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Shady Grove Nursing and Rehabilitation CenterCMS ratings, inspections and fines

Address
9701 Medical Center Drive, Rockville, MD 20850
CCN
215164
Ownership type
For-profit, limited liability company
Certified beds
154
Residents per day
139
CMS flags
None in the CMS record
CMS star ratings
Overall rating2 of 5
Health inspection rating1 of 5
Staffing rating3 of 5
Quality measure rating5 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Shady Grove Nursing and Rehabilitation Center an overall rating of 2 of 5 stars. The last standard survey was on 13 Mar 2025. The latest survey cycle has 38 health citations. The median for nursing homes in Maryland is 16. CMS lists 1 fine of $8,278 for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Shady Grove Nursing and Rehabilitation Center, with medians
Rating (1 to 5 stars)This homeMontgomery County medianMaryland medianUS average (CMS)
Overall rating23.03.03.0
Health inspection rating13.03.02.8
Staffing rating33.03.02.9
Quality measure rating55.04.03.6

A median is the middle value of the homes in the group: 34 homes in the county, 221 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Shady Grove Nursing and Rehabilitation Center in the last three survey cycles
Survey cycleStandard surveyCitationsMaryland median
Cycle 1 (latest)13 Mar 20253816
Cycle 215 Jan 20212318
Cycle 3No date2712

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 88 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0

Survey cycle 1 (latest): 38 citations

Standard survey of this cycle: .

Health citations of Shady Grove Nursing and Rehabilitation Center in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
15 Jun 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint investigationDeficient, Provider has no plan of correction
15 Jun 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigationDeficient, Provider has no plan of correction
8 May 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation24 Jun 2026
13 Apr 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation19 May 2026
19 Dec 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation27 Jan 2026
19 Dec 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation27 Jan 2026
13 Mar 2025F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey5 May 2025
13 Mar 2025F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey5 May 2025
13 Mar 2025F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard survey5 May 2025
13 Mar 2025F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey5 May 2025
13 Mar 2025F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DStandard survey5 May 2025
13 Mar 2025F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard survey5 May 2025
13 Mar 2025F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey5 May 2025
13 Mar 2025F0624Prepare residents for a safe transfer or discharge from the nursing home.DStandard survey5 May 2025
13 Mar 2025F0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard survey5 May 2025
13 Mar 2025F0641Ensure each resident receives an accurate assessment.DStandard survey5 May 2025
13 Mar 2025F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey5 May 2025
13 Mar 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey5 May 2025
13 Mar 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.FComplaint investigation5 May 2025
13 Mar 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint investigation5 May 2025
13 Mar 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey5 May 2025
13 Mar 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation5 May 2025
13 Mar 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey5 May 2025
13 Mar 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey5 May 2025
13 Mar 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey5 May 2025
13 Mar 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey5 May 2025
13 Mar 2025F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard survey5 May 2025
13 Mar 2025F0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DStandard survey5 May 2025
13 Mar 2025F0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DComplaint investigation5 May 2025
13 Mar 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey5 May 2025
13 Mar 2025F0759Ensure medication error rates are not 5 percent or greater.DStandard survey5 May 2025
13 Mar 2025F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard survey5 May 2025
13 Mar 2025F0790Provide routine and 24-hour emergency dental care for each resident.DStandard survey5 May 2025
13 Mar 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey5 May 2025
13 Mar 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint investigation5 May 2025
13 Mar 2025F0880Provide and implement an infection prevention and control program.DStandard survey5 May 2025
13 Mar 2025F0908Keep all essential equipment working safely.DStandard survey5 May 2025
13 Mar 2025F0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.DStandard survey5 May 2025

Survey cycle 2: 23 citations

Standard survey of this cycle: .

Health citations of Shady Grove Nursing and Rehabilitation Center in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
17 Jul 2025F0659Provide care by qualified persons according to each resident's written plan of care.DComplaint investigation11 Aug 2025
16 Jun 2025F0554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint investigation14 Aug 2025
16 Jun 2025F0610Respond appropriately to all alleged violations.DComplaint investigation14 Aug 2025
16 Jun 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation14 Aug 2025
16 Jun 2025F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation14 Aug 2025
13 Mar 2025F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation5 May 2025
13 Mar 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation5 May 2025
13 Mar 2025F0610Respond appropriately to all alleged violations.DComplaint investigation5 May 2025
13 Mar 2025F0660Plan the resident's discharge to meet the resident's goals and needs.DComplaint investigation5 May 2025
15 Jan 2021F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey5 Mar 2021
15 Jan 2021F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey5 Mar 2021
15 Jan 2021F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey5 Mar 2021
15 Jan 2021F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey5 Mar 2021
15 Jan 2021F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey5 Mar 2021
15 Jan 2021F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.EStandard survey5 Mar 2021
15 Jan 2021F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey5 Mar 2021
15 Jan 2021F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey5 Mar 2021
15 Jan 2021F0692Provide enough food/fluids to maintain a resident's health.DStandard survey5 Mar 2021
15 Jan 2021F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.EStandard survey5 Mar 2021
15 Jan 2021F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FStandard survey5 Mar 2021
15 Jan 2021F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey5 Mar 2021
15 Jan 2021F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey5 Mar 2021
15 Jan 2021F0880Provide and implement an infection prevention and control program.EStandard survey5 Mar 2021

Survey cycle 3: 27 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Shady Grove Nursing and Rehabilitation Center in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
26 Mar 2024F0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.DComplaint investigation29 Apr 2024
26 Mar 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation29 Apr 2024
26 Mar 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation29 Apr 2024
26 Mar 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDComplaint investigation29 Apr 2024
26 Mar 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation29 Apr 2024
26 Mar 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation29 Apr 2024
26 Mar 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation29 Apr 2024
26 Mar 2024F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation29 Apr 2024
26 Mar 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation29 Apr 2024
26 Mar 2024F0923Have enough outside ventilation via a window or mechanical ventilation, or both.DComplaint investigation29 Apr 2024
12 Apr 2019F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey24 May 2019
12 Apr 2019F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey24 May 2019
12 Apr 2019F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard survey24 May 2019
12 Apr 2019F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey24 May 2019
12 Apr 2019F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.BStandard survey24 May 2019
12 Apr 2019F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey24 May 2019
12 Apr 2019F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey24 May 2019
12 Apr 2019F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey24 May 2019
12 Apr 2019F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey24 May 2019
12 Apr 2019F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey24 May 2019
12 Apr 2019F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey24 May 2019
12 Apr 2019F0759Ensure medication error rates are not 5 percent or greater.DStandard survey24 May 2019
12 Apr 2019F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard survey24 May 2019
12 Apr 2019F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.CStandard survey24 May 2019
12 Apr 2019F0840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.DStandard survey24 May 2019
12 Apr 2019F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.BStandard survey24 May 2019
12 Apr 2019F0880Provide and implement an infection prevention and control program.FStandard survey24 May 2019

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

Penalties of Shady Grove Nursing and Rehabilitation Center in the CMS penalties file
DateTypeFineDays without payment
16 Jun 2025Fine$8,278

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Shady Grove Nursing and Rehabilitation Center
StaffThis homeMaryland medianMaryland average (CMS)
All nurse staff3.603.603.87
Registered nurses (RN)0.670.700.84
Licensed practical nurses (LPN)1.090.91
Nurse aides1.852.12
All nurse staff, weekends3.293.203.47
Nurse staff turnover in a year
30.6%
Nurse staff turnover, Maryland median
41.5%
RN turnover in a year
39.1%
Administrators who left in a year
0

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Shady Grove Nursing and Rehabilitation Center, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeMaryland medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay5.2%20.0%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.6%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.2%0.9%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.2%2.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.6%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay4.4%20.7%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.3%5.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay24.1%11.9%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, limited liability company
Legal business name
Shady Grove SNF LLC
Chain
Lifeworks Rehab (64 homes in the CMS chain file)
Organisations in the CMS ownership record of Shady Grove Nursing and Rehabilitation Center
OrganisationRole in the CMS recordInterestSince
Thunder Health Holdco LLC5% or greater direct ownership interest100%1 Jul 2018
Rma Equity LLC5% or greater indirect ownership interest10%13 Jul 2023

The site shows organisations only. It does not show the names of persons.

Other homes in Montgomery County

The 12 nearest other nursing homes in Montgomery County, Maryland
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Ingleside at King FarmRockville5 of 54$031 Mar 2026
Collingswood Rehabilitation and Healthcare CenterRockville2 of 525$08 Aug 2025
The Village at RockvilleRockville3 of 512$17,3453 Mar 2026
Sterling Care Rockville NursingRockville4 of 523$022 Jan 2025
Potomac Valley Rehabilitation and HealthcareRockville3 of 527$025 Mar 2025
Wilson Health Care CenterGaithersburg5 of 56$01 May 2026
Montgomery Village Care CenterGaithersburg5 of 52$028 Jan 2021
Montcare at PotomacPotomac5 of 58$018 Feb 2026
Hebrew Home of Greater WashingtonRockville5 of 512$023 Apr 2026
Montcare at BethesdaBethesda5 of 510$025 Feb 2026
Bedford Court Healthcare Cent.Silver Spring5 of 511$020 Mar 2026
Tuckerman Rehabilitation and Healthcare CenterNorth Bethesda5 of 56$025 Feb 2021

All 34 nursing homes in Montgomery County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Shady Grove Nursing and Rehabilitation Center (CCN 215164). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/shady-grove-nursing-and-rehabilitation-center-rockville-md-215164/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Shady Grove Nursing and Rehabilitation Center last inspected?
The latest inspection with a citation in the CMS record was on 15 Jun 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 15 Jan 2021.
Who operates Shady Grove Nursing and Rehabilitation Center?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Lifeworks Rehab. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
Is Shady Grove Nursing and Rehabilitation Center a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Maryland as a Special Focus Facility and 5 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.