Sterling Care Rockville Nursing

In the surveyor’s words

From the most serious findings on record at Sterling Care Rockville Nursing, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF641Jan 14, 2026

  Based on medical record review and staff interview, it was determined the facility staff failed to ensure Minimum Data Set (MDS) assessments were accurately coded. This was evident for 4 (#12, #10, #11, #9) of 5 residents reviewed for MDS assessments during a complaint survey.The findings include: The MDS is part of the Resident Assessment Instrument that was Federally mandated in legislation passed in 1986. The MDS is a set of assessment screening items employed as part of a standardized, reproducible, and comprehensive assessment process that ensures each resident's individual needs are identified, that care is planned based on those individualized needs, and that the care is provided as planned to meet the needs of each resident.1) On 1/12/26 at 10:12 AM a review of Resident #12's… […]

• No harm, potential for more than minimal, isolatedF558Apr 6, 2026

  Based on observation, interviews and record reviews, it was determined that the facility failed to ensure that a call bell was kept within resident's reach. This was evident for 1 (Resident #8) of 88 residents observed during the recertification survey.The findings include: A care plan is a guide that addresses the unique needs of each resident. It is used to plan, assess, and evaluate the effectiveness of the resident's care. Minimum Data Set (MDS) is a core set of screening, clinical, and functional status data elements, including common definitions and coding categories, which form the foundation of a comprehensive assessment for all residents of nursing homes certified to participate in Medicare or Medicaid. […]

• No harm, potential for more than minimal, isolatedF578Apr 6, 2026

  Based on clinical record review and staff interview it was determined that the facility staff failed to ensure a resident had an Advance Directive and/or failed to offer the appropriate information to formulate one if the resident did not have one. This was evident for 1(Resident #12) out of 24 residents reviewed as part of the initial pool survey task during the recertification/complaint survey.The findings include:This surveyor reviewed Resident #12's clinical record on 4/1/26 at 12:17 PM. […]

• No harm, potential for more than minimal, isolatedF585Apr 6, 2026

  Based on interviews with residents and staff, and a review of facility documentation, it was determined that the facility failed to make prompt efforts to resolve resident grievances. This deficiency was evident for one resident (Resident #6) out of 24 residents reviewed for grievances during the recertification/complaint survey.The findings include:During an interview on 4/01/26 at 10:49 AM, Resident #6 reported that a new, unopened package of T-shirts, and a pair of eyeglasses went missing during his/her recent hospitalization in February 2026.On 4/02/26 at approximately 10:00 AM, the surveyor inquired if the facility had a formal grievance on file for Resident #6 regarding these missing items.On 4/03/26 at 11:09 AM, the Director of Nursing (DON) confirmed that no grievance form had been… […]

• No harm, potential for more than minimal, isolatedF640Apr 6, 2026

  Based on a review of the Minimum Data Set (MDS) assessments and interviews with facility staff, it was determined that the facility failed to transmit MDS assessments to the CMS system within the required 14-day timeframe following completion. This deficiency affected two residents (Resident #22 and #86) out of four residents reviewed for resident assessments during the recertification/complaint survey.The findings include:Per the Resident Assessment Instrument (RAI) User's Manual, the MDS is a federally mandated tool used to identify resident strengths and needs to inform care planning. MDS assessments must be encoded within seven days of completion. […]