Health Inspection

Carriage Hill Bethesda

January 17, 2025 · Bethesda, MD · 5215 Cedar Lane

Citations 1

CMS Rating 3/5

Beds 108

Provider ID 215234

Healthcare Facility

Carriage Hill Bethesda

Bethesda, MD · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov) · 35 pages

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

CARRIAGE HILL BETHESDA in BETHESDA, MD — inspection on January 17, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0500

Minimal harm or and 11/19, and included documented tasks such as exercise/sports, games and trivia. The remainder of the Few affected

The surveyor conducted a record review of Resident #145's medical record on 1/10/2025 at 8:15 AM.

The medical record review revealed that Resident #145 had current physician orders for oxygen and an order to change the oxygen tubing and humidifier bottle every Monday on the night shift.

Further review of the medical record revealed that Resident #145 had a care plan for oxygen therapy related to respiratory illness.

In addition, the surveyor reviewed the facility's oxygen concentrator policy and procedure dated 7/20/2022.

The policy guidelines were to place an oxygen sign on the Resident's door, to change the tubing/cannula weekly and as needed, and to change humidifier bottle when empty or every seventy-two hours.

The surveyor interviewed the Director of Nursing (DON) on 1/16/25 at 10:30 AM and reviewed Resident #145's oxygen usage.

The surveyor asked the DON what the expectation was for oxygen signage and changing of oxygen tubing and humidifier bottles when Residents use oxygen.

The DON stated that there was to be a sign on the Resident room door that indicated oxygen was in use and that the oxygen tubing and humidifier bottles were to be changed weekly.

The DON stated that this must have been overlooked for Resident #145.

215234

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 215234 B.

Wing 01/17/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Carriage Hill Bethesda 5215 Cedar Lane Bethesda, MD 20814

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BETHESDA, MD, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from CARRIAGE HILL BETHESDA or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.