Shady Grove Nursing and Rehabilitation Center

9701 Medical Center Drive · Rockville, MD · 20850 · 3013151900

154 certified beds For profit - Limited Liability company Chain: Lifeworks Rehab

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 27
Serious harm & abuse 20% 94
Staffing 20% 72
Federal penalties 15% 77
Trend 10% 47
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.663.48 min · 4.1 strong
RN hours / resident-day0.610.55–0.75
Weekend hours / resident-day3.31≈ weekday level
Nursing turnover / year34%median 45%
Fines (3-yr window)1 · $8,278

Inspection citations (85 in the current record)

  • Potential for harm · D April 13, 2026 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 19, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 19, 2025 · found via complaint

    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 January 27, 2026 · Quality of Life and Care

  • Potential for harm · D December 19, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected January 27, 2026 · Infection Control

  • Potential for harm · D July 17, 2025 · found via complaint

    Provide care by qualified persons according to each resident's written plan of care.

    Corrected August 11, 2025 · Resident Assessment and Care Planning

  • Actual harm · G June 16, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 14, 2025 · Quality of Life and Care

  • Potential for harm · D June 16, 2025 · found via complaint

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected August 14, 2025 · Resident Rights

  • Potential for harm · D June 16, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected August 14, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 16, 2025 · found via complaint

    Ensure medication error rates are not 5 percent or greater.

    Corrected August 14, 2025 · Pharmacy Service

  • Potential for harm · D March 13, 2025

    Reasonably accommodate the needs and preferences of each resident.

    Corrected May 5, 2025 · Resident Rights

  • Potential for harm · D March 13, 2025

    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 · Resident Rights

  • Potential for harm · D March 13, 2025

    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 · Resident Rights

  • Potential for harm · D March 13, 2025

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected May 5, 2025 · Resident Rights

  • Potential for harm · D March 13, 2025

    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 · Resident Rights

  • Potential for harm · D March 13, 2025

    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 · Resident Rights

  • Potential for harm · D March 13, 2025

    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 · Resident Rights

  • Potential for harm · D March 13, 2025

    Prepare residents for a safe transfer or discharge from the nursing home.

    Corrected May 5, 2025 · Resident Rights

  • Potential for harm · D March 13, 2025

    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 · Resident Rights

  • Potential for harm · D March 13, 2025

    Ensure each resident receives an accurate assessment.

    Corrected May 5, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 13, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected May 5, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E March 13, 2025

    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 · Resident Assessment and Care Planning

  • Potential for harm · D March 13, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected May 5, 2025 · Quality of Life and Care

  • Potential for harm · E March 13, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 5, 2025 · Quality of Life and Care

  • Potential for harm · D March 13, 2025

    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 · Quality of Life and Care

  • Potential for harm · D March 13, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected May 5, 2025 · Quality of Life and Care

  • Potential for harm · D March 13, 2025

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected May 5, 2025 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
June 16, 2025Fine$8,278

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 215164 · certified since June 5, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.