Cycle 1
Health 2025-02-20 · Fire 2025-02-20
26 health deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Takoma Park, MD
Sligo Creek Healthcare
3-star overall rating with 2-star inspections with $12,740 in total fines with 26 recent health deficiencies
7525 Carroll Avenue, Takoma Park, MD
(301) 270-4200
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
102
Certified beds
Average residents
93
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Engage Healthcare
Operator or chain grouping
Approved since
1999-12-09
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 2 overall / 2 health / 2 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
Hours and turnover
RN hours / resident day
0.56
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
0.77
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
1.93
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.26
All reported nurse hours · state 3.87 · national 3.89
Licensed hours
1.33
RN + LPN hours · state 1.72 · national 1.54
Weekend hours
3.03
Weekend nurse staffing · state 3.46 · national 3.43
Weekend RN hours
0.45
Weekend registered nurse coverage · state 0.61 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.59
CMS adjusted RN staffing hours
Adjusted total hours
3.44
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
15%
Annual RN turnover · state 40% · national 45%
Total nurse turnover
52%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,222
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
40.84
Composite VBP score used to determine payment impact.
Payment multiplier
0.9938
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 19.25% · Performance 17.02% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
1.85
Baseline 7.39% · Performance 7.28% · Measure score 1.85 · Achievement 1.85 · Improvement 0
Total nurse turnover
4.48
Baseline 39.24% · Performance 45.35% · Measure score 4.48 · Achievement 4.48 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.14 hours · Performance 2.97 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.49% |
10.72%
2.2 pts better
|
No Different than the National Rate · Eligible stays 174 · Observed rate 5.17% · Lower 95% interval 6.04% |
| Discharge to community | 41.57% |
50.57%
9 pts worse
|
Worse than the National Rate · Eligible stays 176 · Observed rate 35.23% · Lower 95% interval 34.89% |
| Medicare spending per beneficiary | 1.35 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 95.28% |
95.27%
About the same
|
Numerator 101 · Denominator 106 |
| Falls with major injury | 0.94% |
0.77%
0.2 pts worse
|
Numerator 1 · Denominator 106 |
| Discharge self-care score | 47.37% |
53.69%
6.3 pts worse
|
Numerator 27 · Denominator 57 |
| Discharge mobility score | 57.89% |
50.94%
7 pts better
|
Numerator 33 · Denominator 57 |
| Pressure ulcers or injuries, new or worsened | 4.72% |
2.29%
2.4 pts worse
|
Numerator 5 · Denominator 106 · Adjusted rate 3.25% |
| Healthcare-associated infections requiring hospitalization | 7.28% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 118 · Observed rate 7.63% · Lower 95% interval 4.48% |
| Staff COVID-19 vaccination coverage | 0.66% |
8.2%
7.5 pts worse
|
Numerator 1 · Denominator 151 |
| Staff flu vaccination coverage | 79.02% |
42%
37 pts better
|
Numerator 113 · Denominator 143 |
| Discharge function score | 61.4% |
56.45%
4.9 pts better
|
Numerator 35 · Denominator 57 |
| Transfer of health information to provider | 93.33% |
95.95%
2.6 pts worse
|
Numerator 28 · Denominator 30 |
| Transfer of health information to patient | 93.02% |
96.28%
3.3 pts worse
|
Numerator 40 · Denominator 43 |
| Resident COVID-19 vaccinations up to date | 11.86% |
25.2%
13.3 pts worse
|
Numerator 7 · Denominator 59 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
1.3
0.5 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.9 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.2 |
1.2
1 pts better
|
1.8
1.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.2 · Observed 0.2 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 43.9% |
91.9%
48 pts worse
|
93.4%
49.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 56.0% · Q2 43.4% · Q3 38.7% · Q4 38.0% · 4Q avg 43.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 80.9% |
96.6%
15.7 pts worse
|
95.5%
14.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 80.9% |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.1% |
21.4%
18.3 pts better
|
11.4%
8.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 1.4% · Q3 2.7% · Q4 0.0% · 4Q avg 3.1% |
| Percentage of long-stay residents who lose too much weight | 7.6% |
5.7%
1.9 pts worse
|
5.4%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 7.4% · Q3 8.5% · Q4 7.8% · 4Q avg 7.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 2.9% |
16.1%
13.2 pts better
|
19.6%
16.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 4.9% · Q3 2.7% · Q4 2.5% · 4Q avg 2.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.3% |
15.3%
10 pts better
|
16.7%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 6.0% · Q3 5.9% · Q4 5.1% · 4Q avg 5.3% · 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 | 10.4% |
26.6%
16.2 pts better
|
16.3%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.3% · Q2 8.5% · Q3 3.3% · Q4 15.1% · 4Q avg 10.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.0% |
22.9%
15.9 pts better
|
14.9%
7.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.1% · Q2 0.0% · Q3 4.8% · Q4 10.3% · 4Q avg 7.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
0.7%
0.2 pts worse
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.8% · Q3 0.8% · Q4 0.8% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
1.5%
0.8 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.4% · Q4 1.3% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 4.2% |
25.4%
21.2 pts better
|
19.8%
15.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 6.1% · Q3 1.5% · Q4 1.4% · 4Q avg 4.2% |
| Percentage of long-stay residents with pressure ulcers | 8.1% |
6.3%
1.8 pts worse
|
5.1%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 11.9% · Q3 7.1% · Q4 5.9% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 25.4% |
78.4%
53 pts worse
|
81.7%
56.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 34.6% · Q2 27.8% · Q3 23.0% · Q4 16.7% · 4Q avg 25.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.0% |
9.9%
3.9 pts better
|
12.0%
6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.0% · Observed 5.8% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.3%
0.3 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.9% · Q4 1.8% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 18.1% |
80.6%
62.5 pts worse
|
79.7%
61.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 18.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 13.6% |
21.2%
7.6 pts better
|
23.9%
10.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 13.6% · Observed 14.0% · Expected 24.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2020-11-20 · Fire 2020-11-20
6 health deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2019-05-10 · Fire 2019-05-10
10 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Fire safety
Fire-safety citations
C · Minimal harm
2019-05-10
E36 · Emergency Preparedness Deficiencies
Fire Safety
Establish emergency prep training and testing.
Corrected 2019-06-26
C · Minimal harm
2019-05-10
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2019-06-26
C · Minimal harm
2019-05-10
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2019-06-26
C · Minimal harm
2019-05-10
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2019-06-26
Inspection history
Recent health citations
J · Immediate jeopardy
2025-10-21
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 2025-10-16
D · Potential for more than minimal harm
2025-10-21
F573 · Resident Rights Deficiencies
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2025-11-21
D · Potential for more than minimal harm
2025-10-21
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-11-21
F · Potential for more than minimal harm
2025-02-20
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 2025-04-05
F · Potential for more than minimal harm
2025-02-20
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-05
E · Potential for more than minimal harm
2025-02-20
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 2025-04-05
E · Potential for more than minimal harm
2025-02-20
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 2025-04-05
E · Potential for more than minimal harm
2025-02-20
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-04-05
E · Potential for more than minimal harm
2025-02-20
F887 · Infection Control Deficiencies
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2025-04-05
D · Potential for more than minimal harm
2025-02-20
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-04-05
D · Potential for more than minimal harm
2025-02-20
F578 · Resident Rights Deficiencies
Health
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.
Corrected 2025-04-05
D · Potential for more than minimal harm
2025-02-20
F585 · Resident Rights Deficiencies
Health
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.
Corrected 2025-04-05
D · Potential for more than minimal harm
2025-02-20
F625 · Resident Rights Deficiencies
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 2025-04-05
D · Potential for more than minimal harm
2025-02-20
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-04-05
D · Potential for more than minimal harm
2025-02-20
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2025-04-05
D · Potential for more than minimal harm
2025-02-20
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-05
D · Potential for more than minimal harm
2025-02-20
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-05
D · Potential for more than minimal harm
2025-02-20
F688 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2025-04-05
D · Potential for more than minimal harm
2025-02-20
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-05
D · Potential for more than minimal harm
2025-02-20
F711 · Nursing and Physician Services Deficiencies
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2025-04-05
D · Potential for more than minimal harm
2025-02-20
F712 · Nursing and Physician Services Deficiencies
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2025-04-05
D · Potential for more than minimal harm
2025-02-20
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-04-05
D · Potential for more than minimal harm
2025-02-20
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2025-04-05
D · Potential for more than minimal harm
2025-02-20
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2025-04-05
D · Potential for more than minimal harm
2025-02-20
F838 · Administration Deficiencies
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2025-04-05
D · Potential for more than minimal harm
2025-02-20
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2025-04-05
E · Potential for more than minimal harm
2020-11-20
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 2020-12-21
D · Potential for more than minimal harm
2020-11-20
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 2020-12-21
D · Potential for more than minimal harm
2020-11-20
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 2020-12-21
D · Potential for more than minimal harm
2020-11-20
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2020-12-21
D · Potential for more than minimal harm
2020-11-20
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2020-12-21
B · Minimal harm
2020-11-20
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2020-12-21
D · Potential for more than minimal harm
2019-05-10
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 2019-06-14
D · Potential for more than minimal harm
2019-05-10
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 2019-06-14
D · Potential for more than minimal harm
2019-05-10
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-06-14
D · Potential for more than minimal harm
2019-05-10
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2019-06-14
D · Potential for more than minimal harm
2019-05-10
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 2019-06-14
D · Potential for more than minimal harm
2019-05-10
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2019-06-14
C · Minimal harm
2019-05-10
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 2019-06-14
C · Minimal harm
2019-05-10
F813 · Nutrition and Dietary Deficiencies
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2019-06-14
C · Minimal harm
2019-05-10
F838 · Administration Deficiencies
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2019-06-14
B · Minimal harm
2019-05-10
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-06-14
Penalties and ownership
What sits behind the stars
$12,740
2025-10-21
Fine
Fine · fine $12,740
Fine
$0
2025-02-20
Payment Denial
Payment Denial · denial start 2025-04-06 · 17 days
17 day denial
Ownership
Woodside Park Md Holdco LLC
5% Or Greater Direct Ownership Interest · Organization
Lighten, Jake
5% Or Greater Indirect Ownership Interest · Individual
Paneth, Jack
5% Or Greater Indirect Ownership Interest · Individual
Akinseye, Henry
W-2 Managing Employee · Individual
Lighten, Jake
Operational/Managerial Control · Individual
Paneth, Jack
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
White Oak Rehabilitation And Nursing Center
Hyattsville, MD
1-star overall rating with 1-star inspections with abuse icon flag with $76,515 in total fines with 21 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
#2
Althea Woodland Nursing Home
Silver Spring, MD
4-star overall rating with 4-star inspections with 13 recent health deficiencies with 18 fire-safety deficiencies in the latest cycle
#3
Adelphi Nursing And Rehabilitation Center
Adelphi, MD
2-star overall rating with 2-star inspections with 21 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
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