The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2018 — limited pattern, potential for harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: E
Nursing home report
MONTCARE AT POTOMAC
POTOMAC, MD · Medicare-certified · 168 beds
In good standing
For-profit
5 of 5 overall
MONTCARE AT POTOMAC in Potomac, MD has a 5-star overall rating, with 5 stars for health inspections and quality measures and 4 stars for staffing. It reported 3.85 nurse hours per resident per day, below the federal benchmark of 4.1, with $0 in fines in the last 24 months; recent inspection citations included treatment and care orders, timely notification, and accommodating resident needs and preferences.
Facility ratings
Health inspections
Staffing
3.8519 hrs/resident/day
Quality measures
Last inspection: September 30, 2024Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8519.
Staffing detail
- Registered nurses
- 1.06
- Licensed practical nurses
- 0.75
- Nurse aides
- 2.04
- Weekend nursing
- 3.52
Hours per resident per day.
Total staff turnover: 17%
Registered nurse turnover: 15%
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
10.8%11.7%Worsening
Residents with a fall causing major injury
1%3.8%Worsening
Residents with pressure ulcers (bedsores)
4.9%5.1%No change
Residents with a urinary tract infection
0%1%Worsening
Residents who lost too much weight
9.3%7.4%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.1%9%No change
Residents whose ability to walk got worse
5.8%12.2%Worsening
Long-stay residents on antianxiety or sleep medication
20%17.7%Improving
Short-stay residents newly given an antipsychotic
0.7%0.8%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
15.9%21.1%Worsening
Residents with depressive symptoms
72%84.5%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
100%98.4%Worsening
What the inspectors found
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited August 2018 — limited pattern, potential for harm.
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F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: E
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited September 2024 — isolated incident, potential for harm.
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F-Tag 558 — 42 CFR §483.10 — S/S: D
The home failed to give an adequate reason and proper information when transferring or discharging a resident. Cited September 2024 — isolated incident, potential for harm.
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F-Tag 622 — 42 CFR §483.15 — S/S: D
The home failed to provide enough food and fluids to keep residents healthy. Cited September 2024 — isolated incident, potential for harm.
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F-Tag 692 — 42 CFR §483.25(g) — 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 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
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- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 149 residents on an average day (89% of 168 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 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.