Friends Nursing Home
17340 Quaker Lane, Sandy Spring, MD 20860 · Montgomery County · 82 certified beds · avg 65 residents/day · certified since Jan 1, 1990
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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 (19)
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 |
|---|---|---|
| May 26, 2026 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| May 26, 2026 | 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. |
| May 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. · from a complaint |
| May 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. |
| May 26, 2026 | 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. |
| May 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. |
| May 14, 2025 | F · Potential for harm, facility-wide | 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. |
| May 14, 2025 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| May 14, 2025 | 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. · from a complaint |
| May 14, 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. |
| May 14, 2025 | D · Potential for harm, one-off | 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. |
| May 14, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| May 14, 2025 | 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. |
| May 14, 2025 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Nov 8, 2024 | 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. · from a complaint |
| Nov 8, 2024 | 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. · from a complaint |
| May 20, 2021 | 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. |
| May 20, 2021 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| May 20, 2021 | 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 (8 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 3 | 0 | D |
| 2024 | 2 | 0 | D |
| 2025 | 8 | 0 | F |
| 2026 | 6 | 0 | E |
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)
8 fines totaling $22,965.
| Date | Type | Amount / length |
|---|---|---|
| Nov 20, 2023 | Fine | $3,904 |
| Nov 13, 2023 | Fine | $3,496 |
| Nov 6, 2023 | Fine | $3,208 |
| Oct 30, 2023 | Fine | $2,857 |
| Oct 23, 2023 | Fine | $2,447 |
| Oct 17, 2023 | Fine | $2,098 |
| Oct 10, 2023 | Fine | $1,810 |
| Sep 18, 2023 | Fine | $3,145 |
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) | 4.28 | 3.83 | 3.95 | top 18% in Maryland; top 30% in the U.S. |
| Registered Nurse hours | 0.81 | 0.83 | 0.69 | top 34% in Maryland; top 27% in the U.S. |
| Weekend total nurse staffing | 4.28 | 3.43 | 3.50 | top 12% in Maryland; top 16% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.82 | 0.63 | 0.48 | top 18% in Maryland; top 11% in the U.S. |
| Total nursing staff turnover (%) | 15.3 | 40.2 | 45.8 | top 3% in Maryland; top 1% in the U.S. |
| RN turnover (%) | 0.0 | 38.7 | 42.9 | top 1% in Maryland; top 1% 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 3.94, RN 0.74, weekend 3.94. Staffing rating: 5/5.
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: 2/5 · long-stay residents: 1/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Anthony, Kendall | Individual | Corporate Director | NOT APPLICABLE | 09/01/2015 |
| Bell, James | Individual | Corporate Director | NOT APPLICABLE | 08/01/2016 |
| Gibian, Barbara | Individual | Corporate Director | NOT APPLICABLE | 08/01/2016 |
| Harrington, Kevin | Individual | W-2 Managing Employee | NOT APPLICABLE | 03/01/2012 |
| Harrington, Kevin | Individual | Corporate Director | NOT APPLICABLE | 03/01/2012 |
| Joyner, Carlotta | Individual | Corporate Director | NOT APPLICABLE | 08/01/2013 |
| Messenger, Rachel | Individual | Corporate Director | NOT APPLICABLE | 08/01/2014 |
| Myer, Margaret | Individual | Corporate Director | NOT APPLICABLE | 08/01/2015 |
| Pardoe, Linda | Individual | Corporate Director | NOT APPLICABLE | 09/01/2013 |
| Ruff, Virginia | Individual | W-2 Managing Employee | NOT APPLICABLE | 09/01/2017 |
| Ruff, Virginia | Individual | Corporate Officer | NOT APPLICABLE | 06/04/2012 |
| Shook, Megan | Individual | Corporate Director | NOT APPLICABLE | 07/01/2007 |
| Smallwood, John | Individual | Corporate Director | NOT APPLICABLE | 09/01/2014 |
| Stanzione, Eileen | Individual | Corporate Director | NOT APPLICABLE | 09/01/2015 |
| Wright, Alan | Individual | Corporate Director | NOT APPLICABLE | 09/01/2009 |
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 we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "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 |
|---|---|---|---|---|---|
| Brooke Grove Rehab. & Nsg Ctr | 1.3 mi | Sandy Spring, MD | ★★☆☆☆ | 2/5 | |
| Bedford Court Healthcare Cent. | 3.5 mi | Silver Spring, MD | ★★★★★ | 4/5 | |
| Layhill Nursing and Rehabilitation Center | 3.8 mi | Silver Spring, MD | ★☆☆☆☆ | 1/5 | |
| Harmony Suites Rehabilitation and Wellness Center | 4.2 mi | Silver Spring, MD | ★★☆☆☆ | 1/5 | |
| Fairland Center | 5.4 mi | Silver Spring, MD | ★★☆☆☆ | 2/5 | |
| Autumn Lake Healthcare at Oak Manor | 5.5 mi | Burtonsville, MD | ★★★★☆ | 3/5 | |
| Complete Care at Springbrook | 5.8 mi | Silver Spring, MD | ★★★☆☆ | 3/5 | |
| Autumn Lake Healthcare at Silver Spring | 6.2 mi | Silver Spring, MD | ★★★☆☆ | 3/5 | |
| Complete Care at Wheaton | 6.3 mi | Wheaton, MD | ★★★★★ | 4/5 | |
| Montcare at Wheaton | 6.3 mi | Wheaton, MD | ★★★☆☆ | 2/5 | |
| Autumn Lake Healthcare at Arcola | 7.2 mi | Silver Spring, MD | ★★★★☆ | 3/5 | |
| Riderwood Village | 7.3 mi | Silver Spring, MD | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 215211.