Sterling Care Forest Hill

Name: Sterling Care Forest Hill
Address: 109 FOREST VALLEY DRIVE, Forest Hill, MD, 21050, US
Telephone: 4108380101

109 Forest Valley Drive, Forest Hill, MD 21050 · Harford County · 156 certified beds · avg 132 residents/day · certified since Apr 17, 1989

Part of chain: STERLING CARE (6 facilities, chain avg rating 4.2★)

4/5

Health inspection rating (on-site)

Serious findings on record

$10,036

Fines, last 3 years

3.41

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Aug 14, 2024 · F-0689

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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Jul 21, 2022 (Past Non-Compliance)

All citations in the current public record (39)

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
Dec 22, 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.
Dec 22, 2025	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.
Dec 22, 2025	D · Potential for harm, one-off	The 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.
Dec 22, 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.
Dec 22, 2025	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.
Dec 22, 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.
Dec 22, 2025	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.
Dec 22, 2025	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.
Dec 22, 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.
Dec 22, 2025	D · Potential for harm, one-off	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Dec 22, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Dec 22, 2025	D · Potential for harm, one-off	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Aug 14, 2024	▲ J · Immediate jeopardy, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Aug 14, 2024	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.
Aug 14, 2024	D · Potential for harm, one-off	The 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.
Aug 14, 2024	D · Potential for harm, one-off	The 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.
Aug 14, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Aug 14, 2024	D · Potential for harm, one-off	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Aug 14, 2024	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Oct 24, 2023	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
Sep 27, 2019	E · Potential for harm, repeated	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.
Sep 27, 2019	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.
Sep 27, 2019	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.
Sep 27, 2019	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Sep 27, 2019	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.
Sep 27, 2019	D · Potential for harm, one-off	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.
Sep 27, 2019	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.
Sep 27, 2019	D · Potential for harm, one-off	The 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.
Sep 27, 2019	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.
Sep 27, 2019	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Sep 27, 2019	D · Potential for harm, one-off	The facility did not observe each nurse aide's job performance or provide regular training as required.
Sep 27, 2019	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.
Sep 27, 2019	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.
Sep 27, 2019	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs.
Sep 27, 2019	D · Potential for harm, one-off	The facility did not provide routine dental care and 24-hour emergency dental care for residents.
Sep 27, 2019	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.
Sep 27, 2019	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.
Sep 27, 2019	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.
Sep 27, 2019	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (7 → 12).

Year	Citations	Serious (G–L)	Worst severity that year
2019	19	0	E
2023	1	0	D
2024	7	1	J ▲
2025	12	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)

1 fine totaling $10,036.

Date	Type	Amount / length
Aug 14, 2024	Fine	$10,036

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)	3.41	3.83	3.95	bottom 44% in Maryland; bottom 32% in the U.S.
Registered Nurse hours	0.64	0.83	0.69	bottom 42% in Maryland; top 43% in the U.S.
Weekend total nurse staffing	3.11	3.43	3.50	bottom 44% in Maryland; bottom 37% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.43	0.63	0.48	bottom 34% in Maryland; top 43% in the U.S.
Total nursing staff turnover (%)	34.8	40.2	45.8	top 32% in Maryland; top 24% in the U.S.
RN turnover (%)	47.8	38.7	42.9	bottom 28% 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 3.84, RN 0.72, weekend 3.49. 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: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
BBF Holdings LLC	Organization	5% or Greater Direct Ownership Interest	100%	06/01/2022
Frankel, Chaim	Individual	5% or Greater Indirect Ownership Interest	—	06/01/2022
Jek Irrv Tr	Organization	5% or Greater Indirect Ownership Interest	—	06/01/2022
NMJ Irrv Tr	Organization	5% or Greater Indirect Ownership Interest	—	06/01/2022
Sava Acquisition LLC	Organization	5% or Greater Indirect Ownership Interest	—	06/01/2022
Kagan, Jeffrey	Individual	W-2 Managing Employee	NOT APPLICABLE	06/01/2022
Kagan, Jeffrey	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.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"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
Sterling Care Bel Air	1.8 mi	Bel Air, MD	★★★☆☆	2/5	abuse
Lorien Nsg & Rehab Ctr Belair	4.8 mi	Bel Air, MD	★★★★☆	4/5
Sterling Care Riverside	9.4 mi	Belcamp, MD	★★★★★	4/5
Glen Meadows Retirement Com.	10.8 mi	Glen Arm, MD	★★★★☆	2/5
Lorien Bulle Rock	12.0 mi	Havre de Grace, MD	★★★★★	5/5
Oak Crest Village	13.5 mi	Parkville, MD	★★★★☆	4/5
Stella Maris, INC.	13.8 mi	Timonium, MD	★★☆☆☆	2/5	abuse
Autumn Lake Healthcare at Loch Raven	14.7 mi	Baltimore, MD	★★☆☆☆	2/5
Autumn Lake Healthcare at Parkville	14.8 mi	Baltimore, MD	★★★★☆	4/5
Franklin Woods Center	15.1 mi	Baltimore, MD	★★★★☆	4/5
Broadmead	15.2 mi	Cockeysville, MD	★★★★★	5/5
Citizens Care Center	15.3 mi	Havre de Grace, MD	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Forest Hill →

Facility data as of CMS processing date 2026-08-01. CCN 215194.

The Care File

Visit checklist — Sterling Care Forest Hill

109 Forest Valley Drive, Forest Hill, MD 21050 · 4108380101

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $10,036

Most serious findings on record:

▲ Aug 14, 2024 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "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 215194 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)