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Health Inspection Summary

Sterling Care Bethesda

5721 Grosvenor Lane

Bethesda, MD 20814

(301) 530-1600

Deficiency Category	Inspection Date: 1/31/20 Complaint Reporting Period: 5/1/24 - 4/30/25	Inspection Date: 3/15/19 Complaint Reporting Period: 5/1/23 - 4/30/24	Inspection Date: 3/2/18 Complaint Reporting Period: 5/1/22 - 4/30/23
Freedom from Abuse, Neglect, and Exploitation Deficiencies	2	1	2
Quality of Life and Care Deficiencies	3	1	2
Infection Control Deficiencies	0	0	1
Resident Assessment and Care Planning Deficiencies	1	5	3
Nursing and Physician Services Deficiencies	0	1	0
Resident Rights Deficiencies	2	3	7
Nutrition and Dietary Deficiencies	1	3	3
Pharmacy Service Deficiencies	1	1	1
Environmental Deficiencies	1	0	0
Administration Deficiencies	0	0	2

Detailed result for inspection on 1/31/20

Date of last standard health inspection:	1/31/20Read the full report (PDF)
Date(s) of complaint inspection(s) between 5/1/24 - 4/30/25	3/6/25Read the full report (PDF)
Date(s) of infection control inspection(s) between 5/1/24 - 4/30/25	No infection control inspections
Total number of Health Deficiencies for this nursing home:	11
Average number of Health Deficiencies in Maryland:	19.3
Average number of Health Deficiencies in the United States:	9.6

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	3/6/25	4/1/25	2 - Minimal harm or potential for actual harm	Few
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	1/31/20	3/17/20	1 - Potential for minimal harm	Some

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.	1/31/20	3/17/20	2 - Minimal harm or potential for actual harm	Few
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	1/31/20	3/17/20	2 - Minimal harm or potential for actual harm	Few
Provide or obtain dental services for each resident.	1/31/20	3/17/20	2 - Minimal harm or potential for actual harm	Some

Infection Control Deficiencies
No Infection Control Deficiencies were found during this inspection period.

Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	1/31/20	3/17/20	2 - Minimal harm or potential for actual harm	Some

Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.

Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	1/31/20	3/17/20	1 - Potential for minimal harm	Some
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	1/31/20	3/17/20	2 - Minimal harm or potential for actual harm	Few

Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	1/31/20	3/17/20	2 - Minimal harm or potential for actual harm	Many

Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure medication error rates are not 5 percent or greater.	1/31/20	3/17/20	2 - Minimal harm or potential for actual harm	Few

Environmental Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Have policies on smoking.	1/31/20	3/17/20	2 - Minimal harm or potential for actual harm	Few

Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Detailed result for inspection on 3/15/19

Date of last standard health inspection:	3/15/19Read the full report (PDF)
Date(s) of complaint inspection(s) between 5/1/23 - 4/30/24	8/29/23Read the full report (PDF)
Date(s) of infection control inspection(s) between 5/1/23 - 4/30/24	No infection control inspections
Total number of Health Deficiencies for this nursing home:	15
Average number of Health Deficiencies in Maryland:	14.5
Average number of Health Deficiencies in the United States:	9.5

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	8/29/23	9/26/23	2 - Minimal harm or potential for actual harm	Few

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.	3/15/19	4/29/19	2 - Minimal harm or potential for actual harm	Some

Infection Control Deficiencies
No Infection Control Deficiencies were found during this inspection period.

Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	3/15/19	4/29/19	2 - Minimal harm or potential for actual harm	Few
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	3/15/19	4/29/19	2 - Minimal harm or potential for actual harm	Some
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.	3/15/19	4/29/19	2 - Minimal harm or potential for actual harm	Few
Ensure services provided by the nursing facility meet professional standards of quality.	3/15/19	4/29/19	2 - Minimal harm or potential for actual harm	Few
Plan the resident's discharge to meet the resident's goals and needs.	3/15/19	4/29/19	2 - Minimal harm or potential for actual harm	Few

Nursing and Physician Services Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Observe each nurse aide's job performance and give regular training.	3/15/19	4/29/19	2 - Minimal harm or potential for actual harm	Few

Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	3/15/19	4/29/19	2 - Minimal harm or potential for actual harm	Few
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.	3/15/19	4/29/19	2 - Minimal harm or potential for actual harm	Some
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	3/15/19	4/29/19	2 - Minimal harm or potential for actual harm	Few

Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Dispose of garbage and refuse properly.	3/15/19	4/29/19	1 - Potential for minimal harm	Many
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	3/15/19	4/29/19	1 - Potential for minimal harm	Many
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	3/15/19	4/29/19	2 - Minimal harm or potential for actual harm	Few

Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure medication error rates are not 5 percent or greater.	3/15/19	4/29/19	2 - Minimal harm or potential for actual harm	Few

Environmental Deficiencies
No Environmental Deficiencies were found during this inspection period.

Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Detailed result for inspection on 3/2/18

Date of last standard health inspection:	3/2/18Read the full report (PDF)
Date(s) of complaint inspection(s) between 5/1/22 - 4/30/23	No complaint inspections
Date(s) of infection control inspection(s) between 5/1/22 - 4/30/23	No infection control inspections
Total number of Health Deficiencies for this nursing home:	21
Average number of Health Deficiencies in Maryland:	12.1
Average number of Health Deficiencies in the United States:	8.8

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Respond appropriately to all alleged violations.	3/2/18	4/16/18	2 - Minimal harm or potential for actual harm	Few
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	3/2/18	4/16/18	2 - Minimal harm or potential for actual harm	Few

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.	3/2/18	4/16/18	2 - Minimal harm or potential for actual harm	Few
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	3/2/18	4/16/18	2 - Minimal harm or potential for actual harm	Some

Infection Control Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide and implement an infection prevention and control program.	3/2/18	4/16/18	2 - Minimal harm or potential for actual harm	Few

Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Plan the resident's discharge to meet the resident's goals and needs.	3/2/18	4/16/18	2 - Minimal harm or potential for actual harm	Few
Ensure services provided by the nursing facility meet professional standards of quality.	3/2/18	4/16/18	2 - Minimal harm or potential for actual harm	Some
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	3/2/18	4/16/18	2 - Minimal harm or potential for actual harm	Some

Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.

Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Reasonably accommodate the needs and preferences of each resident.	3/2/18	4/16/18	2 - Minimal harm or potential for actual harm	Few
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	3/2/18	4/16/18	1 - Potential for minimal harm	Some
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	3/2/18	4/16/18	1 - Potential for minimal harm	Some
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.	3/2/18	4/16/18	1 - Potential for minimal harm	Some
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	3/2/18	4/16/18	2 - Minimal harm or potential for actual harm	Few
Keep residents' personal and medical records private and confidential.	3/2/18	4/16/18	1 - Potential for minimal harm	Some
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.	3/2/18	4/16/18	1 - Potential for minimal harm	Some

Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	3/2/18	4/16/18	1 - Potential for minimal harm	Many
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	3/2/18	4/16/18	1 - Potential for minimal harm	Some
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	3/2/18	4/16/18	2 - Minimal harm or potential for actual harm	Few

Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
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.	3/2/18	4/16/18	2 - Minimal harm or potential for actual harm	Some

Environmental Deficiencies
No Environmental Deficiencies were found during this inspection period.

Administration Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Administer the facility in a manner that enables it to use its resources effectively and efficiently.	3/2/18	4/16/18	2 - Minimal harm or potential for actual harm	Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.	3/2/18	4/16/18	2 - Minimal harm or potential for actual harm	Some

Complaints and facility-reported incidents in the past 3 years
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	3/6/25	4/1/25	2 - Minimal harm or potential for actual harm	Few
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	8/29/23	9/26/23	2 - Minimal harm or potential for actual harm	Few

Infection control inspection deficiencies in the past 3 years
This nursing home has not had any infection control inspections in the past 3 years.

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