
Numerator 2 · Denominator 180 · Adjusted rate 0.84% |
| Healthcare-associated infections requiring hospitalization | 9.94% |
7.12%
2.8 pts worse
|
No Different than the National Rate · Eligible stays 207 · Observed rate 9.66% · Lower 95% interval 6.83% |
| Staff COVID-19 vaccination coverage | 19.52% |
8.2%
11.3 pts better
|
Numerator 41 · Denominator 210 |
| Staff flu vaccination coverage | 77.83% |
42%
35.8 pts better
|
Numerator 158 · Denominator 203 |
| Discharge function score | 67.15% |
56.45%
10.7 pts better
|
Numerator 92 · Denominator 137 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 40 · Denominator 40 |
| Transfer of health information to patient | 99.13% |
96.28%
2.8 pts better
|
Numerator 114 · Denominator 115 |
| Resident COVID-19 vaccinations up to date | 57.73% |
25.2%
32.5 pts better
|
Numerator 56 · Denominator 97 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.3
0.7 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.4 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.2
0.1 pts worse
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 0.9 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.9%
8.1 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
96.6%
3.4 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.4% |
2.3%
0.9 pts better
|
3.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.6% · Q4 1.9% · 4Q avg 1.4% · 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 | 2.6% |
5.7%
3.1 pts better
|
5.4%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 2.2% · Q3 2.0% · Q4 0.0% · 4Q avg 2.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.9% |
16.1%
1.2 pts better
|
19.6%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 14.6% · Q3 15.1% · Q4 15.7% · 4Q avg 14.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.5% |
15.3%
4.2 pts worse
|
16.7%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 25.0% · Q3 20.0% · Q4 15.0% · 4Q avg 19.5% · 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 | 38.3% |
26.6%
11.7 pts worse
|
16.3%
22 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 38.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 32.6% |
22.9%
9.7 pts worse
|
14.9%
17.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.8% · Q2 23.8% · Q3 44.7% · Q4 26.5% · 4Q avg 32.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
0.7%
0.1 pts worse
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 0.0% · Q4 1.3% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.0% |
1.5%
0.5 pts worse
|
1.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 7.5% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.2% |
25.4%
3.2 pts better
|
19.8%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.7% · Q2 23.6% · Q3 24.2% · Q4 16.3% · 4Q avg 22.2% |
| Percentage of long-stay residents with pressure ulcers | 4.5% |
6.3%
1.8 pts better
|
5.1%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 4.7% · Q3 5.4% · Q4 3.9% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.6% |
78.4%
9.2 pts better
|
81.7%
5.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 78.7% · Q2 84.4% · Q3 92.0% · Q4 95.6% · 4Q avg 87.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.3% |
9.9%
0.4 pts worse
|
12.0%
1.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.3% · Observed 9.0% · Expected 9.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.6% |
1.3%
0.3 pts worse
|
1.6%
About the same
|
Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.5% · Q3 1.6% · Q4 1.6% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 80.6% |
80.6%
About the same
|
79.7%
0.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 80.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.6% |
21.2%
8.4 pts worse
|
23.9%
5.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.6% · Observed 24.1% · Expected 19.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-05-20 · Fire 2021-05-20
5 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2019-11-21 · Fire 2019-11-21
4 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-05-14
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 2025-08-15
F · Potential for more than minimal harm
2025-05-14
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-09-10
E · Potential for more than minimal harm
2025-05-14
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-15
E · Potential for more than minimal harm
2025-05-14
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-08-15
D · Potential for more than minimal harm
2025-05-14
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-09-10
D · Potential for more than minimal harm
2025-05-14
K100 · Construction Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2025-08-15
D · Potential for more than minimal harm
2025-05-14
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-08-15
D · Potential for more than minimal harm
2025-05-14
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 2025-08-15
D · Potential for more than minimal harm
2025-05-14
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-08-15
D · Potential for more than minimal harm
2025-05-14
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2025-08-15
D · Potential for more than minimal harm
2025-05-14
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-08-15
D · Potential for more than minimal harm
2025-05-14
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-08-15
D · Potential for more than minimal harm
2021-05-20
K331 · Smoke Deficiencies
Fire Safety
Construct fire resistant interior walls.
Corrected 2021-06-30
D · Potential for more than minimal harm
2021-05-20
K919 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2021-06-30
C · Minimal harm
2021-05-20
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-06-30
B · Minimal harm
2021-05-20
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-06-30
B · Minimal harm
2021-05-20
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2021-06-30
D · Potential for more than minimal harm
2019-11-21
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2019-12-31
C · Minimal harm
2019-11-21
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 2019-12-31
C · Minimal harm
2019-11-21
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-12-31
B · Minimal harm
2019-11-21
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2019-12-31
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-05-14
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 2025-07-10
E · Potential for more than minimal harm
2025-05-14
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 2025-07-10
D · Potential for more than minimal harm
2025-05-14
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 2025-07-10
D · Potential for more than minimal harm
2025-05-14
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 2025-07-10
D · Potential for more than minimal harm
2025-05-14
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 2025-07-10
D · Potential for more than minimal harm
2025-05-14
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-07-10
D · Potential for more than minimal harm
2025-05-14
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-10
D · Potential for more than minimal harm
2025-05-14
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2025-07-10
D · Potential for more than minimal harm
2024-11-08
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 2024-12-12
D · Potential for more than minimal harm
2024-11-08
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-12
D · Potential for more than minimal harm
2021-05-20
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 2021-07-03
D · Potential for more than minimal harm
2021-05-20
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-07-03
B · Minimal harm
2021-05-20
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2021-07-03
E · Potential for more than minimal harm
2019-11-21
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 2020-01-15
D · Potential for more than minimal harm
2019-11-21
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 2020-01-15
B · Minimal harm
2019-11-21
F551 · Resident Rights Deficiencies
Health
Give the resident's representative the ability to exercise the resident's rights.
Corrected 2020-01-15
B · Minimal harm
2019-11-21
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2020-01-15
Penalties and ownership
What sits behind the stars
$3,904
2023-11-20
Fine
Fine · fine $3,904
Fine
$3,496
2023-11-13
Fine
Fine · fine $3,496
Fine
$3,208
2023-11-06
Fine
Fine · fine $3,208
Fine
$2,857
2023-10-30
Fine
Fine · fine $2,857
Fine
$2,447
2023-10-23
Fine
Fine · fine $2,447
Fine
$2,098
2023-10-17
Fine
Fine · fine $2,098
Fine
$1,810
2023-10-10
Fine
Fine · fine $1,810
Fine
$3,145
2023-09-18
Fine
Fine · fine $3,145
Fine
Ownership
Anthony, Kendall
Corporate Director · Individual
Bell, James
Corporate Director · Individual
Gibian, Barbara
Corporate Director · Individual
Harrington, Kevin
Corporate Director · Individual
Harrington, Kevin
W-2 Managing Employee · Individual
Joyner, Carlotta
Corporate Director · Individual
Messenger, Rachel
Corporate Director · Individual
Myer, Margaret
Corporate Director · Individual
Pardoe, Linda
Corporate Director · Individual
Ruff, Virginia
Corporate Officer · Individual
Ruff, Virginia
W-2 Managing Employee · Individual
Shook, Megan
Corporate Director · Individual
Smallwood, John
Corporate Director · Individual
Stanzione, Eileen
Corporate Director · Individual
Wright, Alan
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Brooke Grove Rehab. & Nsg Ctr
Sandy Spring, MD
3-star overall rating with 3-star inspections with 16 recent health deficiencies
#2
Bedford Court Healthcare Cent.
Silver Spring, MD
5-star overall rating with 4-star inspections with 13 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Layhill Nursing And Rehabilitation Center
Silver Spring, MD
1-star overall rating with 1-star inspections with Special Focus status with $153,596 in total fines with 57 recent health deficiencies with 18 fire-safety deficiencies in the latest cycle
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