Starfile / Maryland

SHADY GROVE NURSING AND REHABILITATION CENTER

9701 MEDICAL CENTER DRIVE, ROCKVILLE, MD 20850 · CCN 215164

Inspection history vs Maryland & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$12,735

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

LIFEWORKS REHAB

Facilities in chain

59

Chain avg overall

2.10 / 5

Inspection citations (84)1 actual harm

1. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-12-19 · Health · corrected 2026-01-27

   Potential for more than minimal harm

2. DF0880Provide and implement an infection prevention and control program.2025-12-19 · Health · corrected 2026-01-27

   Potential for more than minimal harm

3. DF0659Provide care by qualified persons according to each resident's written plan of care.2025-07-17 · Health · corrected 2025-08-11

   Potential for more than minimal harm

4. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-06-16 · Health · corrected 2025-08-14

   Potential for more than minimal harm

5. DF0610Respond appropriately to all alleged violations.2025-06-16 · Health · corrected 2025-08-14

   Potential for more than minimal harm

6. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-16 · Health · corrected 2025-08-14

   Actual harm

7. DF0759Ensure medication error rates are not 5 percent or greater.2025-06-16 · Health · corrected 2025-08-14

   Potential for more than minimal harm

8. DF0558Reasonably accommodate the needs and preferences of each resident.2025-03-13 · Health · corrected 2025-05-05

   Potential for more than minimal harm

9. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-03-13 · Health · corrected 2025-05-05

   Potential for more than minimal harm

10. DF0578Honor 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.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

11. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

12. DF0584Honor 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.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

13. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

14. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

15. DF0610Respond appropriately to all alleged violations.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

16. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

17. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

18. DF0624Prepare residents for a safe transfer or discharge from the nursing home.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

19. DF0625Notify 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.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

20. DF0641Ensure each resident receives an accurate assessment.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

21. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

22. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

23. FF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

24. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

25. DF0660Plan the resident's discharge to meet the resident's goals and needs.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

26. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

27. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

28. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

29. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

30. DF0692Provide enough food/fluids to maintain a resident's health.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

31. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

32. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

33. DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

34. DF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

35. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

36. DF0759Ensure medication error rates are not 5 percent or greater.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

37. DF0761Ensure 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.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

38. DF0790Provide routine and 24-hour emergency dental care for each resident.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

39. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

40. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

41. DF0880Provide and implement an infection prevention and control program.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

42. DF0908Keep all essential equipment working safely.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

43. DF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.2025-03-13 · Health · corrected 2025-05-05

    Potential for more than minimal harm

44. DF0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.2024-03-26 · Health · corrected 2024-04-29

    Potential for more than minimal harm

45. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-03-26 · Health · corrected 2024-04-29

    Potential for more than minimal harm

46. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-03-26 · Health · corrected 2024-04-29

    Potential for more than minimal harm

47. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-03-26 · Health · corrected 2024-04-29

    Potential for more than minimal harm

48. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-03-26 · Health · corrected 2024-04-29

    Potential for more than minimal harm

49. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-03-26 · Health · corrected 2024-04-29

    Potential for more than minimal harm

50. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-26 · Health · corrected 2024-04-29

    Potential for more than minimal harm

51. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-03-26 · Health · corrected 2024-04-29

    Potential for more than minimal harm

52. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-03-26 · Health · corrected 2024-04-29

    Potential for more than minimal harm

53. DF0923Have enough outside ventilation via a window or mechanical ventilation, or both.2024-03-26 · Health · corrected 2024-04-29

    Potential for more than minimal harm

54. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2021-01-15 · Health · corrected 2021-03-05

    Potential for more than minimal harm

55. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2021-01-15 · Health · corrected 2021-03-05

    Potential for more than minimal harm

56. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-01-15 · Health · corrected 2021-03-05

    Potential for more than minimal harm

57. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-01-15 · Health · corrected 2021-03-05

    Potential for more than minimal harm

58. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-01-15 · Health · corrected 2021-03-05

    Potential for more than minimal harm

59. EF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2021-01-15 · Health · corrected 2021-03-05

    Potential for more than minimal harm

60. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-01-15 · Health · corrected 2021-03-05

    Potential for more than minimal harm

61. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-01-15 · Health · corrected 2021-03-05

    Potential for more than minimal harm

62. DF0692Provide enough food/fluids to maintain a resident's health.2021-01-15 · Health · corrected 2021-03-05

    Potential for more than minimal harm

63. EF0693Ensure 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.2021-01-15 · Health · corrected 2021-03-05

    Potential for more than minimal harm

64. FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2021-01-15 · Health · corrected 2021-03-05

    Potential for more than minimal harm

65. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2021-01-15 · Health · corrected 2021-03-05

    Potential for more than minimal harm

66. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-01-15 · Health · corrected 2021-03-05

    Potential for more than minimal harm

67. EF0880Provide and implement an infection prevention and control program.2021-01-15 · Health · corrected 2021-03-05

    Potential for more than minimal harm

68. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2019-04-12 · Health · corrected 2019-05-24

    Potential for more than minimal harm

69. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2019-04-12 · Health · corrected 2019-05-24

    Potential for more than minimal harm

70. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2019-04-12 · Health · corrected 2019-05-24

    Potential for more than minimal harm

71. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2019-04-12 · Health · corrected 2019-05-24

    Potential for more than minimal harm

72. BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2019-04-12 · Health · corrected 2019-05-24

    Potential for minimal harm

73. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2019-04-12 · Health · corrected 2019-05-24

    Potential for more than minimal harm

74. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-04-12 · Health · corrected 2019-05-24

    Potential for more than minimal harm

75. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-04-12 · Health · corrected 2019-05-24

    Potential for more than minimal harm

76. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-04-12 · Health · corrected 2019-05-24

    Potential for more than minimal harm

77. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-04-12 · Health · corrected 2019-05-24

    Potential for more than minimal harm

78. DF0758Implement 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.2019-04-12 · Health · corrected 2019-05-24

    Potential for more than minimal harm

79. DF0759Ensure medication error rates are not 5 percent or greater.2019-04-12 · Health · corrected 2019-05-24

    Potential for more than minimal harm

80. DF0761Ensure 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.2019-04-12 · Health · corrected 2019-05-24

    Potential for more than minimal harm

81. CF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-04-12 · Health · corrected 2019-05-24

    Potential for minimal harm

82. DF0840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.2019-04-12 · Health · corrected 2019-05-24

    Potential for more than minimal harm

83. BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2019-04-12 · Health · corrected 2019-05-24

    Potential for minimal harm

84. FF0880Provide and implement an infection prevention and control program.2019-04-12 · Health · corrected 2019-05-24

    Potential for more than minimal harm

Ownership

Other facilities in ROCKVILLE

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.