Carriage Hill Bethesda
5215 Cedar Lane, Bethesda, MD 20814 · Montgomery County · 108 certified beds · avg 105 residents/day · certified since Aug 8, 1991
Part of chain: VIERRA COMMUNITIES (3 facilities, chain avg rating 2.3★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (43)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 26, 2026 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Mar 26, 2026 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Mar 26, 2026 | D · Potential for harm, one-off | The facility did not honor residents' right to receive the visitors they choose, at the times they choose. |
| Mar 26, 2026 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Mar 26, 2026 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| Mar 26, 2026 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Mar 26, 2026 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Mar 26, 2026 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Mar 26, 2026 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Mar 26, 2026 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Mar 26, 2026 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Mar 26, 2026 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 26, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 26, 2026 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint |
| Mar 26, 2026 | D · Potential for harm, one-off | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Mar 26, 2026 | D · Potential for harm, one-off | The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. |
| Mar 26, 2026 | D · Potential for harm, one-off | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. |
| Jan 17, 2025 | F · Potential for harm, facility-wide | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Jan 17, 2025 | F · Potential for harm, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Jan 17, 2025 | E · Potential for harm, repeated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Jan 17, 2025 | E · Potential for harm, repeated | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Jan 17, 2025 | E · Potential for harm, repeated | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. |
| Jan 17, 2025 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Jan 17, 2025 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Jan 17, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jan 17, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jan 17, 2025 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Jan 17, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jan 17, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jan 17, 2025 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Jan 17, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jan 17, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jan 17, 2025 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Jan 17, 2025 | D · Potential for harm, one-off | The facility did not provide routine dental care and 24-hour emergency dental care for residents. |
| Jan 17, 2025 | D · Potential for harm, one-off | The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs. · from a complaint |
| Jan 17, 2025 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Feb 14, 2020 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 14, 2020 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Feb 14, 2020 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Feb 14, 2020 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Feb 14, 2020 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Feb 14, 2020 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Feb 14, 2020 | B · Minimal risk, repeated | The facility did not observe each nurse aide's job performance or provide regular training as required. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (17 → 17).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 7 | 0 | E |
| 2025 | 19 | 0 | F |
| 2026 | 17 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Maryland avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.70 | 3.83 | 3.95 | top 41% in Maryland; bottom 47% in the U.S. |
| Registered Nurse hours | 0.70 | 0.83 | 0.69 | top 48% in Maryland; top 36% in the U.S. |
| Weekend total nurse staffing | 3.29 | 3.43 | 3.50 | top 43% in Maryland; bottom 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.44 | 0.63 | 0.48 | bottom 38% in Maryland; top 40% in the U.S. |
| Total nursing staff turnover (%) | 24.5 | 40.2 | 45.8 | top 12% in Maryland; top 6% in the U.S. |
| RN turnover (%) | 33.3 | 38.7 | 42.9 | top 34% in Maryland; top 33% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.97, RN 0.75, weekend 3.53. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Carriage Hill Opco Holdco LLC | Organization | 5% or Greater Direct Ownership Interest | — | 01/01/2024 |
| Derek R. Vucich Revocable Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2022 |
| Derek R. Vucich Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2022 |
| Vierra Communities LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2024 |
| Vucich, Derek | Individual | 5% or Greater Direct Ownership Interest | — | 06/01/2022 |
| Carriage Hill Bethesda LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2022 |
| Carriage Hill Propco Holdco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| CGD Trust | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2022 |
| Joseph Gift Dynasty Trust | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2022 |
| Joseph L. Vucich Dynasty Trust | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2022 |
| Joseph Vucich | Organization | Trustee of the SNF | NOT APPLICABLE | 06/01/2022 |
| Lois Vucich | Organization | Trustee of the SNF | NOT APPLICABLE | 06/01/2022 |
| Mbeboh, Julius | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2023 |
| Mbeboh, Julius | Individual | ADP of the SNF | NOT APPLICABLE | 05/20/2025 |
| Parkway Financial and Accounting Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
| Schiavi Wallace & Rowe PC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2022 |
| The Wright Group Consulting, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
| Vierra Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2022 |
| Vucich, Derek | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "What are your visiting policies — can family visit any time the resident wants?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Maplewood Park Place | 1.0 mi | Bethesda, MD | ★★★★★ | 5/5 | |
| Sterling Care Bethesda | 1.3 mi | Bethesda, MD | ★★★☆☆ | 3/5 | |
| Tuckerman Rehabilitation and Healthcare Center | 1.8 mi | North Bethesda, MD | ★★★★★ | 5/5 | |
| Montcare at Bethesda | 2.0 mi | Bethesda, MD | ★★★★★ | 4/5 | |
| Autumn Lake Healthcare at Chevy Chase | 2.0 mi | Chevy Chase, MD | ★★★☆☆ | 3/5 | |
| Autumn Lake Healthcare at Oakview | 2.7 mi | Silver Spring, MD | ★★★★☆ | 3/5 | |
| Turtle Creek Rehabilitation and Wellness Center | 2.9 mi | Kensington, MD | ★★☆☆☆ | 1/5 | |
| Lisner Louise Dickson Hurthome | 3.1 mi | Washington, DC | ★★★★★ | 5/5 | |
| Woodside Rehab & Nursing | 3.3 mi | Silver Spring, MD | ★★★☆☆ | 3/5 | |
| Fox Chase Healthcare | 3.3 mi | Silver Spring, MD | ★☆☆☆☆ | 1/5 | |
| Hebrew Home of Greater Washington | 3.5 mi | Rockville, MD | ★★★★★ | 4/5 | |
| Knollwood HSC | 3.6 mi | Washington, DC | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 215234.