SHADY GROVE NURSING AND REHABILITATION CENTER
SHADY GROVE NURSING AND REHABILITATION CENTER is a 154-bed nursing home in ROCKVILLE, Maryland. CMS has certified it for Medicare and Medicaid since 1987-06-05. It averages 139.2 residents a day.
What harm was found in the violations cited at SHADY GROVE NURSING AND REHABILITATION CENTER?
CMS lists 88 health-inspection deficiencies for SHADY GROVE NURSING AND REHABILITATION CENTER since 2019-04-12, 57 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-06-15.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-15 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E |
| 2026-06-15 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2026-05-08 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2026-04-13 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-12-19 | F0690, F0880 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide and implement an infection prevention and control program. | D |
| 2025-07-17 | F0659 | Provide care by qualified persons according to each resident's written plan of care. | D |
| 2025-06-16 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-06-16 | F0554, F0610, F0759 | Allow residents to self-administer drugs if determined clinically appropriate. / Respond appropriately to all alleged violations. / Ensure medication error rates are not 5 percent or greater. | D |
| 2025-03-13 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | F |
| 2025-03-13 | F0656, F0658, F0689, F0812, F0842, F0609 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E |
| 2025-03-13 | F0558, F0561, F0578, F0582, F0584, F0622, F0623, F0624, F0625, F0641, F0645, F0677, F0684, F0690, F0692, F0697, F0700, F0710, F0711, F0755, F0759, F0761, F0790, F0880, F0908, F0909, F0607, F0610, F0660 | Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / 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. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Prepare residents for a safe transfer or discharge from the nursing home. / 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. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / Provide safe, appropriate pain management for a resident who requires such services. / Try 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. / Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. / Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / 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. / Provide routine and 24-hour emergency dental care for each resident. / Provide and implement an infection prevention and control program. / Keep all essential equipment working safely. / Regularly 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. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Respond appropriately to all alleged violations. / Plan the resident's discharge to meet the resident's goals and needs. | D |
| 2024-03-26 | F0563, F0580, F0609, F0645, F0657, F0658, F0684, F0697, F0842, F0923 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate pain management for a resident who requires such services. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Have enough outside ventilation via a window or mechanical ventilation, or both. | D |
| 2021-01-15 | F0726 | 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. | F |
| 2021-01-15 | F0657, F0678, F0684, F0693, F0755, F0880 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program. | E |
| 2021-01-15 | F0580, F0655, F0656, F0677, F0689, F0692, F0842 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2019-04-12 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2019-04-12 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E |
| 2019-04-12 | F0561, F0580, F0607, F0609, F0655, F0656, F0658, F0684, F0758, F0759, F0761, F0840 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Ensure medication error rates are not 5 percent or greater. / 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. / Employ 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. | D |
| 2019-04-12 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | C |
| 2019-04-12 | F0623, F0842 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B |
Why was SHADY GROVE NURSING AND REHABILITATION CENTER fined?
| Date | Type | Amount |
|---|---|---|
| 2025-06-16 | Fine | $8,278 |
How is SHADY GROVE NURSING AND REHABILITATION CENTER staffed relative to the MD average?
| Measure | This facility | MD average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.60370 | 3.87381 |
| Total nursing staff turnover (%) | 30.6 | 40.2 |
| Average number of residents per day | 139.2 | 105.7 |
Who owns SHADY GROVE NURSING AND REHABILITATION CENTER, and what chain is it in?
SHADY GROVE NURSING AND REHABILITATION CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name SHADY GROVE SNF LLC and belongs to the LIFEWORKS REHAB chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | THUNDER HEALTH HOLDCO LLC | since 07/01/2018 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | RMA EQUITY LLC, BIRNBAUM, ISRAEL, KOHN, AVROHOM | since 05/01/2021 |
| W-2 MANAGING EMPLOYEE | BIRNBAUM, ISRAEL | since 08/01/2018 |
Were you or a family member harmed at SHADY GROVE NURSING AND REHABILITATION CENTER?