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Montcare at Bethesda

6530 Democracy Boulevard, Bethesda, MD 20817 · Montgomery County · (301) 530-9000

120 certified beds, about 105 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1975

Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 215095 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 25, 2026, inspectors cited 6 health deficiencies (the Maryland average is 17, the national average 9.2).

None of its 28 health citations since November 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 3.32 hours per resident per day, against 3.87 across Maryland and 3.86 nationally. Registered nurses accounted for 0.79 of those hours.

35.8% of nursing staff left within the year CMS measured (Maryland average 40.2%).

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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

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 28 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
21D
6E
0F
Potential for minimal harm
0A
1B
0C
February 25, 2026Standard inspection · 6 citations
  1. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 26, 2026
    Inspectors wroteBased on observations and interviews, the facility failed to ensure a homelike environment was provided for all residents. This was evident to be true for 9 out of 44 resident rooms observed during an annual recertification survey.
  2. 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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 26, 2026
    Inspectors wroteBased on record review and staff interviews, it was determined that the facility failed to ensure that each resident formulated an advance directive. This was evident for 2 (Resident #29, Resident #59) residents out of 36 residents reviewed for advance directives.
  3. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 26, 2026
    Inspectors wroteBased on record review and staff interviews, it was determined that the facility failed to ensure that the comprehensive care plan was reviewed and revised by an interdisciplinary team composed of individuals who know the resident and his/her needs, and failed to ensure that each resident's care plan meeting was done quarterly. This was evident for 4 (Resident #29, #9, #32, and #59) out of 36 residents reviewed for comprehensive care plan revision.
  4. D
    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
    F800 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 26, 2026
    Inspectors wroteBased on observation, record review, and staff interviews, it was determined that the facility failed to provide the resident with a diet that meets his/her nutritional needs. This was evident for 1 resident (Resident # 116) out of 8 residents reviewed during the annual recertification survey.
  5. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 26, 2026
    Inspectors wroteBased on record reviews and staff interviews, it was determined that the facility failed to ensure that residents' records were accurate and complete. This was evident for 2 (Resident #9 and #59) residents out of 36 residents reviewed during this annual Medicare/Medicaid recertification survey.
  6. D
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 26, 2026
    Inspectors wroteBased on observation and interviews it was determined the facility failed to maintain patient care equipment in working operating conditions. This was evident for 1 resident #83 out of 5 residents reviewed for patient care equipment.
October 10, 2025Complaint inspection · 4 citations
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 2, 2025
    Inspectors wroteBased on record review and interview, it was determined that the facility failed to update the comprehensive care plan. This was found to be evident for 1 (Resident #11) out of 12 residents reviewed for care plans.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 2, 2025
    Inspectors wroteBased on review of facility-reported incident and a complaint, record review and interview, it was determined that the facility failed to obtain a physician's order prior to performing a straight catheterization. This was evident for 1 (Resident #4) of 14 residents reviewed during the complaint survey.
  3. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 2, 2025
    Inspectors wroteBased on medical record review and interviews it was determined that the facility failed to provide appropriate wound care. This was evident for 1 (Resident #8) of 1 residents evaluated for pressure ulcer care during the complaint survey.
  4. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 2, 2025
    Inspectors wroteBased on medical record reviews and interviews it was determined that the facility failed to ensure medical records were accurate. This was evident for 1 (Resident #9) of 12 residents reviewed for accurate medical record documentation during the complaint survey.
November 6, 2024Standard inspection, Complaint inspection · 13 citations
  1. E
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on record review and interview it was determined that the facility failed to 1) notify the Ombudsman of a Resident's (Resident #23) transfer to an acute care facility and 2) notify the Resident (Resident #47) /Resident representative of transfer to an acute care facility in writing. This was found to be evident for 2 (Resident #23 & #47) out of 3 residents reviewed for transfers during the annual survey.
  2. E
    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.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to notify the resident/resident representative in writing of the bed hold policy upon transfer of a resident to an acute care facility. This was evident for 1 (#47) out of 3 residents reviewed for hospitalizations during the annual survey.
  3. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on observations and staff interviews it was determined that the facility failed to 1) maintain a safe and effective system for securing medication and 2) store medications properly. This was found to be evident for 1 out of 3 medication carts observed during the re-certification survey.
  4. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on observations and staff interviews, it was determined that the kitchen failed to store food items to maintain the integrity of the specific item. This was evident during multiple observations of the kitchen on a recertification survey.
  5. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on interviews and surveyor observations, it was determined that the facility failed to reasonably accommodate the needs and preferences of a resident by not ensuring a call bell was kept within a resident's reach and by not providing the appropriate type of call bell device needed for resident use. This finding was evident for 2 of 3 random observations (Resident #75) during the annual survey.
  6. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on record review and interview, it was determined that the facility failed to transmit Minimum Data Set (MDS) assessments within 14 days of completion. This was evident for 1 (Resident #74) of 2 residents reviewed for resident assessments during the annual survey.
  7. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on record reviews and interviews it was determined that the facility failed to ensure a care plan was revised. This was found to be evident for 2 (Resident #50 & #92) out of 5 Residents reviewed for care plan revisions.
  8. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on observations, record review and interviews, it was determined that the facility failed to provide appropriate treatment and services to a resident receiving tube feedings. This was evident for 1 (Resident #72) of 1 Resident reviewed for tube feedings.
  9. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on observations and interviews it was determined that the facility failed to provide the respiratory care and services that are in accordance with professional standards. This was evident for 1 (Resident #456) out of 1 resident reviewed for respiratory services.
  10. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on record review and interview, it was determined that the facility failed to 1) develop and implement non-pharmacological interventions of pain and 2) ensure that pain medication was given consistent with the professional standards of practice. This was evident for 2 (Resident #92 and #1) out of 2 residents reviewed for pain management during the annual survey.
  11. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on observations and interviews with residents and facility staff, it was determined that the facility failed to ensure that food was delivered to residents at an appropriate and palatable temperature. This was evident for 1 out of 1 observation of test tray temperatures. This practice has the potential to affect all residents who eat food prepared by the facility.
  12. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on observations and interviews, it was determined the facility staff failed to adhere to infection control practices and guidelines while 1.) administering medications and 2.) performing dressing change. This was evident for 2 of 4 residents (Resident #225 and Resident#72) observed for medication administration and dressing change.
  13. D
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on observation, and staff interview, it was determined that facility staff failed to ensure a cord used to activate/deactivate a call light was attached to the call system. This was evident for 1 of 1 unit shower rooms observed during the surveyor's initial tour of the facility during the recertification survey.
November 25, 2019Standard inspection · 5 citations
  1. E
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 9, 2020
    Inspectors wroteBased on surveyor observations, review of Regency unit residents' Medication Administration Records (MAR) and interview with Resident #43's private sitter and facility staff, it was determined that facility staff failed to ensure standards of nursing practice during medication administration for Resident #43 and residents in 13 other rooms on the Regency Unit. Surveyor review of the clinical records, surveyor observations, interviews with residents and facility staff, it was determined that the facility failed to ensure standards of nursing practice. This was evident for 2 of 29 residents selected for review during the survey (Resident #33 and #59).
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 9, 2020
    Inspectors wroteBased on surveyor review of the clinical record review and interview with facility staff, it was determined that the facility failed to develop and implement a comprehensive person-centered care plan for 1 of 29 residents selected for review during the survey (Resident #56).
  3. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 9, 2020
    Inspectors wroteBased on surveyor review of the clinical record for Resident #39, surveyor observations and interview with facility staff, it was determined that the facility failed to revise a person centered comprehensive plan of care for Resident #39. This finding was evident for 1 of 29 residents selected for review during the survey (Resident #39).
  4. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 9, 2020
    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 consistent interventions were in place to address the risk of elopement for 1 of 2 residents selected for the elopement risk review (Resident #39).
  5. B
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) January 9, 2020
    Inspectors wroteBased on surveyor review of clinical records and facility staff interviews, it was determined that the facility failed to ensure 3 of 29 residents (#43, #58, #89) reviewed during the survey had an accurate assessment.

Fire safety inspections

15 fire safety citations on file: 4 on February 25, 2026, 4 on November 6, 2024, 7 on November 25, 2019.

Every fire safety citation15 citations
  1. F
    Have a battery powered remote alarm panel in a location accessible by operating personnel.
    K 916 · February 25, 2026 · Corrected (the home has a date of correction)
  2. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 25, 2026 · Corrected (the home has a date of correction)
  3. E
    Have properly located and lighted "Exit" signs.
    K 293 · February 25, 2026 · Corrected (the home has a date of correction)
  4. D
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · February 25, 2026 · Corrected (the home has a date of correction)
  5. F
    Conduct testing and exercise requirements.
    E 39 · November 6, 2024 · Corrected (the home has a date of correction)
  6. F
    Provide properly protected cooking facilities.
    K 324 · November 6, 2024 · Corrected (the home has a date of correction)
  7. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · November 6, 2024 · Corrected (the home has a date of correction)
  8. F
    Have proper medical gas storage and administration areas.
    K 923 · November 6, 2024 · Corrected (the home has a date of correction)
  9. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · November 25, 2019 · Corrected (the home has a date of correction)
  10. D
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · November 25, 2019 · Corrected (the home has a date of correction)
  11. D
    Install properly constructed and protected linen or trash chutes.
    K 541 · November 25, 2019 · Corrected (the home has a date of correction)
  12. D
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · November 25, 2019 · Corrected (the home has a date of correction)
  13. C
    Establish emergency prep training and testing.
    E 36 · November 25, 2019 · Corrected (the home has a date of correction)
  14. C
    Conduct testing and exercise requirements.
    E 39 · November 25, 2019 · Corrected (the home has a date of correction)
  15. C
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · November 25, 2019 · Corrected (the home has a date of correction)

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.

MeasureThis homeMarylandUnited States
All nursing staff (RN, LPN and aides)3.323.873.86
Registered nurses0.790.840.69
All nursing staff on weekends3.123.473.42
Nurse aides1.87
Licensed practical nurses0.66
Nursing staff turnover (share who left in a year)35.8%40.2%45.8%
Registered nurse turnover27.3%38.7%42.9%
Administrators who left1

CMS expects 4.23 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 3.40 on weekdays and 3.12 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.53 in April to June 2025 to 3.32 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.320.793.403.12 0.0%0 of 90105
Oct to Dec 20253.520.873.673.13 0.9%0 of 92102
Jul to Sep 20253.560.843.723.17 0.5%0 of 92100
Apr to Jun 20253.530.933.693.13 0.0%0 of 91105
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Maryland, Jan to Mar 20263.730.743.883.348.0%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

Staff pay at this home

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.

Official wage estimates for Maryland

JobMedianMiddle halfEmployed
Maryland, all employers
CNAs (nursing assistants)$20.79$18.46 to $22.0027,720
LPNs and LVNs$35.89$31.40 to $38.309,560
Registered nurses$47.98$40.26 to $51.6152,910
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMarylandUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1		 6.120.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1		 0.00.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1		 0.31.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1		 1.32.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1		 0.61.11.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1		 9.722.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1		 7.55.94.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1		 11.613.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231		 23.021.023.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231		 11.09.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231		 2.01.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231		 1.21.21.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Montcare at Bethesda's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (52.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

52.7% 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. 240 eligible stays.

Potentially preventable readmissions

11.1% this home

No different from 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. 220 eligible stays.

Infections that led to a hospital stay

7.8% 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. 177 eligible stays.

Self-care and mobility at discharge

78.1% 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. 105 residents counted.

Falls with major injury

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. 238 residents counted.

New or worsened pressure ulcers

1.0% 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. 238 residents counted.

Medication list given at discharge

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. 123 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.

Owners and operators

Legal business name: BETHESDA OPERATOR LLC.

NameRoleTypeShareSince
Md3 Operator Holdco LLC5% or greater direct ownership interestOrganization100%09/01/2023
Green, Dov5% or greater indirect ownership interestIndividual43%09/01/2023
Mermelstein, Boruch5% or greater indirect ownership interestIndividual45%09/01/2023
Zager, Nachum5% or greater indirect ownership interestIndividual10%09/01/2023
Ribikow, JackW-2 managing employeeIndividual09/01/2023
Zager, NachumCorporate officerIndividual09/01/2023
Zager, NachumOperational/managerial controlIndividual09/01/2023

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.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 10 problems in this area, most recently on February 25, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on October 10, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on February 25, 2026: "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."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on February 25, 2026: "Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.12 hours per resident per day, below the Maryland average of 3.47.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Maryland contacts for a concern about a nursing home

These are the official offices in Maryland. NursingHomeClear cannot take or act on complaints.

Common questions

What is Montcare at Bethesda's Medicare star rating?
CMS rates Montcare at Bethesda 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Montcare at Bethesda get at its last inspection?
6 health deficiencies at the standard inspection on February 25, 2026. The Maryland average is 17.
Has Montcare at Bethesda been fined?
CMS lists no fines in the last three years.
Does Montcare at Bethesda 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 Montcare at Bethesda?
CMS lists 7 owners and managers. Legal business name: BETHESDA OPERATOR LLC.

Sources

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