5 health deficiencies
Top issue: Environmental (2 deficiencies)
12 fire-safety deficiencies
Top issue: Egress (4 deficiencies)
Silver Spring, MD
5-star overall rating with 5-star inspections with 5 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
3160 Gracefield Road, Silver Spring, MD
(301) 572-8420
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
44
Certified beds
Average residents
70
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Erickson Senior Living
Operator or chain grouping
Approved since
2003-06-06
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
17 facilities
Chain averages 4 overall / 3 health / 5 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
RN hours / resident day
1.32
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
0.56
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.95
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
4.83
All reported nurse hours · state 3.87 · national 3.89
Licensed hours
1.88
RN + LPN hours · state 1.72 · national 1.54
Weekend hours
4.26
Weekend nurse staffing · state 3.46 · national 3.43
Weekend RN hours
0.92
Weekend registered nurse coverage · state 0.61 · national 0.47
Physical therapist
0.13
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.35
CMS adjusted RN staffing hours
Adjusted total hours
4.94
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
17%
Annual RN turnover · state 40% · national 45%
Total nurse turnover
16%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
114
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
84.45
Composite VBP score used to determine payment impact.
Payment multiplier
1.0266
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
9.34
Baseline 20.59% · Performance 17.11% · Measure score 9.34 · Achievement 9.34 · Improvement 9
Healthcare-associated infections
7.22
Baseline 4.11% · Performance 5.68% · Measure score 7.22 · Achievement 7.22 · Improvement 0
Total nurse turnover
10
Baseline 19.77% · Performance 24.00% · Measure score 10 · Achievement 10 · Improvement 0
Adjusted total nurse staffing
7.23
Baseline 5 hours · Performance 5.13 hours · Measure score 7.23 · Achievement 7.23 · Improvement 1.24
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.93% |
10.72%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 365 · Observed rate 9.86% · Lower 95% interval 9% |
| Discharge to community | 66.9% |
50.57%
16.3 pts better
|
Better than the National Rate · Eligible stays 356 · Observed rate 65.45% · Lower 95% interval 61.49% |
| Medicare spending per beneficiary | 0.78 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 189 · Denominator 189 |
| Falls with major injury | 0.53% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 189 |
| Discharge self-care score | 48.72% |
53.69%
5 pts worse
|
Numerator 76 · Denominator 156 |
| Discharge mobility score | 34.62% |
50.94%
16.3 pts worse
|
Numerator 54 · Denominator 156 |
| Pressure ulcers or injuries, new or worsened | 0.53% |
2.29%
1.8 pts better
|
Numerator 1 · Denominator 189 · Adjusted rate 0.69% |
| Healthcare-associated infections requiring hospitalization | 5.68% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 223 · Observed rate 3.59% · Lower 95% interval 3.74% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 92 |
| Staff flu vaccination coverage | 73.64% |
42%
31.6 pts better
|
Numerator 81 · Denominator 110 |
| Discharge function score | 43.59% |
56.45%
12.9 pts worse
|
Numerator 68 · Denominator 156 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 29 · Denominator 29 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 141 · Denominator 141 |
| Resident COVID-19 vaccinations up to date | 64.84% |
25.2%
39.6 pts better
|
Numerator 59 · Denominator 91 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.3
0.2 pts worse
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.2 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.4 |
1.2
0.8 pts better
|
1.8
1.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.3 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
91.9%
7.1 pts better
|
93.4%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 96.1% · Q3 100.0% · Q4 100.0% · 4Q avg 99.0% |
| 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 | 2.4% |
2.3%
0.1 pts worse
|
3.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.9% · Q3 2.0% · Q4 3.8% · 4Q avg 2.4% · 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 | 5.4% |
5.7%
0.3 pts better
|
5.4%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 7.3% · Q3 2.5% · Q4 6.8% · 4Q avg 5.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 33.1% |
16.1%
17 pts worse
|
19.6%
13.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.6% · Q2 40.5% · Q3 32.5% · Q4 27.3% · 4Q avg 33.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.0% |
15.3%
4.3 pts better
|
16.7%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 12.9% · Q3 8.8% · Q4 8.8% · 4Q avg 11.0% · 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 need for help with daily activities has increased | 13.0% |
22.9%
9.9 pts better
|
14.9%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 11.1% · Q3 9.1% · Q4 15.4% · 4Q avg 13.0% · 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 1.6% · Q2 0.0% · Q3 1.5% · Q4 0.0% · 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 1.9% · Q2 2.0% · Q3 0.0% · Q4 3.8% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.5% |
25.4%
11.9 pts better
|
19.8%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 8.0% · Q3 14.4% · Q4 15.7% · 4Q avg 13.5% |
| Percentage of long-stay residents with pressure ulcers | 4.6% |
6.3%
1.7 pts better
|
5.1%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 2.8% · Q3 5.5% · Q4 6.0% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.2% |
78.4%
13.8 pts better
|
81.7%
10.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 90.3% · Q2 90.7% · Q3 92.8% · Q4 95.5% · 4Q avg 92.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.1% |
9.9%
2.8 pts better
|
12.0%
4.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.1% · Observed 5.8% · Expected 9.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.3% |
1.3%
1 pts worse
|
1.6%
0.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 4.0% · Q3 1.0% · Q4 0.0% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.8% |
80.6%
6.2 pts better
|
79.7%
7.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 86.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.3% |
21.2%
1.9 pts better
|
23.9%
4.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.3% · Observed 15.5% · Expected 19.2% · Used in QM five-star |
Survey summary
Top issue: Environmental (2 deficiencies)
12 fire-safety deficiencies
Top issue: Egress (4 deficiencies)
Top issue: Infection Control (1 deficiency)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Resident Rights (4 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-12-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-12-26
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-12-26
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2025-12-26
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-12-26
Fire Safety
Meet other general requirements.
Corrected 2025-12-26
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-12-26
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 2025-12-26
Fire Safety
Install proper backup exit lighting.
Corrected 2025-12-26
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2025-12-26
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-12-26
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-12-26
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-11-16
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-11-16
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-16
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-11-16
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-11-16
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-11-16
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-02-28
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-02-28
Inspection history
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-11-14
Health
Provide activities to meet all resident's needs.
Corrected 2025-11-14
Health
Provide and implement an infection prevention and control program.
Corrected 2025-11-14
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-11-14
Health
Put firmly secured handrails on each side of hallways.
Corrected 2025-11-14
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-11-30
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-11-30
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-11-30
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-03-24
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2019-03-24
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-03-24
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 2019-03-24
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-03-24
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-03-24
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 2019-03-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-03-24
Health
Post nurse staffing information every day.
Corrected 2019-03-24
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2019-03-24
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Nearby options
Silver Spring, MD
3-star overall rating with 3-star inspections with 10 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
Adelphi, MD
5-star overall rating with 5-star inspections with 8 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Silver Spring, MD
2-star overall rating with 2-star inspections with 31 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Jump out