Deficiency Index

Bedford Court Healthcare Cent.

Silver Spring, Maryland · CCN 215246

21 surveys since 2010, 1 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
130
Surveys
21
Harm or worse
1
Immediate jeopardy
0
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file18/21

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
60
Ownership
For profit - Limited Liability company
Chain
SUNRISE SENIOR LIVING
County
Montgomery
Medicare-certified since
1993

CMS ratings

Overall
5
Health inspection
4
Staffing
4
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 17 for-profit facilities with fewer than 66 beds in Maryland.

Last survey on record

Mar 20, 2026

234 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day5.063.93
Registered-nurse hours per resident day0.62—
Annual nurse turnover19.1%42.5%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1864.3%E932.1%F13.6%
No harm, potential for minimalA—B—C—
CMS’s current file: 28 of the 130 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6572×

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

  • F6772×

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

  • F7612×

    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.

  • F8122×

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

  • F8422×

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

In the surveyor’s words

From the most serious findings on record at Bedford Court Healthcare Cent., in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF880Mar 20, 2026

    Based on observations and interviews, it was determined that the facility failed to store and process linens to prevent the spread of infection. This was evident for 1 out of 1 observation made in the facility's laundry room. The findings include: On 03/19/2026 at 8:47 AM, an observation of the laundry room revealed that clean laundry was stored uncovered. This included towels, placed on a rectangular table, clean tablecloths on a metal rack, an additional metal rack containing tablecloths, bed sheets, towels, and clothing, and clean linens in a basket all of which were uncovered. On 03/19/2026 at 8:47 AM, an interview with the Housekeeping Director (Staff #12) revealed that the laundry room typically had uncovered linen. […]

  • No harm, potential for more than minimal, patternF761Mar 20, 2026

    Based on observation, record review, and staff interview, it was determined that the facility failed to ensure that controlled substances were consistently accounted for and documented through the required dual nurse signatures during shift-to-shift narcotic counts. This was evident for 2 (Choice and Independent) out of 3 units during the facility's recertification survey.The findings include:On 03/17/2026 at 9:18 AM, following an observation of a medication pass conducted by the surveyor on the choice unit with Licensed Practical Nurse (LPN) #7, the surveyor reviewed the narcotic control book and identified a missing signature for the incoming nurse on 03/13/2026 for the 3:00 PM to 11:00 PM shift, as well as a missing signature for the outgoing nurse for the 11:00 PM to 7:00 AM shift. […]

  • No harm, potential for more than minimal, patternF812Mar 20, 2026

    Based on observations and interviews, it was determined that the facility failed to ensure that food items were stored in a manner that maintained the integrity of the specific items. This was evident for 1 (initial observation) of 2 of the kitchen areas upon facility entry. The findings include: On 03/16/2026 at 8:05 AM, an observation of the kitchen revealed a tray of freshly cooked chicken in the refrigerator that was uncovered. On 03/16/2026 at 8:07 AM, an observation of the kitchen's dry storage revealed a packet of crackers that was unlabeled. On 03/16/2026 at 8:10 AM, an observation of the kitchen's freezer revealed unlabeled shrimp, cinnamon sticks, and chicken. […]

  • No harm, potential for more than minimal, patternF868Mar 20, 2026

    Based on review of facility documents and interviews, it was determined that the facility failed to: 1) conduct quality assurance meetings on a quarterly basis, and 2) ensure the presence of required quality assurance committee members in meetings. This was evident during the quality assurance and performance improvement task conducted as part of the recertification survey process. The findings include:QAPI (Quality Assurance and Performance Improvement) is a data-driven, proactive approach to healthcare management, mandated by CMS for nursing homes and home health agencies, merging Quality Assurance (QA) with Performance Improvement (PI) to improve patient care, safety, and quality of life.On 03/19/2026 at 10:04 AM, the surveyor requested QAPI attendance sheets for the past 12 months.On… […]

  • No harm, potential for more than minimal, patternF944Mar 20, 2026

    Based on record review and staff interviews, it was determined that the facility failed to ensure staff received ongoing Quality Assurance and Performance Improvement (QAPI) training. This deficient practice was identified in 5 of 5 employee files reviewed during the facility's recertification survey.The findings include:On 03/19/2026 at 7:44 AM, a review of employee records for Registered Nurse (RN) #16, Licensed Practical Nurse (LPN) #17, and Geriatric Nursing Assistants (GNAs) #18, #19, and #20 revealed no evidence of ongoing QAPI training following initial hire. […]

Read 21 findings in full →The most serious and the most recent: 21 of 130 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 20, 2026Standard and complaint11 findings
  • Dec 12, 2024Standard and complaint15 findings
  • Apr 28, 2020Infection control1 finding
  • Feb 27, 2020Standard2 findings
  • Apr 11, 2019Standard and complaint8 findings
  • Sep 4, 2018Complaint2 findings
  • Apr 12, 2018Standard and complaint12 findings
  • Dec 18, 2017Complaint1 finding
Show the 13 earlier surveys
  • Apr 14, 2017Standard and complaint14 findings
  • Dec 23, 2016Complaint3 findings
  • May 12, 2016Standard and complaint8 findings
  • Jun 1, 2015Standard and complaint6 findings
  • Jul 11, 2014Standard4 findings
  • Aug 15, 2013—7 findings
  • May 21, 2013—1 finding
  • Sep 21, 2012—4 findings
  • Jun 27, 2012—3 findings
  • Jun 21, 2012—1 finding
  • Dec 8, 2011—5 findings
  • Sep 21, 2011Standard13 findings · 1 harm
  • Sep 9, 2010—9 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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