Deficiency timeline
SHADY GROVE NURSING AND REHABILITATION CENTER
Dated inspection findings, penalties, and correction notes for this nursing home in Rockville, MD. Newest events first.
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0755: Pharmacy Service
Pharmacy services
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0609: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 19, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Jan 27, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0690: Quality of Life and Care
Quality of life & care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Jan 27, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0659: Resident Assessment and Care Planning
Assessment & care planning
Provide care by qualified persons according to each resident's written plan of care.
Corrected Aug 11, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0759: Pharmacy Service
Pharmacy services
Ensure medication error rates are not 5 percent or greater.
Corrected Aug 14, 2025
- Fine $8,278cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0610: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Respond appropriately to all alleged violations.
Corrected Aug 14, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0554: Resident Rights
Resident rights
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected Aug 14, 2025
- Class IIActual harm (G)Complaint-relatedcms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Aug 14, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0561: Resident Rights
Resident rights
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0578: Resident Rights
Resident rights
Honor 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.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0582: Resident Rights
Resident rights
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0584: Resident Rights
Resident rights
Honor 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.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0622: Resident Rights
Resident rights
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0624: Resident Rights
Resident rights
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0625: Resident Rights
Resident rights
Notify 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.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0641: Resident Assessment and Care Planning
Assessment & care planning
Ensure each resident receives an accurate assessment.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0645: Resident Assessment and Care Planning
Assessment & care planning
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0690: Quality of Life and Care
Quality of life & care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0692: Quality of Life and Care
Quality of life & care
Provide enough food/fluids to maintain a resident's health.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0697: Quality of Life and Care
Quality of life & care
Provide safe, appropriate pain management for a resident who requires such services.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0700: Quality of Life and Care
Quality of life & care
Try 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.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0710: Nursing and Physician Services
Nursing & physician services
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0711: Nursing and Physician Services
Nursing & physician services
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0755: Pharmacy Service
Pharmacy services
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0759: Pharmacy Service
Pharmacy services
Ensure medication error rates are not 5 percent or greater.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0761: Pharmacy Service
Pharmacy services
Ensure 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.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0790: Quality of Life and Care
Quality of life & care
Provide routine and 24-hour emergency dental care for each resident.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0909: Environmental
Environment
Regularly 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.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0609: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0607: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0610: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Respond appropriately to all alleged violations.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0660: Resident Assessment and Care Planning
Assessment & care planning
Plan the resident's discharge to meet the resident's goals and needs.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0623: Resident Rights
Resident rights
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0908: Environmental
Environment
Keep all essential equipment working safely.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (F)Complaint-relatedcms
F0657: Resident Assessment and Care Planning
Assessment & care planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0658: Resident Assessment and Care Planning
Assessment & care planning
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0812: Nutrition and Dietary
Nutrition & dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0677: Quality of Life and Care
Quality of life & care
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0842: Resident Assessment and Care Planning
Assessment & care planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0558: Resident Rights
Resident rights
Reasonably accommodate the needs and preferences of each resident.
Corrected May 5, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0563: Resident Rights
Resident rights
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected Apr 29, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0580: Resident Rights
Resident rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Apr 29, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0609: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Apr 29, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0645: Resident Assessment and Care Planning
Assessment & care planning
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected Apr 29, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0657: Resident Assessment and Care Planning
Assessment & care planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Apr 29, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0658: Resident Assessment and Care Planning
Assessment & care planning
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected Apr 29, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Apr 29, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0697: Quality of Life and Care
Quality of life & care
Provide safe, appropriate pain management for a resident who requires such services.
Corrected Apr 29, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0842: Resident Assessment and Care Planning
Assessment & care planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Apr 29, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0923: Environmental
Environment
Have enough outside ventilation via a window or mechanical ventilation, or both.
Corrected Apr 29, 2024
- Class IIIPotential for more than minimal harm (F)cms
F0726: Nursing and Physician Services
Nursing & physician services
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected Mar 5, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Mar 5, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0692: Quality of Life and Care
Quality of life & care
Provide enough food/fluids to maintain a resident's health.
Corrected Mar 5, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0842: Resident Assessment and Care Planning
Assessment & care planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Mar 5, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0677: Quality of Life and Care
Quality of life & care
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Mar 5, 2021
- Class IIIPotential for more than minimal harm (E)cms
F0657: Resident Assessment and Care Planning
Assessment & care planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Mar 5, 2021
- Class IIIPotential for more than minimal harm (E)cms
F0678: Quality of Life and Care
Quality of life & care
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected Mar 5, 2021
- Class IIIPotential for more than minimal harm (E)cms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Mar 5, 2021
- Class IIIPotential for more than minimal harm (E)cms
F0693: Quality of Life and Care
Quality of life & care
Ensure 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.
Corrected Mar 5, 2021
- Class IIIPotential for more than minimal harm (E)cms
F0755: Pharmacy Service
Pharmacy services
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Mar 5, 2021
- Class IIIPotential for more than minimal harm (E)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Mar 5, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0580: Resident Rights
Resident rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Mar 5, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0655: Resident Assessment and Care Planning
Assessment & care planning
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected Mar 5, 2021
- Class IIIPotential for more than minimal harm (D)cms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Mar 5, 2021
- Class IIIPotential for more than minimal harm (F)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected May 24, 2019
- Class IIIPotential for more than minimal harm (E)cms
F0657: Resident Assessment and Care Planning
Assessment & care planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 24, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0561: Resident Rights
Resident rights
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected May 24, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0580: Resident Rights
Resident rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 24, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0607: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 24, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0609: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 24, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0655: Resident Assessment and Care Planning
Assessment & care planning
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected May 24, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 24, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0658: Resident Assessment and Care Planning
Assessment & care planning
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 24, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0684: Quality of Life and Care
Quality of life & care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 24, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0758: Pharmacy Service
Pharmacy services
Implement 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.
Corrected May 24, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0759: Pharmacy Service
Pharmacy services
Ensure medication error rates are not 5 percent or greater.
Corrected May 24, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0761: Pharmacy Service
Pharmacy services
Ensure 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.
Corrected May 24, 2019
- Class IIIPotential for more than minimal harm (D)cms
F0840: Administration
Administration
Employ 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.
Corrected May 24, 2019
- Class IVMinimal harm / potential for minimal harm (C)cms
F0812: Nutrition and Dietary
Nutrition & dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 24, 2019
- Class IVMinimal harm / potential for minimal harm (B)cms
F0623: Resident Rights
Resident rights
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 24, 2019
- Class IVMinimal harm / potential for minimal harm (B)cms
F0842: Resident Assessment and Care Planning
Assessment & care planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 24, 2019
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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile