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Complaint Investigation

Shady Grove Nursing And Rehabilitation Center

Inspection Date: December 19, 2025
Total Violations 2
Facility ID 215164
Location ROCKVILLE, MD
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Inspection Findings

F-Tag F0690

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0690

sure they had them, and one would also be kept at bedside.

Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

12/19/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Shady Grove Nursing and Rehabilitation Center

9701 Medical Center Drive Rockville, MD 20850

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

both hands together with no glove change. The GNA's rolled the resident onto their right side and wiped fecal matter down the buttock, then wiped between the buttocks, and subsequently wiped the resident's back using a wet wash cloth without changing gloves.During an interview on 12/17/2025 at 1:50 pm with Unit Manager (UM) #23 reported, the expectation with perineal care is that the staff use hand sanitizer.

When doing catheter care UM #23 stated that they should use a wash cloth and water, and should wash their hands and change gloves. UM #23 also said that they are not to use double gloves, that they will educate staff and that they have a basin, they are supposed to put wash cloths in the basin and usually

they put wash cloths on a table and make sure the table is clean. UM #23 added that for female residents that staff should only wipe in one direction, and that they will definitely do some education on that topic, and that the collection bags are not kept in trash bins.During an interview on 12/17/2025 at 2:25 pm with UM #17 stated, that staff should not bring two gloves and should use one set of gloves at a time. UM #17 also reported that for Resident #18 that every area that does not have a wound should have a barrier, because

we want to protect that area.During an interview on 12/18/2025 at 3:14 pm with Infection Preventionist (IP) #25 revealed, that the last infection control in-service was held last week during an annual skill check and two (2) weeks ago for the nurses. IP #25 stated that the expectation when doing perineal care was that the staff do an alcohol rub upon entering and put on gloves. Then wash their hands and in between tasks wash their hands for twenty seconds. They should work front to back, not use the same towel on different body parts, and clean deep in crevices.During an interview on 12/19/2025 at 9:16 am with GNA #21 stated that

they had worked at the facility for two (2) years. GNA # 21 stated that infection control was how to wash your hands, how to take care of the residents and how to protect yourself and the resident. GNA #21 reported that the reason they doubled gloved was because they thought they were protecting the resident and themselves, but he had learned now not to do that.

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📋 Inspection Summary

SHADY GROVE NURSING AND REHABILITATION CENTER in ROCKVILLE, MD inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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 ROCKVILLE, 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 SHADY GROVE NURSING AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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