Brooke Grove Rehab. & NSG CTR

CMS star ratings

Overall★★★★★ 2/5

State avg 3.1

Health inspections★★★★★ 2/5

State avg 2.8

Staffing★★★★★ 4/5

State avg 3.2

Quality measures★★★★★ 4/5

State avg 3.9

Long-stay quality★★★★★ 4/5

Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 4.45 (state 3.87 · U.S. 3.86)
Registered nurses (RN): 1.00 (state 0.84 · U.S. 0.69)
Licensed practical nurses: 0.90 (state 0.91 · U.S. 0.86)
Nurse aides: 2.55 (state 2.12 · U.S. 2.32)
Weekend total: 3.86 (state 3.47 · U.S. 3.42)
Nursing staff turnover: 29.9 (state 40.2 · U.S. 45.8)%
RN turnover: 32.5 (state 38.7 · U.S. 42.9)%
Administrators who left: 2 in the last year

Inspections

Last standard inspection: April 1, 2025
Health deficiencies (last cycle): 18.0 (state 17.5 · U.S. 9.3)
From complaints: 4
Citations on record (3 years): 41 health · 3 fire safety

Date	Citation	Severity	Status
2026-03-30	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-04-16
2026-03-30	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-04-16
2025-04-01	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2025-05-16
2025-04-01	Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-05-16
2025-04-01	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-05-16
2025-04-01	Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-05-16
2025-04-01	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-16
2025-04-01	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-06-18
2025-04-01	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-16
2025-04-01	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-16
2025-04-01	Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. F0710 · Nursing and Physician Services Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-16
2025-04-01	Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-16
2025-04-01	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803 · Nutrition and Dietary Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-16
2025-04-01	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-16
2025-04-01	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-16
2025-04-01	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-16
2025-04-01	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-16
2025-04-01	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947 · Nursing and Physician Services Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-16
2020-02-28	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2020-03-27
2020-02-28	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2020-03-27
2020-02-28	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2020-03-27
2020-02-28	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2020-03-27
2020-02-28	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. F0761 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2020-03-27
2020-02-28	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806 · Nutrition and Dietary Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2020-03-27
2020-02-28	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2020-03-27
2020-02-28	Honor the resident's right to organize and participate in resident/family groups in the facility. F0565 · Resident Rights Deficiencies	B No actual harm, potential for minimal harm	Corrected 2020-03-27
2019-02-15	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-03-20
2019-02-15	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-03-20
2019-02-15	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-03-20
2019-02-15	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-03-20
2019-02-15	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-03-20
2019-02-15	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-03-20
2019-02-15	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-03-20
2019-02-15	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-03-20
2019-02-15	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-03-20
2019-02-15	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-03-20
2019-02-15	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. F0557 · Resident Rights Deficiencies	B No actual harm, potential for minimal harm	Corrected 2019-03-20
2019-02-15	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies	B No actual harm, potential for minimal harm	Corrected 2019-03-20
2019-02-15	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies	B No actual harm, potential for minimal harm	Corrected 2019-03-20
2019-02-15	Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies	B No actual harm, potential for minimal harm	Corrected 2019-03-20
2019-02-15	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. F0761 · Pharmacy Service Deficiencies	B No actual harm, potential for minimal harm	Corrected 2019-03-20

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

Name	Role	Since
Brooks, Carolyn (individual)	Corporate Director · NOT APPLICABLE
Davidson, Kevin (individual)	Corporate Director · NOT APPLICABLE
Malin, Wesley (individual)	Corporate Director · NOT APPLICABLE
Mazzeo, Kelly (individual)	Corporate Director · NOT APPLICABLE
Ndahayo, Joviah (individual)	Corporate Director · NOT APPLICABLE
Wetmore, Thomas (individual)	Corporate Director · NOT APPLICABLE
Malin, Wesley (individual)	Corporate Officer · NOT APPLICABLE
Spillane, Keith (individual)	Corporate Officer · NOT APPLICABLE
Malin, Wesley (individual)	Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Brooke Grove Rehab. & NSG CTR?

Brooke Grove Rehab. & NSG CTR has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Maryland.

How many beds does Brooke Grove Rehab. & NSG CTR have?

It has 190 certified beds and cares for about 166 residents per day.

Has Brooke Grove Rehab. & NSG CTR been fined?

CMS lists no federal fines or payment denials in the last three years.

What is the phone number of Brooke Grove Rehab. & NSG CTR?

(301) 924-5176. The facility is located at 18131 Slade School Road, Sandy Spring, MD 20860.

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Contact & location

Facility details