Brooke Grove Rehab. & Nsg Ctr

18131 Slade School Road · Sandy Spring, MD · 20860 · 3019245176

190 certified beds Non profit - Corporation Part of a CCRC

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.
  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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

Inspection record 30% of score 39
Serious harm & abuse 20% 100
Staffing 20% 86
Federal penalties 15% 100
Trend 10% 18
Context 5% 100

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

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.323.48 min · 4.1 strong
RN hours / resident-day0.950.55–0.75
Weekend hours / resident-day3.80≈ weekday level
Nursing turnover / year31%median 45%
Fines (3-yr window)none

Inspection citations (41 in the current record)

  • Potential for harm · D March 30, 2026 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected April 16, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 30, 2026 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected April 16, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D April 1, 2025

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected May 16, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E April 1, 2025

    Respond appropriately to all alleged violations.

    Corrected May 16, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 1, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected June 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 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.

    Corrected May 16, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 1, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 16, 2025 · Quality of Life and Care

  • Potential for harm · D April 1, 2025

    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

    Corrected May 16, 2025 · Nursing and Physician Services

  • Potential for harm · D April 1, 2025

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected May 16, 2025 · Quality of Life and Care

  • Potential for harm · D April 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.

    Corrected May 16, 2025 · Nutrition and Dietary

  • Potential for harm · D April 1, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected May 16, 2025 · Nutrition and Dietary

  • Potential for harm · E April 1, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 16, 2025 · Nutrition and Dietary

  • Potential for harm · D April 1, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected May 16, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 1, 2025

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Corrected May 16, 2025 · Administration

  • Potential for harm · D April 1, 2025

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected May 16, 2025 · Environmental

  • Potential for harm · D April 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.

    Corrected May 16, 2025 · Nursing and Physician Services

  • Potential for harm · D April 1, 2025 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected May 16, 2025 · Resident Rights

  • Potential for harm · F April 1, 2025 · found via complaint

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

    Corrected May 16, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 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.

    Corrected March 27, 2020 · Resident Rights

  • Potential for harm · D February 28, 2020

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

    Corrected March 27, 2020 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 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.

    Corrected March 27, 2020 · Resident Assessment and Care Planning

  • Potential for harm · D February 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.

    Corrected March 27, 2020 · Pharmacy Service

  • Potential for harm · D February 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.

    Corrected March 27, 2020 · Pharmacy Service

  • Potential for harm · D February 28, 2020

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected March 27, 2020 · Nutrition and Dietary

  • Potential for harm · D February 28, 2020

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 27, 2020 · Nutrition and Dietary

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 215200 · certified since June 2, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.