The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited February 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: D
Nursing home report
MONTCARE AT POTOMAC
POTOMAC, MD · Medicare-certified · 168 beds
In good standing
For-profit
Data as of July 1, 2026
5 of 5 overall
Montcare at Potomac in Potomac, MD has an overall 5-star rating, with 4 stars for health inspections and staffing and 5 stars for quality measures. It reported 3.69 nurse staffing hours per resident per day, below the 4.1 federal benchmark, had $0 in fines in the last 24 months, and recent inspection concerns focused on assessment and care plan requirements.
Facility ratings
Health inspections
Staffing
3.6911 hrs/resident/day
Quality measures
Last inspection: February 18, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6911.
Staffing detail
- Registered nurses
- 1.01
- Licensed practical nurses
- 0.78
- Nurse aides
- 1.89
- Weekend nursing
- 3.38
Hours per resident per day.
Total staff turnover: 17%
Registered nurse turnover: 18%
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
13.2%11.7%Improving
Residents with a fall causing major injury
2.9%0%Improving
Residents with pressure ulcers (bedsores)
4.7%6.7%Worsening
Residents with a urinary tract infection
0%1%Worsening
Residents who lost too much weight
5.4%7.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13.6%5.3%Improving
Residents whose ability to walk got worse
13.1%5.7%Improving
Long-stay residents on antianxiety or sleep medication
22.1%16.3%Improving
Short-stay residents newly given an antipsychotic
0.4%1.1%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
20.7%32.4%Worsening
Residents with depressive symptoms
78.8%86.2%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
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—99.5%—
Short-stay residents given the pneumonia vaccine
99.7%99.4%No change
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited February 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited February 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: D
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited February 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: D
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited February 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 156 residents on an average day (93% of 168 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 38 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.