Maryland ›Fort Washington

Ft Washington Rehabilitation and Wellness Center

12021 Livingston Road, Fort Washington, MD 20744 · Prince Georges County · 150 certified beds · avg 139 residents/day · certified since Jun 1, 1983

Part of chain: HEALTH CARE FACILITY MANAGEMENT, LLC (5 facilities, chain avg rating 3.8★)

3/5
Health inspection rating (on-site)
1
Serious findings on record
$7,443
Fines, last 3 years
3.93
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Oct 11, 2023 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Nov 24, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (51)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

DateSeverityWhat the facility was cited for
Nov 25, 2025E · Potential for harm, repeatedThe 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.
Nov 25, 2025E · Potential for harm, repeatedThe 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.
Nov 25, 2025D · Potential for harm, one-offThe 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.
Nov 25, 2025D · Potential for harm, one-offThe facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Nov 25, 2025D · Potential for harm, one-offThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Nov 25, 2025D · Potential for harm, one-offThe facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Nov 25, 2025D · Potential for harm, one-offThe 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.
Nov 25, 2025D · Potential for harm, one-offThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Nov 25, 2025D · Potential for harm, one-offThe facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Nov 25, 2025D · Potential for harm, one-offThe 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.
Nov 25, 2025D · Potential for harm, one-offThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Nov 25, 2025D · Potential for harm, one-offThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Nov 25, 2025D · Potential for harm, one-offThe facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Nov 25, 2025D · Potential for harm, one-offThe 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.
Nov 25, 2025D · Potential for harm, one-offThe 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.
Nov 25, 2025D · Potential for harm, one-offThe facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Nov 25, 2025D · Potential for harm, one-offThe facility did not provide routine dental care and 24-hour emergency dental care for residents.
Nov 25, 2025D · Potential for harm, one-offThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Nov 25, 2025D · Potential for harm, one-offThe facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them.
Aug 7, 2025D · Potential for harm, one-offThe 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
Aug 7, 2025D · Potential for harm, one-offThe 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
Aug 7, 2025D · Potential for harm, one-offThe facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · from a complaint
Aug 7, 2025D · Potential for harm, one-offThe facility did not provide or arrange for a doctor to be available for emergencies 24 hours a day. · from a complaint
Feb 2, 2024E · Potential for harm, repeatedThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Feb 2, 2024E · Potential for harm, repeatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Feb 2, 2024E · Potential for harm, repeatedThe 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.
Feb 2, 2024E · Potential for harm, repeatedThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Feb 2, 2024E · Potential for harm, repeatedThe 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 2, 2024D · Potential for harm, one-offThe 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.
Feb 2, 2024D · Potential for harm, one-offThe facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Feb 2, 2024D · Potential for harm, one-offThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 2, 2024D · Potential for harm, one-offThe facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Feb 2, 2024D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Feb 2, 2024D · Potential for harm, one-offThe facility admitted a resident without a doctor's order, or did not make sure each resident stayed under a doctor's ongoing care.
Feb 2, 2024D · Potential for harm, one-offThe 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.
Feb 2, 2024D · Potential for harm, one-offThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Feb 2, 2024D · Potential for harm, one-offThe 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.
Feb 2, 2024D · Potential for harm, one-offThe 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
Feb 2, 2024D · Potential for harm, one-offThe 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
Feb 2, 2024D · Potential for harm, one-offThe facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Oct 11, 2023▲ G · Actual harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Oct 11, 2023D · Potential for harm, one-offThe facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint
Oct 11, 2023D · Potential for harm, one-offThe facility did not properly prepare residents for a safe transfer or discharge. Before a resident leaves, the facility must get them ready and make sure the move is safe and orderly. · from a complaint
Oct 11, 2023D · Potential for harm, one-offThe facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · from a complaint
Oct 11, 2023D · Potential for harm, one-offThe facility did not provide or arrange for a doctor to be available for emergencies 24 hours a day. · from a complaint
Oct 11, 2023D · Potential for harm, one-offThe facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. · from a complaint
Apr 17, 2019D · Potential for harm, one-offThe facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out.
Apr 17, 2019D · Potential for harm, one-offThe facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Apr 17, 2019D · Potential for harm, one-offThe facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Apr 17, 2019D · Potential for harm, one-offThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Apr 17, 2019D · Potential for harm, one-offThe 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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (14 → 19).

YearCitationsSerious (G–L)Worst severity that year
201950D
202361G ▲
2024170E
2025230E

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)

1 fine totaling $7,443.

DateTypeAmount / length
Oct 11, 2023Fine$7,443

Nurse staffing (from payroll records, adjusted for how much care residents need)

MeasureThis facilityMaryland avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.933.833.95top 30% in Maryland; top 42% in the U.S.
Registered Nurse hours0.580.830.69bottom 30% in Maryland; bottom 49% in the U.S.
Weekend total nurse staffing3.523.433.50top 30% in Maryland; top 41% in the U.S.
Weekend RN hours (not acuity-adjusted)0.420.630.48bottom 32% in Maryland; top 45% in the U.S.
Total nursing staff turnover (%)36.940.245.8top 40% in Maryland; top 29% in the U.S.
RN turnover (%)50.038.742.9bottom 26% in Maryland; bottom 39% 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 3.57, RN 0.52, weekend 3.20. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / managerTypeRoleStakeSince
Ct Operations Holdco LLCOrganization5% or Greater Direct Ownership Interest100%06/30/2021
Cobalt I Irrevocable TrustOrganizationADP of the SNFNOT APPLICABLE06/30/2021
Cobalt II Irrevocable TrustOrganizationADP of the SNFNOT APPLICABLE06/30/2021
Cobalt III Irrevocable TrustOrganizationADP of the SNFNOT APPLICABLE06/30/2021
Cobalt IV Irrevocable TrustOrganizationADP of the SNFNOT APPLICABLE06/30/2021
Ct Healthcare Holdings LLCOrganizationADP of the SNFNOT APPLICABLE06/30/2021
Dave, MitulIndividualOperational/Managerial ControlNOT APPLICABLE06/01/2023
Dave, MitulIndividualADP of the SNFNOT APPLICABLE06/01/2023
Galeas, WilberIndividualOperational/Managerial ControlNOT APPLICABLE01/22/2024
Galeas, WilberIndividualADP of the SNFNOT APPLICABLE01/22/2024
Groves, DonnaIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2023
Livingston Mgmt Co., LLCOrganizationOperational/Managerial ControlNOT APPLICABLE06/30/2021
Livingston Mgmt Co., LLCOrganizationADP of the SNFNOT APPLICABLE06/26/2025
Minority Report LLCOrganizationADP of the SNFNOT APPLICABLE06/30/2021
Odenthal, RichardIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE05/16/2025
Romeo, DominicIndividualOperational/Managerial ControlNOT APPLICABLE04/01/2023
Stoltz, CharlesIndividualCorporate OfficerNOT APPLICABLE04/19/2008
Toledo HC Holdings LLCOrganizationADP of the SNFNOT APPLICABLE06/30/2021
Wilheim, RonaldIndividualCorporate OfficerNOT APPLICABLE04/19/2008

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
George Washington Health & Rehabilitation3.8 miAlexandria, VA★★★☆☆3/5
Mount Vernon Healthcare Center4.9 miAlexandria, VA★☆☆☆☆1/5
Future Care Pineview6.1 miClinton, MD★★★☆☆3/5
Hidden Waters Rehabilitation and Wellness Center6.2 miClinton, MD★★☆☆☆1/5
Autumn Lake Healthcare at Bradford Oaks6.3 miClinton, MD★★★★☆3/5
Harborside Health & Rehabilitation7.1 miWashington, DC★★☆☆☆2/5
Serenity Rehabilitation and Health Center LLC7.7 miWashington, DC★★★★☆3/5
Woodbine Rehabilitation & Healthcare Center7.8 miAlexandria, VA★★★★★4/5
Alexandria Rehabilitation and Healthcare Center8.5 miAlexandria, VA★★★☆☆2/5
Waldorf Center9.1 miWaldorf, MD★★★★☆3/5
Restore Health Rehabilitation Center9.3 miWhite Plains, MD★★★☆☆3/5
Capitol City Rehab and Healthcare Center9.3 miWashington, DC★☆☆☆☆1/5abuse

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Facility data as of CMS processing date 2026-08-01. CCN 215146.