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)
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
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
Chain footprint
6 facilities
Chain averages 4 overall / 4 health / 2 staffing / 5 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
0.37
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
0.97
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.82
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
4.16
All reported nurse hours · state 3.87 · national 3.89
Licensed hours
1.34
RN + LPN hours · state 1.72 · national 1.54
Weekend hours
4.14
Weekend nurse staffing · state 3.46 · national 3.43
Weekend RN hours
0.40
Weekend registered nurse coverage · state 0.61 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.30
CMS adjusted RN staffing hours
Adjusted total hours
3.39
CMS adjusted total nurse staffing hours
Case-mix index
1.68
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
3,432
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
44.35
Composite VBP score used to determine payment impact.
Payment multiplier
0.9974
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.88
Baseline 24.57% · Performance 21.26% · Measure score 3.88 · Achievement 0 · Improvement 3.88
Healthcare-associated infections
5.24
Baseline 8.74% · Performance 6.59% · Measure score 5.24 · Achievement 4.17 · Improvement 5.24
Total nurse turnover
2.53
Baseline 33.80% · Performance 53.33% · Measure score 2.53 · Achievement 2.53 · Improvement 0
Adjusted total nurse staffing
6.08
Baseline 4.81 hours · Performance 4.81 hours · Measure score 6.08 · Achievement 6.08 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.63% |
10.72%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 466 · Observed rate 11.8% · Lower 95% interval 9.64% |
| Discharge to community | 63.29% |
50.57%
12.7 pts better
|
Better than the National Rate · Eligible stays 504 · Observed rate 58.53% · Lower 95% interval 59.12% |
| Medicare spending per beneficiary | 0.99 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 323 · Denominator 323 |
| Falls with major injury | 0.62% |
0.77%
0.2 pts better
|
Numerator 2 · Denominator 323 |
| Discharge self-care score | 53.93% |
53.69%
0.2 pts better
|
Numerator 103 · Denominator 191 |
| Discharge mobility score | 48.69% |
50.94%
2.2 pts worse
|
Numerator 93 · Denominator 191 |
| Pressure ulcers or injuries, new or worsened | 1.55% |
2.29%
0.7 pts better
|
Numerator 5 · Denominator 323 · Adjusted rate 1.22% |
| Healthcare-associated infections requiring hospitalization | 6.59% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 281 · Observed rate 5.69% · Lower 95% interval 4.59% |
| Staff COVID-19 vaccination coverage | 6.02% |
8.2%
2.2 pts worse
|
Numerator 10 · Denominator 166 |
| Staff flu vaccination coverage | 29.38% |
42%
12.6 pts worse
|
Numerator 47 · Denominator 160 |
| Discharge function score | 60.21% |
56.45%
3.8 pts better
|
Numerator 115 · Denominator 191 |
| Transfer of health information to provider | 98.85% |
95.95%
2.9 pts better
|
Numerator 86 · Denominator 87 |
| Transfer of health information to patient | 97.58% |
96.28%
1.3 pts better
|
Numerator 202 · Denominator 207 |
| Resident COVID-19 vaccinations up to date | 31.71% |
25.2%
6.5 pts better
|
Numerator 52 · Denominator 164 |
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 0.6 · Expected 1.6 · Used in QM five-star |
| 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 · Adjusted 0.8 · Observed 0.6 · Expected 1.4 · Used in QM five-star |
| 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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 · 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 · 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 | 15.0% |
21.4%
6.4 pts better
|
11.4%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 17.9% · Q3 0.0% · Q4 26.9% · 4Q avg 15.0% |
| 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 · Q1 11.8% · Q2 10.7% · Q3 3.6% · Q4 7.1% · 4Q avg 8.5% |
| 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 · Q1 8.6% · Q2 6.9% · Q3 7.1% · Q4 10.3% · 4Q avg 8.3% |
| 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 · Q1 16.0% · Q2 25.0% · Q3 15.0% · Q4 10.0% · 4Q avg 16.5% · 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 | 14.0% |
22.9%
8.9 pts better
|
14.9%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 29.6% · Q2 4.5% · Q3 9.1% · Q4 9.1% · 4Q avg 14.0% · 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 · 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 with a urinary tract infection | 0.0% |
1.5%
1.5 pts better
|
1.7%
1.7 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 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 · Q1 17.7% · Q2 25.2% · Q3 16.1% · Q4 24.6% · 4Q avg 20.8% |
| 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 · Q1 5.2% · Q2 8.4% · Q3 6.1% · Q4 3.8% · 4Q avg 5.9% · Used in QM five-star |
| 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 · Q1 96.2% · Q2 95.4% · Q3 85.1% · Q4 76.5% · 4Q avg 88.8% |
| 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 · Adjusted 8.5% · Observed 7.4% · Expected 9.6% · Used in QM five-star |
| 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 · Q1 0.7% · Q2 0.7% · Q3 0.7% · Q4 0.9% · 4Q avg 0.8% · Used in QM five-star |
| 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 · 4Q avg 93.4% |
| 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 · Adjusted 25.4% · Observed 24.2% · Expected 22.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
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
Grunbaum, Yoni
5% Or Greater Indirect Ownership Interest · Individual
Jek Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Jek Irrv Tr Ii
5% Or Greater Indirect Ownership Interest · Organization
Kagan, Jeffrey
Corporate Officer · Individual
Kagan, Jeffrey
W-2 Managing Employee · Individual
Nmj Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Nmj Irrv Tr Ii
5% Or Greater Indirect Ownership Interest · Organization
Siyo Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Riderwood Village
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
#2
Autumn Lake Healthcare At Silver Spring
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
#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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