The nursing home failed to encode each resident’s assessment data and send it to the state on time. Cited January 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 640 — 42 CFR §483.20 — S/S: F
Nursing home report
CARRIAGE HILL BETHESDA
BETHESDA, MD · Medicare-certified · 108 beds
In good standing
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Carriage Hill Bethesda has a 3-star overall rating, with 3-star health inspections and stronger 4-star staffing and quality measures. It reports 3.97 nurse staffing hours per resident per day versus the 4.1 federal benchmark, with no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.9717 hrs/resident/day
Quality measures
Last inspection: March 26, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9717.
Staffing detail
- Registered nurses
- 0.75
- Licensed practical nurses
- 1.17
- Nurse aides
- 2.04
- Weekend nursing
- 3.53
Hours per resident per day.
Total staff turnover: 25%
Registered nurse turnover: 33%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
18.4%6.4%Improving
Residents with a fall causing major injury
1.5%1.6%No change
Residents with pressure ulcers (bedsores)
8.1%3.9%Improving
Residents with a urinary tract infection
1.6%0%Improving
Residents who lost too much weight
5.1%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
38%7.4%Improving
Residents whose ability to walk got worse
21.1%16.3%Improving
Long-stay residents on antianxiety or sleep medication
6.5%9.8%Worsening
Short-stay residents newly given an antipsychotic
0%0.4%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
19.1%30.8%Worsening
Residents with depressive symptoms
13.8%15.6%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.4%—
Long-stay residents given the pneumonia vaccine
83.1%88.7%Improving
Short-stay residents given the seasonal flu vaccine
—76.2%—
Short-stay residents given the pneumonia vaccine
64.1%50.5%Worsening
What the inspectors found
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited January 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: F
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 558 — 42 CFR §483.10 — S/S: E
The nursing home failed to fully assess a resident promptly on admission and then keep that assessment updated regularly. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 636 — 42 CFR §483.20 — S/S: E
The nursing home failed to update each resident’s assessment at least every three months. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 638 — 42 CFR §483.20 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 19 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Jun 1, 2022
Now operated by Carriage Hill Opco LLC, previously Carriage Hill - Bethesda, INC..
- Ownership
- For profit - Limited Liability company
- Chain
- Part of VIERRA COMMUNITIES · 3 homes · 2.5 stars avg
- Occupancy
- 104.6 residents on an average day (97% of 108 beds)
- Medicare history
- Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.