Montcare at Bethesda

Name: Montcare at Bethesda
Address: 6530 DEMOCRACY BOULEVARD, Bethesda, MD, 20817, US
Telephone: 3015309000

6530 Democracy Boulevard, Bethesda, MD 20817 · Montgomery County · 120 certified beds · avg 105 residents/day · certified since Feb 1, 1975

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.01

Nurse hours/resident/day (adjusted)

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 (28)

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
Feb 25, 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.
Feb 25, 2026	D · Potential for harm, one-off	The 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 25, 2026	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.
Feb 25, 2026	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.
Feb 25, 2026	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Feb 25, 2026	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.
Oct 10, 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. · from a complaint
Oct 10, 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. · from a complaint
Oct 10, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Oct 10, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Nov 6, 2024	E · Potential for harm, repeated	The 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.
Nov 6, 2024	E · Potential for harm, repeated	The 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.
Nov 6, 2024	E · Potential for harm, repeated	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.
Nov 6, 2024	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.
Nov 6, 2024	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.
Nov 6, 2024	D · Potential for harm, one-off	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.
Nov 6, 2024	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.
Nov 6, 2024	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Nov 6, 2024	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.
Nov 6, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Nov 6, 2024	D · Potential for harm, one-off	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint
Nov 6, 2024	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.
Nov 6, 2024	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.
Nov 25, 2019	E · Potential for harm, repeated	The 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, 2019	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.
Nov 25, 2019	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.
Nov 25, 2019	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Nov 25, 2019	B · Minimal risk, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (13 → 6).

Year	Citations	Worst severity that year
2019	5	E
2024	13	E
2025	4	D
2026	6	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)

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)	3.01	3.83	3.95	bottom 7% in Maryland; bottom 14% in the U.S.
Registered Nurse hours	0.71	0.83	0.69	top 45% in Maryland; top 35% in the U.S.
Weekend total nurse staffing	2.83	3.43	3.50	bottom 16% in Maryland; bottom 22% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.57	0.63	0.48	top 41% in Maryland; top 26% in the U.S.
Total nursing staff turnover (%)	35.8	40.2	45.8	top 36% in Maryland; top 26% in the U.S.
RN turnover (%)	27.3	38.7	42.9	top 23% in Maryland; top 24% 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 3.32, RN 0.79, weekend 3.12. Staffing rating: 3/5.

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 - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Green, Dov	Individual	5% or Greater Indirect Ownership Interest	43%	09/01/2023
MD3 Operator Holdco LLC	Organization	5% or Greater Direct Ownership Interest	100%	09/01/2023
Mermelstein, Boruch	Individual	5% or Greater Indirect Ownership Interest	45%	09/01/2023
Zager, Nachum	Individual	5% or Greater Indirect Ownership Interest	10%	09/01/2023
Ribikow, Jack	Individual	W-2 Managing Employee	NOT APPLICABLE	09/01/2023
Zager, Nachum	Individual	Corporate Officer	NOT APPLICABLE	09/01/2023
Zager, Nachum	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2023

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?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"Can I see a sample menu, and how do you handle special diets like low-sodium or diabetic meals?"
"How do you keep residents' medical records accurate, complete, and secure?"
"How do you inspect and maintain essential equipment, and how quickly are repairs made?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"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
Sterling Care Bethesda	1.0 mi	Bethesda, MD	★★★☆☆	3/5
Maplewood Park Place	1.0 mi	Bethesda, MD	★★★★★	5/5
Tuckerman Rehabilitation and Healthcare Center	1.1 mi	North Bethesda, MD	★★★★★	5/5
Carriage Hill Bethesda	2.0 mi	Bethesda, MD	★★★☆☆	3/5
Hebrew Home of Greater Washington	2.1 mi	Rockville, MD	★★★★★	4/5
Montcare at Potomac	3.7 mi	Potomac, MD	★★★★★	4/5
Complete Care at Wheaton	3.8 mi	Wheaton, MD	★★★★★	4/5
Potomac Valley Rehabilitation and Healthcare	3.9 mi	Rockville, MD	★★★☆☆	2/5
Turtle Creek Rehabilitation and Wellness Center	3.9 mi	Kensington, MD	★★☆☆☆	1/5
Autumn Lake Healthcare at Chevy Chase	3.9 mi	Chevy Chase, MD	★★★☆☆	3/5
Autumn Lake Healthcare at Oakview	4.0 mi	Silver Spring, MD	★★★★☆	3/5
Sterling Care Rockville Nursing	4.6 mi	Rockville, MD	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Bethesda →

Facility data as of CMS processing date 2026-08-01. CCN 215095.

The Care File

Visit checklist — Montcare at Bethesda

6530 Democracy Boulevard, Bethesda, MD 20817 · 3015309000

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "Can I see a sample menu, and how do you handle special diets like low-sodium or diabetic meals?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 215095 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)