SHADY GROVE NURSING AND REHABILITATION CENTER

CCN 215164 · SHADY GROVE SNF LLC · For profit - Limited Liability company · LIFEWORKS REHAB chain · 154 certified beds · Montgomery · MD


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 dateTagDeficiencySeverity
2026-06-15F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E
2026-06-15F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2026-05-08F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2026-04-13F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2025-12-19F0690, F0880Provide 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
2025-07-17F0659Provide care by qualified persons according to each resident's written plan of care.D
2025-06-16F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-06-16F0554, F0610, F0759Allow 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
2025-03-13F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.F
2025-03-13F0656, F0658, F0689, F0812, F0842, F0609Develop 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
2025-03-13F0558, 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, F0660Reasonably 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
2024-03-26F0563, F0580, F0609, F0645, F0657, F0658, F0684, F0697, F0842, F0923Honor 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
2021-01-15F0726Ensure 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
2021-01-15F0657, F0678, F0684, F0693, F0755, F0880Develop 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
2021-01-15F0580, F0655, F0656, F0677, F0689, F0692, F0842Immediately 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
2019-04-12F0880Provide and implement an infection prevention and control program.F
2019-04-12F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E
2019-04-12F0561, F0580, F0607, F0609, F0655, F0656, F0658, F0684, F0758, F0759, F0761, F0840Honor 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
2019-04-12F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.C
2019-04-12F0623, F0842Provide 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?

DateTypeAmount
2025-06-16Fine$8,278

How is SHADY GROVE NURSING AND REHABILITATION CENTER staffed relative to the MD average?

MeasureThis facilityMD average
Total nurse staffing hours per resident per day3.603703.87381
Total nursing staff turnover (%)30.640.2
Average number of residents per day139.2105.7

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.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTTHUNDER HEALTH HOLDCO LLCsince 07/01/2018
5% OR GREATER INDIRECT OWNERSHIP INTERESTRMA EQUITY LLC, BIRNBAUM, ISRAEL, KOHN, AVROHOMsince 05/01/2021
W-2 MANAGING EMPLOYEEBIRNBAUM, ISRAELsince 08/01/2018

Were you or a family member harmed at SHADY GROVE NURSING AND REHABILITATION CENTER?