Cycle 1
Health 2025-03-10 · Fire 2025-03-10
3 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Bethesda, MD
Maplewood Park Place
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
9707 Old Georgetown Road, Bethesda, MD
(301) 530-0500
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
0 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
31
Certified beds
Average residents
18
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1996-05-07
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
0.00
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
0.00
Nurse aide staffing
Total nurse hours
0.00
All reported nurse hours
Licensed hours
0.00
RN + LPN hours
Weekend hours
0.00
Weekend nurse staffing
Weekend RN hours
0.00
Weekend registered nurse coverage
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
0.00
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
1,647
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
55.03
Composite VBP score used to determine payment impact.
Payment multiplier
1.0100
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.01
Baseline 17.83% · Performance 20.50% · Measure score 2.01 · Achievement 2.01 · Improvement 0
Healthcare-associated infections
4.5
Baseline 5.93% · Performance 6.49% · Measure score 4.5 · Achievement 4.5 · Improvement 0
Total nurse turnover
10
Performance 19.23% · Measure score 10 · Achievement 10 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.55% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 64 · Observed rate 9.38% · Lower 95% interval 6.58% |
| Discharge to community | 64.95% |
50.57%
14.4 pts better
|
Better than the National Rate · Eligible stays 65 · Observed rate 61.54% · Lower 95% interval 53.06% |
| Medicare spending per beneficiary | 0.93 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 40 · Denominator 40 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 40 |
| Discharge self-care score | 42.86% |
53.69%
10.8 pts worse
|
Numerator 15 · Denominator 35 |
| Discharge mobility score | 51.43% |
50.94%
0.5 pts better
|
Numerator 18 · Denominator 35 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 40 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.49% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 51 · Observed rate 3.92% · Lower 95% interval 3.75% |
| Staff COVID-19 vaccination coverage | 2.38% |
8.2%
5.8 pts worse
|
Numerator 2 · Denominator 84 |
| Staff flu vaccination coverage | 73.81% |
42%
31.8 pts better
|
Numerator 62 · Denominator 84 |
| Discharge function score | 57.14% |
56.45%
0.7 pts better
|
Numerator 20 · Denominator 35 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 29 · Denominator 29 |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
2.3%
2.3 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · 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 · 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 · 4Q avg 2.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 42.5% |
16.1%
26.4 pts worse
|
19.6%
22.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 42.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 51.7% |
15.3%
36.4 pts worse
|
16.7%
35 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 51.7% · 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 · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.6% |
22.9%
7.3 pts better
|
14.9%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.7%
0.7 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.5%
1.5 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.7% |
25.4%
6.3 pts worse
|
19.8%
11.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 31.7% |
| Percentage of long-stay residents with pressure ulcers | 0.0% |
6.3%
6.3 pts better
|
5.1%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% |
78.4%
20.8 pts better
|
81.7%
17.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 96.3% · Q4 100.0% · 4Q avg 99.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 3.4% |
9.9%
6.5 pts better
|
12.0%
8.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 3.4% · Observed 2.7% · Expected 8.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
1.3%
About the same
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
80.6%
19.4 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 33.7% |
21.2%
12.5 pts worse
|
23.9%
9.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 33.7% · Observed 24.3% · Expected 17.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-05-06 · Fire 2021-05-06
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2019-08-02 · Fire 2019-08-02
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-03-10
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 2025-05-06
F · Potential for more than minimal harm
2025-03-10
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-05-06
F · Potential for more than minimal harm
2025-03-10
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 2025-05-06
F · Potential for more than minimal harm
2025-03-10
K331 · Smoke Deficiencies
Fire Safety
Construct fire resistant interior walls.
Corrected 2025-05-06
F · Potential for more than minimal harm
2025-03-10
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-06
D · Potential for more than minimal harm
2025-03-10
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-05-06
B · Minimal harm
2021-05-06
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-05-09
D · Potential for more than minimal harm
2019-08-02
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 2019-08-12
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-03-10
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 2025-03-12
D · Potential for more than minimal harm
2025-03-10
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-12
D · Potential for more than minimal harm
2025-03-10
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-03-12
G · Actual harm
2019-08-02
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 2019-09-20
D · Potential for more than minimal harm
2019-08-02
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 2019-09-20
Penalties and ownership
What sits behind the stars
Ownership
Coelho, Andrew
Operational/Managerial Control · Individual
Dorazio, Michael
Corporate Director · Individual
Dorazio, Michael
Corporate Officer · Individual
Falco, Denise
Operational/Managerial Control · Individual
Frantz, Edward
Operational/Managerial Control · Individual
Fried, Leslie
Corporate Director · Individual
Fried, Leslie
Corporate Officer · Individual
Gallagher, Elizabeth
Corporate Director · Individual
Gallagher, Elizabeth
Corporate Officer · Individual
Harry, Barbara
Operational/Managerial Control · Individual
Hotvedt, Richard
Corporate Director · Individual
Hotvedt, Richard
Corporate Officer · Individual
May, Catherine
Corporate Director · Individual
May, Catherine
Corporate Officer · Individual
Moretti, Anna
Corporate Director · Individual
Moretti, Anna
Corporate Officer · Individual
O'riordan, Damien
Operational/Managerial Control · Individual
Painter, David
Operational/Managerial Control · Individual
Parver, Sharon
Corporate Director · Individual
Parver, Sharon
Corporate Officer · Individual
Passi, Ravi
Operational/Managerial Control · Individual
Royal, Patricia
Operational/Managerial Control · Individual
Sekel, Wendy
Operational/Managerial Control · Individual
Sunrise Senior Living Services Inc
Operational/Managerial Control · Organization
Wells, Anja
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Sterling Care Bethesda
Bethesda, MD
4-star overall rating with 4-star inspections with 11 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Montcare At Bethesda
Bethesda, MD
5-star overall rating with 4-star inspections with 17 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Carriage Hill Bethesda
Bethesda, MD
3-star overall rating with 3-star inspections with 17 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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