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 NURSING AND REHABILITATION CENTER
ROCKVILLE, MD · Medicare-certified · 154 beds
Needs attention
For-profitChain member
2 of 5 overall
2 out of 5 stars overall. Health inspections are very weak at 1 star, staffing is middling at 3 stars but reported nurse staffing (3.66 hours/resident/day) is below the federal benchmark (4.1), quality measures are strong at 5 stars, and the facility had $8,278 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.6564 hrs/resident/day
Quality measures
Last inspection: December 19, 2025Penalties, last 24 months: $8,278recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6564.
Staffing detail
- Registered nurses
- 0.61
- Licensed practical nurses
- 1.15
- Nurse aides
- 1.89
- Weekend nursing
- 3.31
Hours per resident per day.
Total staff turnover: 34%
Registered nurse turnover: 48%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
24.7%Improving
Residents with a fall causing major injury
1.2%Steady
Residents with pressure ulcers (bedsores)
5.6%Improving
Residents with a urinary tract infection
0.2%Steady
Residents who lost too much weight
1.6%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
6.4%Improving
Residents whose ability to walk got worse
4.7%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
10.6%Worsening
Short-stay residents newly given an antipsychotic
1.8%Steady
Residents with a long-term catheter
0.6%Steady
Residents with new or worsening incontinence
22.1%Improving
Residents with depressive symptoms
80.5%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
94%Improving
Short-stay residents given the seasonal flu vaccine
88%Steady
Short-stay residents given the pneumonia vaccine
94.8%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 nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — 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 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
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LIFEWORKS REHAB · 66 homes · 2.1 stars avg
- Occupancy
- 129.3 residents on an average day (84% 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.