299 Hurley Avenue, Rockville, MD 20850 · Montgomery County · (301) 762-8900
160 certified beds, about 149 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1973
CMS Care Compare ratings, data as of September 1, 2026 · CCN 215092 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on August 8, 2025, inspectors cited 22 health deficiencies (the Maryland average is 17, the national average 9.2).
None of its 74 health citations since December 2019 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.96 hours per resident per day, against 3.87 across Maryland and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.
34.8% of nursing staff left within the year CMS measured (Maryland average 40.2%).
CMS links it to Marquis Health Services, an affiliated group of 90 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 74 health citations on file.
Inspectors wroteBased on medical record review and interview, the facility staff failed to report an injury of unknown origin of a resident timely to the State of Maryland's OHCQ. This was evident for 2 (Resident # 2, #8) out of 4 resident records reviewed for alleged injuries of unknown origin during a complaint survey.
Inspectors wroteBased on review of facility reported incident investigations and interview it was determined the facility 1) failed to thoroughly investigate an allegation of abuse and 2) injuries of unknown source. This was evident for 1 (Resident #3) of 2 residents reviewed for abuse, and 1 (Resident #7) of 3 residents reviewed for injury of unknown source during the complaint survey.
Inspectors wroteBased on record review and interview with staff it was determined the facility failed to ensure each resident's medical record was complete and accurately documented. This was evident for 1 (Resident #5) of 3 residents reviewed for Quality of Care during the complaint survey.
Inspectors wroteBased on a tour of the kitchen, staff interview and observation, it was determined that the facility staff failed to label stored food items to ensure safety and prevent contamination which could lead to unsafe food and potential illness. This has the potential to affect all residents.
Inspectors wroteBased on resident and staff interviews, review of Resident Council Minutes/facility documents, and observation, it was determined that the facility failed to: address grievances from the Resident Council meeting, inform staff and residents of the Grievance Process (including how to file concerns or grievances), and have resolutions to grievances/concerns to include notifying residents regarding a resolution. This was evident for 5 of 6 months of Resident Council meetings reviewed the recertification/complaint survey.
Inspectors wroteBased on review of medical records and interviews with facility staff, it was determined that the facility failed to ensure 1) a baseline care plan was completed and 2) a BLCP summary, including a current list of medications, was provided to the resident and/or resident representative (RP). This was evident for 3 (Resident #54, #160, #2) out of 36 residents reviewed during the investigation phase of the facility's recertification survey.
Inspectors wroteBased on family interview, staff interview, and clinical record review it was determined that the facility staff failed to ensure residents were free from accidents by failing to properly educate staff on how to operate a Hoyer lift, and by failing to maintain supervision of residents from the locked dementia unit. This was evident for 3 (Resident #4, #95, #20) of 7 residents reviewed for accidents during the facility's recertification survey.
Inspectors wroteBased on medical record review and interview, it was determined that the facility staff failed to have an emergency dialysis access ports/shunts clamps in rooms as ordered for residents on dialysis. This was evident of 5 (Resident #66, #42, #103, #109, and #124) of 5 residents on dialysis rooms checked during the recertification/complaint survey.
Inspectors wroteBased on observation of the soiled utility and laundry rooms, interviews staff, and documentation review, it was determined that the facility staff failed to follow infection control practices and guidelines to prevent the development and transmission of infection and disease. This was evidenced by 1) soiled linens and residents' outfits were not bagged in plastic bags in the laundry room, and 2) Precaution signage for residents who required care were not appropriately placed. This was evident in four of four laundry bins and two (Resident #36 and #71) of the 63 residents reviewed for precaution signage during the recertification/complaint survey.
Inspectors wroteBased on review of Employee files and interviews, it was determined the facility failed to have a process in place to ensure Geriatric Nursing Assistance (GNA) received at least 12-hours of In-Service training annually. This was evident for 3 (GNA #53, #54, and #55) out 5 reviewed for training.
Inspectors wroteBased on observations and interviews with staff, it was determined that the facility failed to attend to and answer call bells in a timely manner for dependent residents (Resident #149). This was evident during a tour of the first floor when a call bell was observed to be active and was subsequently validated during the recertification/complaint survey.
Inspectors wroteBased on review of the medical record and interview with facility staff, it was determined that the facility failed to notify the resident's physician and/or responsible party (RP) following an accident/change in condition. This was evident for 1 of 3 residents (Resident #160) reviewed for urinary catheters during the facility's recertification survey.
Inspectors wroteBased on a review of medical records and a staff interview, it was determined that the facility failed to provide written notification of its bed-hold policy to the resident or their representative when the resident was transferred to an acute care facility. This was evident for three (Resident #8, #66, and #154) of five residents reviewed who were transferred to an acute care facility. In Maryland, the bed hold policy for long-term care facilities is governed by state regulations and Medicaid guidelines. Nursing homes must provide a written bed hold policy to residents at the time of admission and upon transfer to a hospital or for therapeutic leave. The policy details the duration of the bed hold, the rights of residents to return to the facility, and the the cost of holding the bed. 1) On [DATE], at 1:33 PM, the surveyor reviewed Resident #154's medical records. [...]
Inspectors wroteBased on review of resident medical records and interview with facility staff, it was determined that the facility failed to hold care plan meetings of the interdisciplinary team for residents at the time of the quarterly revision of their care plan. This was evident for 1 (Resident #54) of 6 residents reviewed during the investigation phase of the facility's recertification survey.
Inspectors wroteBased on medical record review and interviews the facility failed to provide services to maintain hearing. This was evident for 1 of 2 (Resident #3) reviewed for communication difficulty and/or sensory problems (vision and/or hearing) during the recertification/complaint survey.
Inspectors wroteBased on medical record review and staff interviews it was determined the facility failed to implement wound consults timely which resulted in residents not receiving wound care treatments. This was evident for 2 (Resident #63 and #127) of 7 residents reviewed for pressure ulcer/injury during the recertification/complaint survey.
Inspectors wroteBased on review of the medical record and interview with facility staff, it was determined that the facility failed to provide appropriate and sufficient services, treatment, and care for a resident with an indwelling urinary catheter. This was evident for 1 of 2 residents (Resident #160) reviewed for urinary catheters during the facility's recertification survey.
Inspectors wroteBased on record review, resident interview, and staff interviews, it was determined that the facility failed to provide appropriate pain management for a resident. This was evident for 1 (Resident #13) out of 1 resident reviewed for pain during the recertification/complaint survey.
Inspectors wroteBased on observation of medication carts and staff interview it was determined that the facility staff failed to ensure controlled substance medications are monitored to ensure accuracy. This was evident for 1 out of the 9 facility medication carts.
Inspectors wroteBased on review of medical record and interview with facility staff, it was determined that the facility failed to respond to recommendations made by consulting pharmacists in a timely manner. This was evident for 1(Residents #125) of 1 resident reviewed for unnecessary medication during the recertification survey.
Inspectors wroteBased on the medication administration task it was determined that the facility nursing staff failed to ensure residents receive medication according to physician's orders. This was evident for 2 medications out of the 26 medications observed as part of the medication administration task during the recertification/complaint survey.
Inspectors wroteBased on observations of medication rooms and staff interviews, it was determined that the facility staff failed to ensure a medication refrigerator maintained proper temperature. This was evident for 1 out of the 2 medication rooms that were observed as part of the medication administration task during the recertification/complaint survey.
Inspectors wroteBased on record reviews and staff interviews, the facility failed to adequately monitor and track residents receiving antibiotics. This deficiency was evident in 1 (Resident #11) of the 3 residents reviewed for antibiotic use and the facility's antibiotic stewardship program during the recertification/complaint survey.
Inspectors wroteBased on resident interview, staff interview, and observation, it was determined that the facility staff failed to ensure a call system operated correctly for each room. This was evident for 1 resident (#85) out of 60 residents in the survey sample.
Inspectors wroteBased on observation and facility staff interview it was determined that the facility failed to post a notice of the availability of survey results in a prominent, publicly accessible location. This was evident for all residents and visitors of the facility.
Inspectors wroteBased on review of a complaint, interview, and observation of resident wheelchairs, it was determined the facility failed to provide maintenance services necessary to keep all wheelchairs in a sanitary, comfortable, and well-maintained condition. This was evident on 2 of 3 nursing units observed during the complaint survey.
Inspectors wroteBased on medical record review and staff interview, it was determined the facility staff failed to ensure Minimum Data Set (MDS) assessments were accurately coded. This was evident for 4 (Resident #22, #24, #18, #3) of 46 residents reviewed during a complaint survey.
Inspectors wroteBased on complaint, medical record review, and interview, it was determined the facility failed to ensure a custom-made wheelchair was available for a resident during transport to an appointment. This was evident for 1 (Resident #4) of 28 residents reviewed for complaints during a complaint survey.
Inspectors wroteBased on medical record review and interview, the facility staff failed to notify a resident's physician timely for a change in condition (Resident #10) and failed to timely notify a resident's physician, responsible party, and dietician of a significant weight loss (Resident #22). This was evident for 2 of 28 residents reviewed during a complaint survey.
Inspectors wroteBased on reviews of facility reported incidents and interview, it was determined the facility failed to report allegations of abuse to the regulatory agency, the Office of Health Care Quality (OHCQ) within 2 hours of the allegation. This was evident for 3 (Residents #6, #1, #18) of 13 residents reviewed for facility reported incidents during a complaint survey.
Inspectors wroteBased on medical record review and interview, the facility staff failed to have quarterly care plan meetings for a resident (Resident #12). This was evident for 1 of 7 residents reviewed during a complaint survey.
Inspectors wroteBased on resident medical record, the facility failed to provide care (toileting/ turning/ positioning) on day shift for Resident # 37 who is extensive assistance with 2 person assistance. This is evident for 1 out of 1 person reviewed during the complaint survey.
Inspectors wroteBased on review of complaints, medical record review, and staff interview, it was determined the facility failed to provide care to meet the needs of a resident's physical, mental, and psychosocial health (Resident #10 and #13). This was evident for 2 of 28 residents reviewed during a complaint survey.
Inspectors wroteBased on medical record review, documentation review, and interview, it was determined the facility staff failed to recognize a resident's weight loss and notify the physician and dietician promptly in order for interventions to be placed timely. This was evident for 1 (Resident #22) of 28 complaints reviewed during a complaint survey.
Inspectors wroteBased on surveyor observation, record review and interview, it was determined the facility failed to establish and maintain an infection prevention and control program designed to provide a safe and sanitary environment by failing to have a process in place to accurately screen people entering the facility for signs and symptoms of COVID-19 and failing to monitor the screening results. This was evident during surveyor entrance to the facility and Infection Control review.
Inspectors wroteBased on observation, record review, and staff interview, it was determined that the facility failed to provide a safe, clean, homelike environment for their residents as evidenced by stains on the walls and ceiling tiles, bathroom vents not clean, cooling unit vents that were dusty and had debris on them, windows were cracked, and window screens had holes in them, failure to provide private closet space in each resident room, and failure to maintain a resident shower room in a safe and hygienic manner. This was found to be evident on 2 out of the 4 nursing units observed during the survey.
Inspectors wroteBased on medical record review and interview, it was determined that the facility failed to have an effective system in place to ensure residents and the resident's responsible representative were notified in writing of the reason for a transfer or discharge. This was found to be evident for 6 (Resident #26, #133,#196, #192,# 398, #533) out of 79 residents reviewed during the investigative portion of the survey.
Inspectors wroteBased on medical record review, complaints and interview, it was determined that the facility 1) failed to have an effective system in place to ensure that copies of the baseline care plans were provided to the resident and or responsible representatives and 2) failed to provide residents/representatives with a copy of their baseline care plan that included a summary of the resident's medication, and 3) failed to develop and implement a baseline care plan that addressed a resident's diabetes . This was found to be evident for 4 (Resident #26, # 104, #192) out of 6 residents reviewed for care plans and evident for 1 (#283) of 2 residents reviewed for communication and 1(#289) of 31 residents review for general concerns during the annual and complaint survey.during the survey.
Inspectors wroteBased on medical record review and interviews, it was determined that the facility failed to have an effective system in place to ensure that comprehensive care plans were established and implemented as evidenced by: failure to incorporate restorative nursing program into a resident's care plan (Resident #26); failure to ensure that goals related to mobility accurately reflected the resident's current status and interventions (Resident #48); failure to ensure that care plans addressing residents' assessed activity preferences was initiated and implemented (Resident #26 and #48) and failed to develop a resident centered activity care plan that addressed the resident's medical, physical, mental, and psychosocial needs and included measurable objectives. [...]
Inspectors wroteBased on observation, medical record review and interview, it was determined that the facility failed to provide an ongoing resident centered activities program to improve or maintain the resident's physical, mental and psychosocial well-being, and independence, and failed to provide activities that reflected the resident interests and preferences. This was found to be evident for three out of six residents (Residents # 75, #105, #21) reviewed for activities during the investigative portion of the survey.
Inspectors wroteF689 Based on observation, staff interview, and record review, it was determined that the facility failed to maintain an environment free of hazards for residents as evidenced by a surveyor observation of a resident (Resident #113) with a fall risk bed that was not in lowest position.
Inspectors wroteBased on medical record review and staff interview, it was determined that the facility staff failed to ensure that physician progress notes were written, signed, and dated at each visit. This was evident for 2 (#33, #133) of 6 residents reviewed for positioning and mobility, and 1 (#23) of 7 residents reviewed for accidents.
Inspectors wroteBased on medical record review and interview, it was determined that the facility failed to ensure that medical records were complete as evidenced by 1) the failure to ensure that documentation of the Physicians' Certification of Incapacity to Make an Informed Decision was kept in the facility's medical record (Resident #26); failed to ensure that old MOLSTs were voided when a new MOLST was completed (Resident #48). Additionally, based on interview and review of the medical record, it was determined that the facility staff failed to maintain accurately documented resident records by failing to maintain an accurate account of residents' personal property. This was evident for 1 (#105) of 2 residents reviewed for personal property. [...]
Inspectors wroteBased on medical record review and interview, it was determined that the facility failed to ensure that orders for life-sustaining treatment were made in accordance with residents' advance directives, . This was found to be evident for 2 (Resident #26, Resident # 113) out of 6 residents reviewed for advance directives.
Inspectors wroteBased on record review and staff interview, it was determined that the facility failed to implement a grievance policy as evidenced by staff failing to report resident concerns to a supervisor. This was evident for 1 (#59) of 9 residents reviewed for abuse.
Inspectors wroteBased on observation, record review, and interview, it was determined that the facility failed to implement their abuse policy by failing to recognize, report, and investigate a resident's missing wheelchair as misappropriation of resident property. This was evident for 1 (#94) of 2 residents reviewed for personal property.
Inspectors wroteBased on record review and staff interview, it was determined that the facility failed to protect their residents from a staff member who had been accused of abuse of a resident as evidenced by the staff member continuing to work with vulnerable residents after an allegation of abuse had been received. This was evident for 1 (#59) of 9 residents reviewed for abuse.
Inspectors wroteBased on medical record review and interview, it was determined that the facility failed to have an effective system in place to ensure that residents and the resident's responsible representative were notified in writing of the bed hold policy at the time of transfer to a hospital. This was found to be evident for 4 (Resident #26, #196, #192, #133 ) out of 12 reviewed for hospitalizations during the investigative portion of the survey.
Inspectors wroteBased on medical record review and staff interview, it was determined the facility staff failed to ensure Minimum Data Set (MDS) assessments were accurately coded. This was evident for 2 (#131, #31) of 6 residents reviewed for positioning and mobility.
Inspectors wroteBased on review of the medical record and interview with staff, it was determined that the facility staff failed to review and revise the residents care plans after each comprehensive and quarterly assessment, failed to ensure that the residents and/or residents' representative were included in the development of the care plan and failed to update the resident's care plan when there was a change in their wishes for CPR and life sustaining measures. This was evident for 2 (#105, #23) of 4 residents reviewed for Care Plan.
Inspectors wroteBased on medical record review, review of complaints and interviews, it was determined that the facility failed to ensure that staff were able to access an interim supply of medications prior to the pharmacy's delivery of a resident's medication; failed to ensure that pain medication was administered according to the ordered parameters, failed to ensure that medication was administered as ordered; failed to ensure there were orders and a care plan to address the continued use of an indwelling urinary catheter, failed to provide care in accordance with standards of nursing practice by failing to follow physician orders, failed to reveal documentation to indicate that staff had attempted to obtain a urine sample, and failed to have an effective system in place to relay recommendations from consultations. [...]
Inspectors wroteBased on medical record review, interview and observation, it was determined that the facility failed to ensure tha wound treatments were completed as ordered and failed to ensure orders for treatment were included in the medical record. This was found to be evident for 1 (Resident #24) out of 5 residents reviewed for pressure ulcers.
Inspectors wroteBased on medical record review and interviews, it was determined that the facility failed to have an effective system in place to ensure that restorative nursing services were encorporated into residents' care plans and provided by staff as recommended upon discharge from therapy; failed to ensure for therapy evaluations were acted upon and care plans were updated to reflect current goals and interventions, and failed to ensure that residents with a limited range of motion received the appropriate treatment and services to prevent further decline in range of motion by failing to ensure that a resident's feet were supported when sitting in a wheelchair. This was found to be evident for 2 (Resident # 26, #33) out of 10 residents reviewed for activities of daily living (ADL) and 1 (Resident #48) out of 6 residents reviewed for mobility/positioning.
Inspectors wroteBased on observation, record review and interviews, it was determined that the facility failed to have an effective system in place to ensure assessment of residents for the use of side rails, and that the resident and or the responsible representative were educated regarding the risks and benefits prior to the installation of side rails, and failed to ensure the mattress appropriately fit the bed in which side rails were being used. This was found to be evident for 2 (Resident #26 and # 188) out of 7 residents reviewed for accidents. Bed rails (also known as side rails) and grab bars are adjustable metal or rigid plastic bars that attach to the bed. They are available in a variety of types, shapes, and sizes. Some bed rails are not designed as part of the bed by the manufacturer and may be installed on or used along the side of a bed. [...]
Inspectors wroteBased on record review and staff interview, it was determined that the facility failed to ensure that Certified Nursing Assistants working during the blanket waivers issued during the COVID - 19 pandemic had been appropriately trained when the waiver ended. This was evident for 2 (Staff #59 and Staff #60) of 2 staff reviewed.
Inspectors wroteBased on review of medical records and interviews, it was determined that the facility failed to ensure that narcotics removed from the resident's supply were administered to the resident as evidenced by staff documenting the removal of narcotics without documentation of the need for the narcotic or documentation that the narcotic was administered to the resident. This was found to be evident for 1 (Resident #193) out of 5 residents reviewed during the survey.
Inspectors wroteBased on medical record review and interview with facility staff, it was determined that the facility staff failed to timely respond and act upon a pharmacist's recommendations when notified of an irregularity,failed to ensure that the attending physician document in the medical record when an irregularity had been reviewed and what, if any action was taken, failed to ensure that the pharmacists
Inspectors wroteBased on medical record review and interview, it was determined that the facility failed to ensure that residents were free from excessive medication as evidenced by administration of narcotic pain medication outside of the ordered parameters. This was found to be evident for 1 (Resident #193) out of 5 residents reviewed during the survey.
Inspectors wroteBased on record review and staff interviews, it was determined that the facility failed to assess and document the indications for administering a PRN (as needed) psychotropic medication to a resident. This was evident for 1 Resident (Resident #188) out of 5 residents reviewed regarding unnecessary medication.
Inspectors wroteBased on medication administration observation, medical record review and staff interview, it was determined the facility staff failed to ensure a medication error rate of less than 5 percent for 2 (#50, #286) of 6 residents observed with 34 medication administration opportunities resulting in an error rate of 5.88 % by 2 Licensed Practical Nurses.
Inspectors wroteBased on medical record review and interview, it was determined the facility failed to ensure that residents were free from significant medication errors as evidenced by the failure to administer an anticoagulant medication on two consecutive days to a resident who recently had surgery, thereby putting the resident at increased risk of developing a blood clot. This was found to be evident for 1 (Resident #193) out of 79 residents reviewed during investigative stage of the survey. Additionally, the facility failed to ensure that residents receive their medications as prescribed as evidenced by staff failing to administer a resident's medication as prescribed. This was found to be true for 1 (Resident #94) out of 79 residents reviewed.
Inspectors wroteBased on observation and staff interview, it was determined the facility staff failed to ensure that all medications and biologicals were stored and labeled properly. This was evident for 1 (#5) of 6 residents reviewed from medication administration and 3 of 4 medication carts reviewed for medication storage during the survey.
Inspectors wroteBased on observation and interview, it was determined that the facility failed to ensure that clean dishes were stored in a manner to prevent contamination. This practice has the potential to affect all residents who consume food provided by the facility kitchen.
Inspectors wroteBased on review of the Quality Assurance and Performance Improvement (QAPI) Program plan and interview with staff, it was determined that the facility failed to develop a facility specific QAPI plan. This deficient practice has the potential to affect all of the residents.
Inspectors wroteBased on clinical record review and staff interviews, it was determined that the facility staff failed to invite residents and/or their representative for interdisciplinary care conferences (an interdisciplinary team is made of the attending physician, a registered nurse with responsibility for the resident, a nurse aide with responsibility for the resident, a member of food and nutrition services staff, the resident and the resident's representative if practicable) to review and revise residents' care plan after each assessment. This finding was evident for 4 of 34 residents reviewed for care plans (Resident #17, #39, #88, #126).
Inspectors wroteBased clinical record review and interviews with facility staff, it was determined that the facility failed to provide behavioral monitoring and behavioral interventions for 10 of 11 residents selected for review of psychotropic medications (Residents #26, #37, #49, #54, #59, #85, #108, #123, #128, #343).
Inspectors wroteBased on surveyor observation and interviews with facility staff, it was determined that the facility failed to provide personal privacy and confidentiality of patient information by discarding patient names and medication labels in the common trash. This finding was evident for 4 of 40 sampled residents (Residents #30, 35, 104, and 109) and on 2 of 5 medication carts reviewed for medication storage and labeling during the survey (carts #1 and #2) .
Inspectors wroteBased on record review and interview with facility staff, it was determined that the facility failed to identify discharge plans in the comprehensive care plan. This finding was evident for 4 of 34 (#39, #75, #127, and #242) residents selected for review during the survey.
Inspectors wroteBased on clinical record review and interviews with resident and staff, it was determined that the facility staff failed to follow physician's orders for 2 of 34 residents reviewed during the survey (Residents #192 and #442).
Inspectors wroteBased on the review of a clinical record and interviews with a resident and with the facility staff, it was determined that the facility staff failed to refer 1 of 1 residents, selected for communication-sensory review for, services (Residents #126).
Inspectors wroteBased on clinical record review and interviews with facility staff, it was determined that the facility staff failed to document a resident's negative medical change leaving the clinical record incomplete. This finding was evident for 1 of 34 residents selected for review during the survey (Resident #126).
Inspectors wroteBased on administrative record review, and staff interview, it was determined that the facility staff failed to review and revise the facility's Infection Prevention and Control Program (IPCP) policies and procedures annually. In addition, the facility staff also failed to put the date changed on oxygen tubing and nebulizer tubing (Nebulizer tubing is an essential accessory that connects nebulizer kit to nebulizer compressor) and store them to prevent possible infection. This finding was evident for 2 of 3 residents reviewed for respiratory care (Resident #442, Resident #34).
Inspectors wroteBased on record review and surveyor interview, it was determined that the facility failed to administer influenza and pneumococcal immunizations and to provide education regarding benefits and potential side effects of each vaccination. This was evident for 2 of 7 residents selected for review of immunizations during this survey ( Residents #54 and #85).
Inspectors wroteBased on surveyor observation and interviews with residents and facility staff, it was determined that the facility failed to ensure a resident's bed was in safe operating condition (Resident #242). This finding was evident for 1 of 93 rooms observed during the survey.
34 fire safety citations on file: 15 on August 8, 2025, 12 on August 23, 2022, 7 on December 9, 2019.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Maryland | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.96 | 3.87 | 3.86 |
| Registered nurses | 0.64 | 0.84 | 0.69 |
| All nursing staff on weekends | 3.38 | 3.47 | 3.42 |
| Nurse aides | 2.23 | ||
| Licensed practical nurses | 1.09 | ||
| Nursing staff turnover (share who left in a year) | 34.8% | 40.2% | 45.8% |
| Registered nurse turnover | 29.2% | 38.7% | 42.9% |
| Administrators who left | 0 |
CMS expects 5.05 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.20 on weekdays and 3.38 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.08 in April to June 2025 to 3.96 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.96 | 0.64 | 4.20 | 3.38 | 0.4% | 0 of 90 | 149 |
| Oct to Dec 2025 | 4.11 | 0.66 | 4.36 | 3.47 | 0.5% | 0 of 92 | 147 |
| Jul to Sep 2025 | 4.12 | 0.69 | 4.38 | 3.47 | 0.9% | 0 of 92 | 146 |
| Apr to Jun 2025 | 4.08 | 0.72 | 4.30 | 3.54 | 0.9% | 0 of 91 | 148 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Maryland, Jan to Mar 2026 | 3.73 | 0.74 | 3.88 | 3.34 | 8.0% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Maryland, all employers | |||
| CNAs (nursing assistants) | $20.79 | $18.46 to $22.00 | 27,720 |
| LPNs and LVNs | $35.89 | $31.40 to $38.30 | 9,560 |
| Registered nurses | $47.98 | $40.26 to $51.61 | 52,910 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Maryland | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 18.9 | 20.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.4 | 2.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.2 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.9 | 22.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 9.0 | 5.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 2.9 | 13.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.2 | 21.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.9 | 9.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.2 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Collingswood Rehabilitation and Healthcare Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (55.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
55.4% this home
No different from the national rate
US median of homes 51.5% · Maryland: 90 better, 29 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 410 eligible stays.
13.0% this home
Worse than the national rate
US median of homes 10.7% · Maryland: 0 better, 41 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 370 eligible stays.
7.4% this home
No different from the national rate
US median of homes 7.1% · Maryland: 5 better, 6 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 244 eligible stays.
48.4% this home
Median of homes: Maryland61.2% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 91 residents counted.
0.4% this home
Median of homes: Maryland0.4% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 268 residents counted.
5.0% this home
Median of homes: Maryland2.4% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 268 residents counted.
100.0% this home
Median of homes: Maryland98.1% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 85 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: COLLINGSWOOD OPERATOR LLC. CMS links this home to Marquis Health Services, a group of 90 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Skilled Venture LLC | Indirect ownership interest | Organization | 12/31/2021 | |
| Manufacturers & Traders Trust Company | 5% or greater security interest | Organization | 01/01/2019 | |
| El Bey, Titania | Managing control - governing body | Individual | 04/08/2024 | |
| Gunthorpe, Jahiri | Managing control - governing body | Individual | 09/09/2024 | |
| El Bey, Titania | Corporate director | Individual | 04/08/2024 | |
| Posen, Mindee | Corporate officer | Individual | 01/01/2019 | |
| Live Well Plus LLC | Operational/managerial control | Organization | 02/04/2025 | |
| Marquis Limited LLC | Operational/managerial control | Organization | 01/01/2021 | |
| Reliant Pro Rehab LLC | Operational/managerial control | Organization | 10/17/2019 | |
| Bao, Truong | Operational/managerial control | Individual | 01/01/2019 | |
| El Bey, Titania | Operational/managerial control | Individual | 04/08/2024 | |
| Collingswood Property LLC | Adp of the SNF | Organization | 01/01/2019 | |
| Live Well Plus LLC | Adp of the SNF | Organization | 02/04/2025 | |
| Marquis Limited LLC | Adp of the SNF | Organization | 04/22/2025 | |
| Nfr 2020 Irrv Tr | Adp of the SNF | Organization | 12/31/2021 | |
| Quinto Holdings LLC | Adp of the SNF | Organization | 01/01/2022 | |
| Reliant Pro Rehab LLC | Adp of the SNF | Organization | 10/17/2019 | |
| Rsbrmk Holdings LLC | Adp of the SNF | Organization | 12/31/2021 | |
| Sk 2013 Delta Trust | Adp of the SNF | Organization | 12/31/2021 | |
| Sora Kohn Fam Tr Uad 120120 | Adp of the SNF | Organization | 12/31/2021 | |
| Tryko Holdings, LLC | Adp of the SNF | Organization | 01/01/2022 | |
| Uak 2020 Irrv Tr | Adp of the SNF | Organization | 12/31/2021 | |
| Ukr Consulting LLC | Adp of the SNF | Organization | 01/01/2022 | |
| Yr 2013 Delta Tr Ua 03252013 | Adp of the SNF | Organization | 12/31/2021 | |
| Bao, Truong | Adp of the SNF | Individual | 01/01/2019 | |
| El Bey, Titania | Adp of the SNF | Individual | 04/08/2024 | |
| Gunthorpe, Jahiri | Adp of the SNF | Individual | 09/09/2024 | |
| Posen, Mindee | Adp of the SNF | Individual | 01/01/2019 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
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