Deficiency Index

Friends Nursing Home

Sandy Spring, Maryland · CCN 215211

16 surveys since 2011, and no finding has been recorded at harm level.

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

Citations on record
72
Surveys
16
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file11/16

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

The facility

Certified beds
82
Ownership
For profit - Limited Liability company
Chain
Independent
County
Montgomery
Medicare-certified since
1990

CMS ratings

Overall
5
Health inspection
4
Staffing
5
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=19, floor 20).

Last survey on record

May 26, 2026

167 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 day3.943.57
Registered-nurse hours per resident day0.74—
Annual nurse turnover15.3%44.4%

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

Enforcement

Fines
$22,965 across 8 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

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 minimalD1565.2%E417.4%F14.3%
No harm, potential for minimalA—B313.0%C—
CMS’s current file: 23 of the 72 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

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

  • F5842×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • F6092×

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

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5511×

    Give the resident's representative the ability to exercise the resident's rights.

In the surveyor’s words

From the most serious findings on record at Friends Nursing Home, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812May 14, 2025

    Based on the main kitchen tour and staff interviews, it was determined that the facility failed to store, monitor, and serve food in accordance with professional standards for food service safety. This deficient practice has the potential to affect all residents in the facility. The findings include the following: During the initial kitchen tour with the Culinary Director (Staff #06) on 05/08/25 at 08:00 AM, the following was observed: 1. The temperature logs for 7 out of 7 refrigerators observed were incomplete for 05/07/25 Evening and 05/08/25 Morning. 2. In the walk-in freezer, nine 3-gallon size Hershey's Ice Cream Premium tubs were observed sitting on the floor. 3. […]

  • No harm, potential for more than minimal, patternF584May 26, 2026

    Based on observations and staff interviews it was determined that the facility failed to maintain a comfortable and homelike environment for Residents. This finding was found to be evident in 7 Resident rooms (rooms 201, 204, 210, 215, 218, 219 and 222) out of 22 Resident rooms reviewed for a safe, clean, comfortable, homelike environment during the annual recertification survey.The findings include:During tour of [NAME] Hall Nursing Unit on 5/19/2026 at 10:25 AM several of the Resident rooms were observed in need of repair and did not appear in good condition. […]

  • No harm, potential for more than minimal, patternF812May 26, 2026

    Based on observations, staff interviews and surveyor record reviews it was determined that the facility failed to maintain sanitary conditions for food in accordance with professional standards for food service safety. This finding was found to be evident during the review of the kitchen and the nourishment refrigerator on the nursing unit during the annual recertification survey.The findings include:During tour of the kitchen at 8:15 AM on 5/19/2026 with the Director of Culinary Services (DCS) employee #1 in attendance the walk-in refrigerator was observed with a container of beef base and a container of shrimp base that were opened and not labeled with dates sitting on the middle shelf of the metal rack to the right of the walk-in refrigerator. […]

  • No harm, potential for more than minimal, patternF584May 14, 2025

    Based on observations and interviews, it was determined that the facility failed to ensure a homelike environment. This was evident for 13 out of 13 resident rooms reviewed during the survey. The findings include the following: During observation rounds on 05/08/25 at 08:35 AM the following was observed: 1. Resident rooms 217, 218, 219, 220, 221, 222, 223, 224, 225, 226, 227, 228, and 229, bathrooms were observed to have a missing Cove Base around the complete perimeter of the bathroom along with an ½ inch opening between the wall and the floor tiles. 2. The bathroom of room [ROOM NUMBER] black patches of growth appeared at the at the rear base of the toilet extending up from the missing cove base area to about 2 inches up the wall with exposed and peeling paint areas. 3. […]

  • No harm, potential for more than minimal, isolatedF605May 26, 2026

    Based on record reviews, and staff interviews, it was determined that the facility failed to ensure that residents on psychotropic medications have behavior monitoring interventions in place. This was evident for 3 (#31 , #70, #73) of 5 residents reviewed for unnecessary medication during the annual survey. The findings include. 1. On 5/20/26 at 11:30 AM, review of Resident #31's medications revealed that resident was on an anti-depressant, a psychotropic medication that affects brain activities. The order was written as: Paxil Oral Tablet 10 MG (Paroxetine HCl) Give 1 tablet by mouth at bedtime for Depression. […]

Read 20 findings in full →The most serious and the most recent: 20 of 72 on record.

Every survey on record

FindingsAt actual harm or above

  • May 26, 2026Standard and complaint6 findings
  • May 14, 2025Standard and complaint8 findings
  • Nov 8, 2024Complaint2 findings
  • May 20, 2021Standard3 findings
  • Jan 31, 2020Complaint1 finding
  • Nov 21, 2019Standard4 findings
  • May 20, 2019Complaint1 finding
  • Oct 10, 2018Standard6 findings
Show the 8 earlier surveys
  • Sep 28, 2017Standard6 findings
  • Aug 31, 2016Standard and complaint2 findings
  • Jul 9, 2015Standard4 findings
  • Jun 12, 2014Standard5 findings
  • May 8, 2013—7 findings
  • Jun 15, 2012—6 findings
  • Feb 14, 2012—1 finding
  • May 5, 2011—10 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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