Carriage Hill Bethesda
5215 Cedar Lane · Bethesda, MD · 20814 · 3018975500
108 certified beds For profit - Limited Liability company Chain: Vierra Communities
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.77 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.85 | 0.55–0.75 |
| Weekend hours / resident-day | 3.24 | ≈ weekday level |
| Nursing turnover / year | 27% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (37 in the current record)
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Potential for harm · D March 26, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 15, 2026 · Resident Rights
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Potential for harm · D March 26, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 15, 2026 · Pharmacy Service
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Potential for harm · D March 26, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 15, 2026 · Pharmacy Service
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Potential for harm · D March 26, 2026 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected April 15, 2026 · Environmental
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Potential for harm · D January 17, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 28, 2025 · Resident Rights
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Potential for harm · E January 17, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected February 28, 2025 · Resident Rights
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Potential for harm · E January 17, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected February 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · E January 17, 2025
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected February 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · F January 17, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected February 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 17, 2025
Ensure each resident receives an accurate assessment.
Corrected February 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 17, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 17, 2025
Provide activities to meet all resident's needs.
Corrected February 28, 2025 · Quality of Life and Care
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Potential for harm · D January 17, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 28, 2025 · Quality of Life and Care
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Potential for harm · D January 17, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 28, 2025 · Quality of Life and Care
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Potential for harm · D January 17, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected February 28, 2025 · Pharmacy Service
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Potential for harm · D January 17, 2025
Provide routine and 24-hour emergency dental care for each resident.
Corrected February 28, 2025 · Quality of Life and Care
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Potential for harm · D January 17, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected February 28, 2025 · Nutrition and Dietary
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Potential for harm · F January 17, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected February 28, 2025 · Environmental
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Potential for harm · E January 17, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 17, 2025 · found via complaint
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected February 28, 2025 · Nutrition and Dietary
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Potential for harm · E January 17, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 17, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 17, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 14, 2020
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 15, 2020 · Resident Assessment and Care Planning
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Potential for harm · D February 14, 2020
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 15, 2020 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 215234 · certified since August 8, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.