23 health deficiencies
Top issue: Resident Assessment and Care Planning (7 deficiencies)
23 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Rockville, MD
4-star overall rating with 3-star inspections with 23 recent health deficiencies with 23 fire-safety deficiencies in the latest cycle
303 Adclare Road, Rockville, MD
(301) 279-9000
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
100
Certified beds
Average residents
86
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Sterling Care
Operator or chain grouping
Approved since
1977-03-01
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
RN hours / resident day
0.39
Registered nurse staffing · state 0.81 · national 0.68
LPN hours / resident day
1.15
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.24
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
3.78
All reported nurse hours · state 3.87 · national 3.89
Licensed hours
1.54
RN + LPN hours · state 1.72 · national 1.54
Weekend hours
3.36
Weekend nurse staffing · state 3.46 · national 3.43
Weekend RN hours
0.36
Weekend registered nurse coverage · state 0.61 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.34
CMS adjusted RN staffing hours
Adjusted total hours
3.26
CMS adjusted total nurse staffing hours
Case-mix index
1.59
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 40% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
8,151
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.67
Composite VBP score used to determine payment impact.
Payment multiplier
0.9847
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.20
Baseline 19.31% · Performance 19.02% · Measure score 5.20 · Achievement 5.20 · Improvement 0.75
Healthcare-associated infections
0
Baseline 8.65% · Performance 9.19% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.36
Baseline 61.22% · Performance 41.77% · Measure score 5.36 · Achievement 5.36 · Improvement 4.85
Adjusted total nurse staffing
0.51
Baseline 3.96 hours · Performance 3.22 hours · Measure score 0.51 · Achievement 0.51 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 14.38% |
10.72%
3.7 pts worse
|
Worse than the National Rate · Eligible stays 308 · Observed rate 15.26% · Lower 95% interval 11.55% |
| Discharge to community | 50.01% |
50.57%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 314 · Observed rate 46.18% · Lower 95% interval 45.67% |
| Medicare spending per beneficiary | 1.27 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 205 · Denominator 205 |
| Falls with major injury | 1.46% |
0.77%
0.7 pts worse
|
Numerator 3 · Denominator 205 |
| Discharge self-care score | 53.08% |
53.69%
0.6 pts worse
|
Numerator 69 · Denominator 130 |
| Discharge mobility score | 63.85% |
50.94%
12.9 pts better
|
Numerator 83 · Denominator 130 |
| Pressure ulcers or injuries, new or worsened | 0.98% |
2.29%
1.3 pts better
|
Numerator 2 · Denominator 205 · Adjusted rate 0.78% |
| Healthcare-associated infections requiring hospitalization | 9.19% |
7.12%
2.1 pts worse
|
No Different than the National Rate · Eligible stays 191 · Observed rate 9.95% · Lower 95% interval 6.06% |
| Staff COVID-19 vaccination coverage | 5.38% |
8.2%
2.8 pts worse
|
Numerator 7 · Denominator 130 |
| Staff flu vaccination coverage | 29.76% |
42%
12.2 pts worse
|
Numerator 50 · Denominator 168 |
| Discharge function score | 64.62% |
56.45%
8.2 pts better
|
Numerator 84 · Denominator 130 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 77 · Denominator 77 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 95 · Denominator 95 |
| Resident COVID-19 vaccinations up to date | 17.12% |
25.2%
8.1 pts worse
|
Numerator 19 · Denominator 111 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
1.3
0.2 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.6 · Expected 2.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.3 |
1.2
0.9 pts better
|
1.8
1.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.3 · Observed 0.3 · Expected 1.7 · 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 | 20.2% |
21.4%
1.2 pts better
|
11.4%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 2.0% · Q3 10.3% · Q4 58.5% · 4Q avg 20.2% |
| Percentage of long-stay residents who lose too much weight | 5.5% |
5.7%
0.2 pts better
|
5.4%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 5.6% · Q3 8.3% · Q4 1.6% · 4Q avg 5.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.7% |
16.1%
4.4 pts better
|
19.6%
7.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 12.7% · Q3 13.3% · Q4 10.9% · 4Q avg 11.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 1.2% |
15.3%
14.1 pts better
|
16.7%
15.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · Q3 0.0% · Q4 2.0% · 4Q avg 1.2% · 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 | 10.0% |
26.6%
16.6 pts better
|
16.3%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q4 12.9% · 4Q avg 10.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.8% |
22.9%
5.1 pts better
|
14.9%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.4% · Q2 18.2% · Q3 9.3% · Q4 11.9% · 4Q avg 17.8% · 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 | 0.4% |
1.5%
1.1 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.6% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 34.2% |
25.4%
8.8 pts worse
|
19.8%
14.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.4% · Q2 38.0% · Q3 38.0% · Q4 26.8% · 4Q avg 34.2% |
| Percentage of long-stay residents with pressure ulcers | 2.4% |
6.3%
3.9 pts better
|
5.1%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 2.2% · Q3 3.4% · Q4 3.0% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% |
78.4%
19.6 pts better
|
81.7%
16.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.2% · Q2 98.3% · Q3 97.5% · Q4 97.9% · 4Q avg 98.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.8% |
9.9%
0.9 pts worse
|
12.0%
1.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.8% · Observed 9.7% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.3%
0.8 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 1.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.3% |
80.6%
17.7 pts better
|
79.7%
18.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.3% |
21.2%
0.9 pts better
|
23.9%
3.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.3% · Observed 20.1% · Expected 23.7% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (7 deficiencies)
23 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-04-02
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-04-02
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-04-02
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-04-02
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-04-02
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-02
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2025-04-02
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-04-02
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-11
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-02
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-04-02
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-04-02
Fire Safety
Meet other general requirements.
Corrected 2025-04-02
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-04-02
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 2025-04-02
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 2025-04-02
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-04-11
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-04-02
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-04-02
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-04-02
Fire Safety
Install proper backup exit lighting.
Corrected 2025-04-02
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-04-02
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-04-02
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2019-10-01
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-10-01
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-10-01
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 2018-09-19
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2018-09-19
Inspection history
Health
Ensure each resident receives an accurate assessment.
Corrected 2026-02-24
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-02-24
Health
Give the resident's representative the ability to exercise the resident's rights.
Corrected 2026-02-24
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-02-24
Health
Respond appropriately to all alleged violations.
Corrected 2026-02-24
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-02-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-02-24
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-02-24
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-02-24
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-02-24
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-02-24
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-02-24
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-02-24
Health
Respond appropriately to all alleged violations.
Corrected 2025-02-24
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-02-24
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-02-24
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 2025-02-24
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2025-02-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-24
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-02-24
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2025-02-24
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2025-02-24
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-02-24
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-02-24
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-02-24
Health
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected 2025-02-24
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-02-24
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-02-24
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-02-24
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Nearby options
Rockville, MD
2-star overall rating with 2-star inspections with 34 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
Rockville, MD
4-star overall rating with 3-star inspections with 21 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
Rockville, MD
3-star overall rating with 2-star inspections with $17,345 in total fines with 21 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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