Adelphi, MD

Sterling Care Hillhaven

5-star overall rating with 5-star inspections with 8 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

3210 Powder Mill Road, Adelphi, MD

(301) 937-3939

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

66

Certified beds

Average residents

56

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Sterling Care

Operator or chain grouping

Approved since

1989-11-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.37

Registered nurse staffing

LPN hours / resident day

0.97

Licensed practical nurse staffing

Aide hours / resident day

2.82

Nurse aide staffing

Weekend hours

4.14

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

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
Number of outpatient emergency department visits per 1000 long-stay resident days 0.8
1.2
0.4 pts better
1.8
1 pts better
Long Stay · 20240701-20250630
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
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
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
Percentage of long-stay residents who have depressive symptoms 15.0%
21.4%
6.4 pts better
11.4%
3.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 8.5%
5.7%
2.8 pts worse
5.4%
3.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 8.3%
16.1%
7.8 pts better
19.6%
11.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 16.5%
15.3%
1.2 pts worse
16.7%
0.2 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose need for help with daily activities has increased 14.0%
22.9%
8.9 pts better
14.9%
0.9 pts better
Long Stay · 2024Q4-2025Q3
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
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
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 20.8%
25.4%
4.6 pts better
19.8%
1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 5.9%
6.3%
0.4 pts better
5.1%
0.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 88.8%
78.4%
10.4 pts better
81.7%
7.1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 8.5%
9.9%
1.4 pts better
12.0%
3.5 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.8%
1.3%
0.5 pts better
1.6%
0.8 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 93.4%
80.6%
12.8 pts better
79.7%
13.7 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 25.4%
21.2%
4.2 pts worse
23.9%
1.5 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-09 · Fire 2025-06-09

8 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

6 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2022-05-25 · Fire 2022-05-25

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

16 fire-safety deficiencies

Top issue: Smoke (7 deficiencies)

Cycle 3 Health 2018-11-13 · Fire 2018-11-13

2 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-09

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-10-27

F · Potential for more than minimal harm 2025-06-09

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-10-27

F · Potential for more than minimal harm 2025-06-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-10-27

F · Potential for more than minimal harm 2025-06-09

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-09-05

E · Potential for more than minimal harm 2025-06-09

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 2025-10-27

E · Potential for more than minimal harm 2025-06-09

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-09-05

F · Potential for more than minimal harm 2024-04-18

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-05-20

E · Potential for more than minimal harm 2024-04-18

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2024-05-20

E · Potential for more than minimal harm 2024-04-18

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2024-05-20

F · Potential for more than minimal harm 2022-05-25

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-08-09

F · Potential for more than minimal harm 2022-05-25

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-08-09

F · Potential for more than minimal harm 2022-05-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-08-09

F · Potential for more than minimal harm 2022-05-25

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2022-08-09

F · Potential for more than minimal harm 2022-05-25

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-08-09

E · Potential for more than minimal harm 2022-05-25

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-08-09

E · Potential for more than minimal harm 2022-05-25

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-08-09

D · Potential for more than minimal harm 2022-05-25

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2022-08-09

D · Potential for more than minimal harm 2022-05-25

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2022-08-09

D · Potential for more than minimal harm 2022-05-25

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2022-08-09

D · Potential for more than minimal harm 2022-05-25

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2022-08-09

D · Potential for more than minimal harm 2022-05-25

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2022-08-09

D · Potential for more than minimal harm 2022-05-25

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2022-08-09

D · Potential for more than minimal harm 2018-11-13

K364 · Smoke Deficiencies

Fire Safety

Install properly constructed windows in hallway walls or doors.

Corrected 2018-12-29

D · Potential for more than minimal harm 2018-11-13

K522 · Services Deficiencies

Fire Safety

Have an externally vented heating system.

Corrected 2018-12-29

D · Potential for more than minimal harm 2018-11-13

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2018-12-29

B · Minimal harm 2018-11-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2018-12-29

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-06-09

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2025-07-08

D · Potential for more than minimal harm 2025-06-09

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 2025-07-08

D · Potential for more than minimal harm 2025-06-09

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 2025-07-08

D · Potential for more than minimal harm 2025-06-09

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2025-07-08

D · Potential for more than minimal harm 2025-06-09

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-07-08

D · Potential for more than minimal harm 2025-06-09

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 2025-07-08

D · Potential for more than minimal harm 2025-06-09

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 2025-07-08

D · Potential for more than minimal harm 2025-06-09

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-07-08

D · Potential for more than minimal harm 2022-05-25

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 2022-07-08

D · Potential for more than minimal harm 2022-05-25

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2022-07-08

D · Potential for more than minimal harm 2022-05-25

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2022-07-08

D · Potential for more than minimal harm 2022-05-25

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-07-08

D · Potential for more than minimal harm 2022-05-25

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 2022-07-08

D · Potential for more than minimal harm 2022-05-25

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2022-07-08

D · Potential for more than minimal harm 2022-05-25

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 2022-07-08

D · Potential for more than minimal harm 2022-05-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-07-08

E · Potential for more than minimal harm 2018-11-13

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 2018-12-24

B · Minimal harm 2018-11-13

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 2018-12-24

Penalties and ownership

What sits behind the stars

Ownership

Hillhaven Operator Holdco, LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2023-08-01
Grunbaum, Yoni

5% Or Greater Indirect Ownership Interest · Individual

0% 2 facilities 2023-08-01
Jek Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 7 facilities 2023-08-01
Jek Irrv Tr Ii

5% Or Greater Indirect Ownership Interest · Organization

0% 12 facilities 2023-08-01
Kagan, Jeffrey

Corporate Officer · Individual

0% 11 facilities 2023-08-01
Kagan, Jeffrey

W-2 Managing Employee · Individual

0% 11 facilities 2023-08-01
Nmj Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 10 facilities 2023-08-01
Nmj Irrv Tr Ii

5% Or Greater Indirect Ownership Interest · Organization

0% 13 facilities 2023-08-01
Siyo Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 2 facilities 2023-08-01

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