The home failed to provide safe, appropriate pain management for a resident who needed it. Cited June 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
Nursing home report
Forestville Rehabilitation and Wellness Center
FORESTVILLE, MD · Medicare-certified · 162 beds
Needs attention
For-profitChain member
3 of 5 overall
Forestville Rehabilitation and Wellness Center in Forestville, MD has an overall 3-star rating, with weaker health inspection and staffing ratings at 2 stars each, but a 5-star quality measures rating. It also reports nurse staffing below the federal benchmark (3.35 vs 4.1 hours per resident per day) and $16,039 in fines in the last 24 months, including a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.355 hrs/resident/day
Quality measures
Last inspection: January 12, 2026Penalties, last 24 months: $16,039recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.355.
Staffing detail
- Registered nurses
- 0.35
- Licensed practical nurses
- 1.06
- Nurse aides
- 1.95
- Weekend nursing
- 3.03
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 41%
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
6.8%12.3%Worsening
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
7.1%2.8%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
10.7%0.8%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13.7%16.4%Worsening
Residents whose ability to walk got worse
12.8%14.7%Worsening
Long-stay residents on antianxiety or sleep medication
12.9%13%No change
Short-stay residents newly given an antipsychotic
0%1.5%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
18.3%16.3%Improving
Residents with depressive symptoms
4.6%1.6%Improving
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
—97.2%—
Long-stay residents given the pneumonia vaccine
93.5%94.1%Improving
Short-stay residents given the seasonal flu vaccine
—85%—
Short-stay residents given the pneumonia vaccine
56%85.5%Improving
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited June 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2019 — limited pattern, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — 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 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $16,039 was recorded.
- INSPECTION
Health inspection found 23 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $16,039 in total fines.
- $16,039
Federal fine
Jun 3, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of COMMUNICARE HEALTH · 122 homes · 3 stars avg
- Occupancy
- 150.8 residents on an average day (93% of 162 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 55 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.