Federal inspection record · CMS data as of October 1, 2026
Harmony Suites Rehabilitation and Wellness Center
13908 New Hampshire Avenue, Silver Spring, MD · (301) 598-6000
- Certified beds
- 100
- Residents per day
- 85
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1969
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.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Maryland homes
Harmony Suites Rehabilitation and Wellness Center carries 206.75 inspection points. That is fewer than 9% 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
62 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.
Harm and immediate-jeopardy citations (3)
-
G
Provide safe, appropriate pain management for a resident who requires such services.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Assessment and Care Planning12E
- 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 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.
- 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
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 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 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
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Quality of Life and Care11D
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Assist a resident in gaining access to vision and hearing services.
- 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 safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide or obtain dental services for each resident.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate foot care.
Resident Rights10E
- D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- 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.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Reasonably accommodate the needs and preferences of each resident.
- 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
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- 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 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- B
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Pharmacy Service6E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
- E
Ensure medication error rates are not 5 percent or greater.
- 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 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
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.
- 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.
Environmental5E
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- 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.
- E
Have policies on smoking.
Nursing and Physician Services3D
- D
Observe each nurse aide's job performance and give regular training.
- D
Observe each nurse aide's job performance and give regular training.
- D
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
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.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- B
Dispose of garbage and refuse properly.
Administration2D
- D
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
- C
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspection history
2026-05-15
17 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2025-02-04
38 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
2020-02-03
7 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 19 min of nursing staff time a day, 1 h 1 min of it from a registered nurse.
This home
4 h 19 min
Maryland average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 49% of nursing staff and 67% of registered nurses left in the past year, along with 2 administrators.
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
$174,200 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-05-15 | Fine | $117,390 |
| 2026-03-20 | Fine | $8,281 |
| 2025-02-04 | Fine | $48,529 |
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 days0.1 pts worse | 1.4 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 0.8 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.2 pts better | 98.3% | 93.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.3 pts better | 98.4% | 96.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts better | 1.1% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms16.2 pts better | 7.6% | 23.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.3 pts worse | 6.7% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.5 pts worse | 17.3% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.3 pts better | 5.8% | 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 worsened2 pts worse | 21.9% | 19.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.4 pts better | 15.2% | 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 infection0.3 pts worse | 1.7% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.1 pts worse | 27.3% | 24.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.2 pts worse | 5.9% | 5.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12 pts worse | 67.7% | 79.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.9 pts worse | 10.3% | 9.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better | 0.8% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.2 pts worse | 79.1% | 81.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.1 pts worse | 20.3% | 20.2% | 23.4% |
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Fire safety
25 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
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Miscellaneous6F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have restrictions on the use of portable space heaters.
- D
Have simulated fire drills held at unexpected times.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems6F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
Egress5E
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
Services1E
- E
Meet other general requirements that are deficient.
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Other homes nearby
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Complete Care At Springbrook
Silver Spring, MD · Complete Care
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 28 min
- Fines
- $0
-
Fairland Center
Silver Spring, MD · Genesis Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 44 min
- Fines
- $0
-
Autumn Lake Healthcare At Silver Spring
Silver Spring, MD · Autumn Lake Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 24 min
- Fines
- $0