Montgomery Village Care Center

19301 Watkins Mill Road · Gaithersburg, MD · 20879 · 3015272500

147 certified beds For profit - Corporation

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

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.

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Red flags

No standard inspection in over 2 years

The inspection record here is older than usual — conditions may have changed since.

Score breakdown

Inspection record 30% of score 70
Serious harm & abuse 20% 100
Staffing 20% 77
Federal penalties 15% 100
Trend 10% 92
Context 5% 85

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

CMS ratings & staffing

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

Total nurse hours / resident-day3.533.48 min · 4.1 strong
RN hours / resident-day0.850.55–0.75
Weekend hours / resident-day3.22≈ weekday level
Nursing turnover / year22%median 45%
Fines (3-yr window)none

Inspection citations (39 in the current record)

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

    Plan the resident's discharge to meet the resident's goals and needs.

    Corrected May 14, 2025 · Resident Assessment and Care Planning

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

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Corrected May 14, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 28, 2021

    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 February 17, 2021 · Resident Rights

  • Potential for harm · D January 28, 2021

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

    Corrected February 17, 2021 · Resident Assessment and Care Planning

  • Potential for harm · D April 29, 2019

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected June 12, 2019 · Resident Rights

  • Potential for harm · D April 29, 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.

    Corrected June 12, 2019 · Resident Rights

  • Potential for harm · D April 29, 2019

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected June 12, 2019 · Resident Rights

  • Potential for harm · E April 29, 2019

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

    Corrected June 12, 2019 · Resident Assessment and Care Planning

  • Potential for harm · E April 29, 2019

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected June 12, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D April 29, 2019

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected June 12, 2019 · Resident Assessment and Care Planning

  • Potential for harm · E April 29, 2019

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

    Corrected June 12, 2019 · Quality of Life and Care

  • Potential for harm · D April 29, 2019

    Assist a resident in gaining access to vision and hearing services.

    Corrected June 12, 2019 · Quality of Life and Care

  • Potential for harm · D April 29, 2019

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

    Corrected June 12, 2019 · Quality of Life and Care

  • Potential for harm · D April 29, 2019

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

    Corrected June 12, 2019 · Quality of Life and Care

  • Potential for harm · D April 29, 2019

    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 June 12, 2019 · Pharmacy Service

  • Potential for harm · D April 29, 2019

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

    Corrected June 12, 2019 · Resident Assessment and Care Planning

  • Potential for harm · E April 29, 2019

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected June 12, 2019 · Administration

  • No harm found · B April 29, 2019

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Corrected June 12, 2019 · Nursing and Physician Services

  • No harm found · B April 29, 2019

    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 June 12, 2019 · Pharmacy Service

  • No harm found · C April 29, 2019

    Hire a qualified full-time social worker in a facility with more than 120 beds.

    Corrected June 12, 2019 · Administration

  • Potential for harm · D April 30, 2018

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

    Corrected June 8, 2018 · Resident Assessment and Care Planning

  • Potential for harm · D April 30, 2018

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

    Corrected June 8, 2018 · Quality of Life and Care

  • Potential for harm · D April 30, 2018

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

    Corrected June 8, 2018 · Quality of Life and Care

  • Potential for harm · E April 30, 2018

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected June 8, 2018 · Pharmacy Service

  • Potential for harm · E April 30, 2018

    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 June 8, 2018 · Pharmacy Service

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

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 215272 · certified since March 14, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.