The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Shady Grove Adventist Nursing and Rehab
Registered name: SHADY GROVE NURSING AND REHABILITATION CENTER
ROCKVILLE, MD · Medicare-certified · 154 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
Shady Grove Adventist Nursing and Rehab in Rockville has an overall rating of 2 out of 5 stars, with a 1-star health inspection rating and a recent federal penalty. Staffing is 3 stars, with reported nurse staffing at 3.60 hours per resident per day versus the 4.1-hour federal benchmark, and fines totaled $8,278 in the last 24 months.
Facility ratings
Health inspections
Staffing
3.6037 hrs/resident/day
Quality measures
Last inspection: May 8, 2026Penalties, last 24 months: $8,278recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6037.
Staffing detail
- Registered nurses
- 0.67
- Licensed practical nurses
- 1.09
- Nurse aides
- 1.85
- Weekend nursing
- 3.29
Hours per resident per day.
Total staff turnover: 31%
Registered nurse turnover: 39%
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
25.3%26%Worsening
Residents with a fall causing major injury
1%1%No change
Residents with pressure ulcers (bedsores)
3.5%6%Worsening
Residents with a urinary tract infection
1%0%Improving
Residents who lost too much weight
3.2%3.2%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
0%5.7%Worsening
Residents whose ability to walk got worse
5.1%2.2%Improving
Long-stay residents on antianxiety or sleep medication
11.7%17.9%Worsening
Short-stay residents newly given an antipsychotic
1.7%0.9%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
13.5%24.3%Worsening
Residents with depressive symptoms
81.1%85.1%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
95.2%95.9%Improving
Short-stay residents given the seasonal flu vaccine
—88%—
Short-stay residents given the pneumonia vaccine
91.6%96.8%Improving
What the inspectors found
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: F
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited January 2021 — widespread issue, potential for harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2019 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — 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 1 health deficiency.
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 1 health deficiency.
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 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $8,278 was recorded.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,278 in total fines.
- $8,278
Federal fine
Jun 16, 2025
Operator & ownership
Recent ownership change · Aug 1, 2018
Now operated by Shady Grove Snf LLC, previously 9701 Medical Center Drive Operations LLC.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LIFEWORKS REHAB · 69 homes · 2 stars avg
- Occupancy
- 139.2 residents on an average day (90% of 154 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 39 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.