Montcare at Wheaton
11901 Georgia Avenue · Wheaton, MD · 20902 · 3019422500
94 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
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: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.70 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.92 | 0.55–0.75 |
| Weekend hours / resident-day | 3.18 | ≈ weekday level |
| Nursing turnover / year | 34% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (58 in the current record)
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Potential for harm · D July 11, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 19, 2024 · Resident Rights
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Potential for harm · D July 11, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected August 19, 2024 · Resident Rights
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Potential for harm · D July 11, 2024
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 August 19, 2024 · Resident Rights
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Potential for harm · D July 11, 2024
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 August 19, 2024 · Resident Rights
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Potential for harm · D July 11, 2024
Assess the resident when there is a significant change in condition
Corrected August 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 11, 2024
Ensure each resident receives an accurate assessment.
Corrected August 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 11, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 19, 2024 · Quality of Life and Care
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Potential for harm · D July 11, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 19, 2024 · Quality of Life and Care
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Potential for harm · D July 11, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected August 19, 2024 · Quality of Life and Care
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Potential for harm · D July 11, 2024
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected August 19, 2024 · Nursing and Physician Services
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Potential for harm · D July 11, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 19, 2024 · Pharmacy Service
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Potential for harm · D July 11, 2024
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 August 19, 2024 · Pharmacy Service
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Potential for harm · D July 11, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected August 19, 2024 · Pharmacy Service
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Potential for harm · D July 11, 2024
Ensure that residents are free from significant medication errors.
Corrected August 19, 2024 · Pharmacy Service
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Potential for harm · D July 11, 2024
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 August 19, 2024 · Pharmacy Service
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Potential for harm · D July 11, 2024
Provide or obtain dental services for each resident.
Corrected August 19, 2024 · Quality of Life and Care
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Potential for harm · D July 11, 2024
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected August 19, 2024 · Nutrition and Dietary
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Potential for harm · F July 11, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 19, 2024 · Nutrition and Dietary
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Potential for harm · D July 11, 2024
Provide and implement an infection prevention and control program.
Corrected August 19, 2024 · Infection Control
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Potential for harm · D July 11, 2024 · found via complaint
Give residents a notice of rights, rules, services and charges.
Corrected August 19, 2024 · Resident Rights
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Potential for harm · D July 11, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected August 19, 2024 · Resident Rights
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Potential for harm · D July 11, 2024 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected August 19, 2024 · Resident Rights
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Potential for harm · E July 11, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected August 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 11, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 11, 2024 · 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 August 19, 2024 · 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 215048 · certified since June 13, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.