Home / Maryland / Silver Spring
Fairland Center
2101 Fairland Road, Silver Spring, MD 20904 · Montgomery County · (301) 384-6161
92 certified beds, about 76 residents a day · For profit - Corporation · Medicare and Medicaid since 1967
CMS Care Compare ratings, data as of September 1, 2026 · CCN 215015 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 16, 2025, inspectors cited 25 health deficiencies (the Maryland average is 17, the national average 9.2).
None of its 60 health citations since August 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 3.75 hours per resident per day, against 3.87 across Maryland and 3.86 nationally. Registered nurses accounted for 1.21 of those hours.
45.7% of nursing staff left within the year CMS measured (Maryland average 40.2%).
CMS links it to Genesis Healthcare, an affiliated group of 184 nursing homes.
Health inspections
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.
Where its citations fall on CMS's grid
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 60 health citations on file.
July 9, 2026Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on complaint, reviews of clinical records, all pertinent facility administrative records, and interviews with the facility staff, it was determined that the facility nursing staff failed to follow the physician's specific pulse and blood pressure parameters before administering cardiac medications to residents. This was evident for 1 (Resident #10) of 3 residents reviewed during a complaint survey.
November 20, 2025Complaint inspection · 4 citations
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review, resident, facility staff interviews, the facility failed to provide medication administration that meets professional standards for 2 of 4 sampled residents reviewed for medication administration. (Resident #15 and Resident #16).
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review, resident, facility and pharmacy staff interviews, the facility failed to administer medication as ordered by the physician to meet the resident's need of 2 of 4 sampled residents reviewed for pharmacy services. (Resident #15 and Resident #16).
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observations, record review , staff and pharmacist interviews, the facility failed to maintain a medication error rate of less than 5% as evidenced by 4 errors out of 31 opportunities observed. The medication error rate was 12%.
- D 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.
Inspectors wroteBased on observations, and staff and pharmacist interviews, the facility failed to label opened insulin pens with the patient name, physician name, date used for 4 insulin pens for 1 of 5 medication carts reviewed for medication storage ( Dogwood Unit Medication Cart #1).
April 16, 2025Standard inspection, Complaint inspection · 27 citations
- E 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.
Inspectors wroteBased on observation and interview it was determined the facility 1) failed to ensure a safe, clean, and comfortable environment, and 2) failed to provide maintenance services necessary to maintain a sanitary and comfortable environment. This was evident for 1) 1 floor (second floor) out of 2 floors and 2) 1 of 3 nursing units on the 2nd floor during the facility's recertification/complaint survey.
- E 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.
Inspectors wroteBased on observations and staff interviews, it was determined that the facility staff failed to: ensure that multi dose medications were properly labeled, and medications were properly secured and stored. This was evident in 1) medication carts and 1 of 1 medication storage rooms and 2) one (B wing) out of three nursing wings on the facility's second floor reviewed during the recertification/complaint survey.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview it was determined the facility failed to ensure: 1) ice scoops and carts were maintained in a sanitary manner, 2) maintain the dining/food service area in a sanitary manner, 3) ensure covering of food removed from the hot cart and transported through resident hallways, 4) ensure food was labeled, 5) ensure a refrigerator seal was in good repair, 6) ensure kitchen ceiling and windows were in good repair to prevent potential for contamination of food contact surfaces, and 7) ensure the kitchen floor and ceiling was maintained in a sanitary manner. These conditions have the potential to affect all residents served by the facility's kitchen services.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and interview it was determined the facility failed to: 1) ensure a sanitary environment, ensure appropriate personal protective equipment was utilized, and ensure appropriate infection control precautions were instituted. This was evident during the surveyor's observations for one out of two floors of the facility during the recertification survey. The facility failed to 2) maintain current documentation that all employees were free from communicable tuberculosis (TB) as it relates to infection prevention and control, and was evident for 2 (Geriatric Nursing Assistant, GNA #30 and GNA #23) of 5 employees reviewed during the recertification survey. [...]
- E Have enough outside ventilation via a window or mechanical ventilation, or both.
Inspectors wroteBased on observation and interview it was determined the facility failed to ensure adequate ventilation. This was evident on one (upstairs second floor) out of two floors during the facility's recertification survey and during investigation of MD#00213104 during the recertification/complaint survey.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation and interview it was determined the facility failed to ensure a resident (#70) had access to their call device. This was evident for one out of two residents reviewed for call devices during the facility's recertification/complaint survey.
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on resident interview, staff interview, and clinical record review, it was determined that the facility staff failed to ensure residents received showers twice a week. This was evident for 3 (#30, #38, and #57) out of 3 residents reviewed for choices during the recertification/complaint survey.
- D 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.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure a resident representative was provided with written information and the offered the opportunity to formulate an advanced directive. This was evident for one (Resident #56) out of four residents reviewed for advanced directives during the facility's recertification/complaint survey.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and observation it was determined the facility failed to ensure the reporting of an allegation of abuse. This was evident for one resident, (Resident #56) during the surveyor's investigation of MD#00213104 during the recertification/complaint survey.
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on medical record review and staff interviews, it was determined that the facility failed to notify the resident/resident representative in writing about the bed hold policy when the resident was transferred/discharged from the facility to an acute care facility. This was evident for 1 (resident #42) of 1 Residents reviewed who were transferred to an acute care facility during the recertification/complaint survey.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on review of medical records and interview with facility staff, it was determined that the facility failed 1) to ensure that residents and/or residents' representatives were provided with summaries of their baseline care plans including a list of their medications and 2) to complete a baseline care plan within the required timeframe. This was evident for 2 (#44, #55) of 24 residents reviewed during the recertification/complaint survey.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on review of medical records and interview with facility staff, it was determined that the facility failed to revise care plans for residents quarterly. This was evident for 1 (Resident #55) of 24 residents reviewed during the recertification/complaint survey.
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on review of the medical record and interview with facility staff, it was determined that the facility failed to complete a discharge summary of a resident . This was evident for 1 (Resident #84) of 3 residents reviewed for closed records during a recertification/complaint survey.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure a resident received necessary oral care. This was evident for one resident (Resident #56) during the surveyor's investigation of MD#00213104 during the recertification/complaint survey.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to: ensure a resident (Resident #56) received the recommended frequency of visits for therapy care for rehabilitation, ensure consistent turning and repositioning needs were provided, and ensure medical orders were followed. This was evident for 1) one (Resident #56) out of three residents reviewed for positioning and for 2) one (Resident #44) of five residents reviewed for unnecessary medications during the facility's recertification/complaint survey.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation and interview it was determined the facility failed to ensure a chemical was stored in a locked location. This was evident for one (A wing) out of three nursing units on the facility's second floor during the facility's recertification/complaint survey.
- D Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on a review of staff training and staff interview it was determined that the facility staff failed to ensure all staff received the appropriate training. This was evident for 3 (Staff #10, Staff #23, Staff #24) out of the 5 staff reviewed for training during the recertification/complaint survey.
- D Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility staff failed to ensure facility staff documented monitoring of behavioral symptoms. This was evident for 1(#38) out 24 residents reviewed during the recertification/complaint survey.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record reviews and interviews 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 (Resident #44) of 5 residents reviewed for unnecessary medications during the recertification/complaint survey.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on clinical record review and staff interview it was determined that the facility staff failed to 1) ensure residents received medication according to ordered parameters, and 2) ensure a resident was free from unnecessary pain medications. This was evident for 2 (Resident #45, Resident #55) out of 24 residents reviewed during the recertification/complaint survey.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on medical record review and interview with facility staff, it was determined that the facility failed to ensure that psychotropic medications were only used to treat a specific, diagnosed, and documented condition. This was found to be evident for 1 (Resident #44) of 5 residents reviewed for unnecessary medications during the recertification/complaint survey.
- D Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on the review of administrative records and facility staff interviews, it was determined that the facility staff failed to demonstrate the presence of the required committee members for the Quality Assessment and Assurance committee (QAA), during the recertification/complaint survey.
- D Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on interview and record review it was determined the facility failed to maintain a preventative pest control program. This was evident during the facility's recertification survey and during the investigation of MD#00213104.
- D Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Inspectors wroteBased on review of employee files and interviews with facility staff, it was determined that the facility failed to provide evidence that all nursing staff had completed abuse training. This was evident for 1 (Geriatric Nursing Assistant #30) of 5 employee records reviewed during the facility's recertification/complaint survey.
- C Post nurse staffing information every day.
Inspectors wroteBased on observation and staff interview, it was determined that the facility staff failed to ensure the staffing whiteboards were accurate and up to date, and to ensure staffing was posted at the facility entrance. This was evident for 2 out of 2 nursing units observed during the recertification/complaint survey.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on a review of intake #MD00212446, observation, and staff interview it was determined that the facility staff failed to ensure residents are free of abuse. This was evident for 1(#70) out of 3 residents reviewed for abuse during the recertification/complaint survey.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on observation and interview it was determined the facility failed to ensure a thorough investigation of an allegation of abuse was performed. This was evident for one resident, (Resident#56) during the surveyor's investigation of MD#00213104 during the recertification/complaint survey.
December 13, 2024Complaint inspection · 9 citations
- E 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.
Inspectors wroteBased on review of a complaint, record review, observation, and staff interview, it was determined the facility staff failed to provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable environment. This was evident on 3 of 4 nursing units observed.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, record review, and interviews during a complaint survey the facility failed to ensure to treat each resident in a manner and in an environment that promoted the maintenance or enhancement of his or her quality of life, recognizing each resident ' s individuality for one resident (Resident #56) of three residents reviewed for resident rights. Specifically, Resident #56 was not able to wear their own clothing because the facility did not ensure their clothing was clean and available for them to wear.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review and interview with facility staff, it was determined that the facility failed to ensure that physicians were notified when a resident had a significant medication error. This was evident for 1 (#3) of 42 residents reviewed for a complaint during a complaint survey.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on review of facility administrative records, facility investigations, and staff interview, it was determined the facility failed to thoroughly investigate incidents of alleged abuse, neglect, and missappropriation of property. This was evident for 4 (#11, #35, #36, #37) of 23 residents reviewed for facility reported incidents during a complaint survey.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observations and interviews, the facility failed to assist two Residents (R)9 and R58 who were dependent upon staff for assistance with activities of daily living (ADLs). Specifically, staff served R9 breakfast while the resident ' s brief was soiled with feces and waited several hours after breakfast to be assisted with toileting needs. The sample size was three. The census was 75.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on medical record review and staff interview, it was determined that the facility failed to provide adequate supervision to prevent a vulnerable resident who was assessed, and care planned as an elopement risk, from leaving the facility unattended. This was evident for 1 (#36) of 3 residents reviewed for elopement.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on medical record review and staff interview it was determined the facility staff failed to ensure that medication irregularities were identified during monthly drug regimen reviews. This was evident for 1 (#3) of 42 residents reviewed for a complaint.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, medical record review and staff interview, it was determined the facility failed to keep residents free from significant medication errors. This was evident for 1 (#3) of 42 residents reviewed for a complaint during the complaint survey
- D 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.
Inspectors wroteBased on observation and staff interview, it was determined the facility staff failed to ensure treatment carts were locked and secured when unattended. This was evident on 1 of 3 nursing hallways observed.
May 9, 2024Complaint inspection · 2 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on staff interview and medical record review, it was determined that the facility failed to accurately document a Resident assessment on the MDS (Minimum Data Set) as evidenced by inaccurate coding for a Resident. This was found to be evident for 1 (Resident #1) out of 1 Resident reviewed for accuracy of MDS assessments.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on medical record reviews and interviews it was determined that the facility failed to ensure accurate medical records in accordance with accepted professional standards of practice as evidenced by staff inaccurately documented a resident's wanderguard placement and functionality. This was found to be evident for 1 (resident #1) out 1 resident reviewed for elopement.
April 27, 2021Standard inspection · 7 citations
- E Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on surveyor review of the clinical record, surveyor observations and interview with facility staff, it was determined that the facility failed to ensure that services provided by staff met professional standards of practice. This finding was evident in 4 of 28 residents selected for review (Residents #44, #61, #71, and #174).
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on surveyor observations, clinical record review and interviews with the facility staff, it was determined that the facility staff failed to follow physician's orders to provide treatment and care. This was evident for 10 out of 28 residents selected for review (#3, #5, #6, #14, #22, #35, #57, #65, #224 and #225).
- E Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on surveyor review of clinical records, surveyor observations, and interview with facility staff, it was determined that the facility failed to ensure behavior monitoring of residents' use of psychotropic medications. This finding was evident for 2 of 3 residents selected for the Behavioral/Emotional care area review (Residents #19 and #28).
- D Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Inspectors wroteBased on surveyor record review and interviews with facility staff, it was determined that the facility failed to ensure staff could provide Cardiopulmonary Resuscitation (CPR) in accordance with physician's orders and the resident's wishes. This finding was evident for 1 of 4 residents selected for advanced directives review during the survey (Resident #53).
- D Provide appropriate foot care.
Inspectors wroteBased on surveyor review of the clinical record, surveyor observations and interview with facility staff, it was determined that the facility failed to ensure Resident #72 received proper foot care and treatment. This finding was evident for 1 of 5 residents selected for Activities of Daily Living review.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on surveyor review of the clinical record and interview with facility staff, it was determined that the facility staff failed to ensure accurate documentation in the clinical record for residents. This was evident for 3 out of 28 residents selected for review during the survey (Residents #6, #16, and #67). This finding was identified during the investigation of complaint MD00166310.
- B Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on surveyor review of the closed clinical record, review of the administrative file and interview with facility staff, it was determined that the facility failed to provide Resident # 124 with the NOMNC (Notice of Medicare Non-Coverage) and SNFABN (Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage). This finding was evident for 1 of 3 residents selected for the Beneficiary Protection Notification review (Resident #124)
August 16, 2019Standard inspection · 10 citations
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on surveyor review of the clinical record and interviews with facility staff, it was determined that the facility staff failed to ensure that interdisciplinary care plan conferences were conducted timely after each MDS assessment for residents, failed to review and revise a resident's plan of care and failed to offer a resident's representative the opportunity to participate in the resident's care plan meeting. This finding was evident for 9 of 30 residents selected for review during the survey (#2, #4, #36, #64, #62, #42, #69, #3 and #22 ).
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on surveyor observations and interview with facility staff, it was determined that the facility failed to use the appropriate cleaning agent for the use of glucometers. This finding was evident for 4 of 5 medication carts observed during the survey.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on surveyor review of the clinical record, surveyor observations and interviews with facility staff, it was determined that the facility failed to ensure that resident #4 was treated with dignity and provided care in a manner and in an environment that promoted maintenance of his/her quality of life. This finding was evident for 1 (#4) of 6 residents selected for the Dignity review.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on surveyor review of the clinical record and facility staff and family interviews, it was determined that the facility failed to promptly notify a resident's representative when a pressure ulcer wound was identified. This finding was evident in 1 of 8 residents reviewed for pressure ulcers during the survey. (#61)
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on surveyor review of the clinical record, surveyor observations and interview with facility staff, it was determined that the facility staff failed to ensure standards of nursing practice for residents. This finding was evident for 2 of 30 residents selected for review during the survey. (#4, #36)
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on surveyor review of the clinical record, surveyor observations and interviews with facility staff, it was determined that the facility failed to ensure an ongoing activity program to support residents' physical, mental and psychosocial well-being. This finding was evident for 2 of 4 residents selected for the Activities review. (#4, #5)
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on surveyor review of the clinical record and interviews with resident #32 and facility staff, it was determined that the facility failed to follow physician orders for medication administration of the residents. This finding was evident for 2 of 30 residents selected for review during the survey. (#32 and #72)
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on surveyor observations and staff interviews, it was determined that the facility staff failed to store, prepare and serve food under sanitary conditions. This finding was evident in the facility's kitchen during the surveyor's initial tour and later during the dining observation of the passing of trays during lunch.
- C Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on surveyor review of the facility's Quality Assessment and Assurance minutes, review of the facility's social services consultant audits and interviews with facility staff, it was determined that the facility failed to develop and implement an appropriate plan of action to correct identified deficiencies in scheduling timely interdisciplinary care conferences for residents. This finding was evident in the Quality Assurance and Performance Improvement (QAPI) review during the survey.
- B Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on surveyor review of employee records and facility staff interviews, it was determined that the facility failed to complete a performance review at least once every 12 months and provide 12 hours of yearly in-service education for Geriatric Nursing Assistants (GNA). This was evident for 2 of 3 GNAs with over one year of employment tenure selected for this survey.
Fire safety inspections
17 fire safety citations on file: 1 on April 16, 2025, 16 on December 18, 2024.
Every fire safety citation17 citations
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Meet other general requirements.
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Install a fire alarm system that can be heard throughout the facility.
- F Install corridor and hallway doors that block smoke.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency.
- F Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Have proper medical gas storage and administration areas.
- E Have properly located and lighted "Exit" signs.
- D Construct fire resistant interior walls.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
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) | 3.75 | 3.87 | 3.86 |
| Registered nurses | 1.21 | 0.84 | 0.69 |
| All nursing staff on weekends | 3.34 | 3.47 | 3.42 |
| Nurse aides | 1.66 | ||
| Licensed practical nurses | 0.88 | ||
| Nursing staff turnover (share who left in a year) | 45.7% | 40.2% | 45.8% |
| Registered nurse turnover | 48.0% | 38.7% | 42.9% |
| Administrators who left | 1 |
CMS expects 5.68 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
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 3.91 on weekdays and 3.34 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.59 in April to June 2025 to 3.75 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 | 3.75 | 1.21 | 3.91 | 3.34 | 4.1% | 0 of 90 | 76 |
| Oct to Dec 2025 | 3.73 | 1.23 | 3.86 | 3.40 | 6.6% | 0 of 92 | 73 |
| Jul to Sep 2025 | 3.75 | 1.17 | 3.89 | 3.40 | 4.6% | 0 of 92 | 74 |
| Apr to Jun 2025 | 3.59 | 1.17 | 3.74 | 3.21 | 11.7% | 0 of 91 | 86 |
| 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.
Quality measures
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 | 23.8 | 20.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.9 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.8 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 25.2 | 22.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 14.8 | 5.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.5 | 13.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.3 | 21.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.2 | 9.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.4 | 1.2 | 1.8 |
Owners and operators
Legal business name: 2101 FAIRLAND ROAD OPERATIONS LLC. CMS links this home to Genesis Healthcare, a group of 184 nursing homes averaging 2.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Genesis Operations III LLC | 5% or greater direct ownership interest | Organization | 100% | 12/31/2011 |
| Fc-Gen Operations Investment LLC | 5% or greater indirect ownership interest | Organization | 12/01/2012 | |
| Gen Operations I LLC | 5% or greater indirect ownership interest | Organization | 12/01/2012 | |
| Gen Operations II LLC | 5% or greater indirect ownership interest | Organization | 12/01/2012 | |
| Genesis Healthcare Inc | 5% or greater indirect ownership interest | Organization | 12/01/2018 | |
| Genesis Healthcare LLC | 5% or greater indirect ownership interest | Organization | 12/01/2012 | |
| Genesis Holdings LLC | 5% or greater indirect ownership interest | Organization | 12/01/2018 | |
| Ghc Holdings LLC | 5% or greater indirect ownership interest | Organization | 05/25/2012 | |
| Sun Healthcare Group Inc | 5% or greater indirect ownership interest | Organization | 12/01/2018 | |
| Whitman, Arnold | 5% or greater indirect ownership interest | Individual | 12/31/2011 | |
| Berg, Michael | Corporate officer | Individual | 12/01/2012 | |
| Bridgeford, Laura | Corporate officer | Individual | 06/01/2024 | |
| Mendelson, Avi | Corporate officer | Individual | 06/01/2024 | |
| Bangura, John | Operational/managerial control | Individual | 06/01/2024 | |
| Passi, Ravi | Operational/managerial control | Individual | 03/01/2024 | |
| Bangura, John | Adp of the SNF | Individual | 02/05/2025 | |
| Passi, Ravi | Adp of the SNF | Individual | 02/05/2025 |
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.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 12 problems in this area, most recently on July 9, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 11 problems in this area, most recently on November 20, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 11 problems in this area, most recently on April 16, 2025: "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."
- When is the care plan meeting, and can family attend it?Inspectors cited 10 problems in this area, most recently on November 20, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.34 hours per resident per day, below the Maryland average of 3.47.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Autumn Lake Healthcare at Silver Spring Silver Spring, 0.8 mi · 3 of 5 stars · 38 citations
- Harmony Suites Rehabilitation and Wellness Center Silver Spring, 1.8 mi · 2 of 5 stars · 62 citations
- Riderwood Village Silver Spring, 1.9 mi · 5 of 5 stars · 18 citations
- Autumn Lake Healthcare at Oak Manor Burtonsville, 2 mi · 4 of 5 stars · 41 citations
- Complete Care at Springbrook Silver Spring, 2.1 mi · 3 of 5 stars · 45 citations
- Sterling Care Hillhaven Adelphi, 3.2 mi · 5 of 5 stars · 18 citations
- Autumn Lake Healthcare at Arcola Silver Spring, 4.2 mi · 4 of 5 stars · 57 citations
- Autumn Lake Healthcare at Patuxent River Laurel, 4.8 mi · 3 of 5 stars · 60 citations
Maryland contacts for a concern about a nursing home
These are the official offices in Maryland. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Maryland Department of Health, Office of Health Care Quality, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Maryland Long-Term Care Ombudsman Program, Maryland Department of Aging, 800-243-3425. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Maryland Health Care Commission, Maryland Quality Reporting, Nursing Homes, where Maryland publishes its own records on licensed homes.
Common questions
- What is Fairland Center's Medicare star rating?
- CMS rates Fairland Center 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Fairland Center get at its last inspection?
- 25 health deficiencies at the standard inspection on April 16, 2025. The Maryland average is 17.
- Has Fairland Center been fined?
- CMS lists no fines in the last three years.
- Does Fairland Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Fairland Center?
- CMS lists 17 owners and managers, and links the home to Genesis Healthcare. Legal business name: 2101 FAIRLAND ROAD OPERATIONS LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.