| Brooke Grove Rehab. & Nsg Ctr | |
| 18131 Slade School Road, Sandy Spring, Maryland 20860 | |
| (301) 924-5176 | |
| Name | Brooke Grove Rehab. & Nsg Ctr |
|---|---|
| Location | 18131 Slade School Road, Sandy Spring, Maryland |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 190 |
| Occupancy Rate | 87.21% |
| Medicare ID (CCN) | 215200 |
| Legal Business Name | Brooke Grove Foundation, Inc. |
| Ownership Type | Non Profit - Corporation |
| NPI Number | 1750595518 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Brooke Grove Foundation, Inc. |
| Doing Business As | Brooke Grove Rehabilitation and Nursing Center |
| Address | 18131 Slade School Rd, Sandy Spring, MD 20860 |
| Phone Number | 301-924-5176 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.45 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.9 | 0.86 |
| Nurse aide hours per resident per day | 2.55 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.86 | 3.42 |
| RN hours per resident per day on the weekend | 0.63 | 0.48 |
| Physical therapist hours per resident per day | 0.14 | 0.07 |
| Total nursing staff turnover | 29.9% | 45.8% |
| Registered nurse turnover | 32.5% | 42.9% |
| Number of administrators who have left the nursing home | 2 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 30, 2026 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Apr 16, 2026 |
| Mar 30, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Apr 16, 2026 |
| Apr 1, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, widespread | Corrected by May 16, 2025 |
| Apr 1, 2025 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, pattern | Corrected by May 16, 2025 |
| Apr 1, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by May 16, 2025 |
| Apr 1, 2025 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by May 16, 2025 |
| Apr 1, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by May 16, 2025 |
| Apr 1, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 18, 2025 |
| Apr 1, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 16, 2025 |
| Apr 1, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 16, 2025 |
| Apr 1, 2025 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. F0710, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by May 16, 2025 |
| Apr 1, 2025 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 16, 2025 |
| Apr 1, 2025 | 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. F0803, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by May 16, 2025 |
| Apr 1, 2025 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by May 16, 2025 |
| Apr 1, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 16, 2025 |
| Apr 1, 2025 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868, Administration, Standard inspection | Potential for harm, isolated | Corrected by May 16, 2025 |
| Apr 1, 2025 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Standard inspection | Potential for harm, isolated | Corrected by May 16, 2025 |
| Apr 1, 2025 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by May 16, 2025 |
| Feb 28, 2020 | 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. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Mar 27, 2020 |
| Feb 28, 2020 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Mar 27, 2020 |
| Feb 28, 2020 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Mar 27, 2020 |
| Feb 28, 2020 | 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. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 27, 2020 |
| Feb 28, 2020 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 27, 2020 |
| Feb 28, 2020 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Mar 27, 2020 |
| Feb 28, 2020 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Mar 27, 2020 |
| Feb 28, 2020 | Honor the resident's right to organize and participate in resident/family groups in the facility. F0565, Resident Rights, Standard inspection | Minimal harm potential, pattern | Corrected by Mar 27, 2020 |
| Feb 15, 2019 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Mar 20, 2019 |
| Feb 15, 2019 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Mar 20, 2019 |
| Feb 15, 2019 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Mar 20, 2019 |
| Feb 15, 2019 | 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. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Mar 20, 2019 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.47 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 6.37 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.66 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 6.19 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.94 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.7 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.62 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.83 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 35.86 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.72 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.55 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 84.66 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 6.92 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.68 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 8.67 | 15.38 |