Overview

Address
13908 NEW HAMPSHIRE AVENUE, SILVER SPRING, MD 20904
Phone
3015986000
Certified beds
100
Avg daily residents
63 (63% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1969-04-01
Setting
Urban
2 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
5/5
Quality Measures breakdown
Long-Stay Quality Measures 5/5
Short-Stay Quality Measures Data not available.

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
4.72 3.93 4.64 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
1.12 0.69 1.10 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.99 0.87 0.97
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.61 2.37 2.56
Licensed (RN + LPN)
Combined licensed nurse coverage.
2.11
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.13

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
4.11
hrs / resident / day
RN (weekend)
0.87
hrs / resident / day
Total nurse (adjusted, weekend)
4.03
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
42.3%
annual
RN turnover
44.4%
annual
Administrators departed
4
last 12 months

Resident acuity

Nursing Case-Mix Index
1.39
higher acuity than avg
Case-Mix Index Ratio
1.01
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-02-04 24 24 0 187 2 281
Cycle 2/3 (prior) 2020-02-03 21 7 14 88 1 88
Total weighted health score
232.8
lower is better

Deficiencies (55)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

5 A/B/C No actual harm — minor
49 D/E/F Actual harm — potential for minor
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0557 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. D 2025-02-04 2025-04-29
0558 Reasonably accommodate the needs and preferences of each resident. D 2025-02-04 2025-03-19
0578 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. D 2025-02-04 2025-03-19
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. D 2025-02-04 2025-03-19
0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. D 2025-02-04 2025-04-29
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-02-04 2025-04-29
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. E 2025-02-04 2025-03-19
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-02-04 2025-03-19
0685 Assist a resident in gaining access to vision and hearing services. D 2025-02-04 2025-03-19
0688 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. D 2025-02-04 2025-03-19
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2025-02-04 2025-03-19
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-02-04 2025-03-19
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2025-02-04 2025-04-29
0730 Observe each nurse aide's job performance and give regular training. D 2025-02-04 2025-03-19
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2025-02-04 2025-03-19
0759 Ensure medication error rates are not 5 percent or greater. E 2025-02-04 2025-03-19
0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. D 2025-02-04 2025-03-19
0791 Provide or obtain dental services for each resident. D 2025-02-04 2025-03-19
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2025-02-04 2025-03-19
0814 Dispose of garbage and refuse properly. B 2025-02-04 2025-03-19
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E 2025-02-04 2025-04-29
0880 Provide and implement an infection prevention and control program. D 2025-02-04 2025-03-19
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. D 2025-02-04 2025-03-19
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. D 2025-02-04 2025-03-19
0610 Respond appropriately to all alleged violations. D 2025-02-04 2025-03-19
0658 Ensure services provided by the nursing facility meet professional standards of quality. E 2025-02-04 2025-03-19
0578 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. D 2024-10-02 2024-11-16
0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. E 2024-10-02 2024-11-16
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2024-10-02 2024-11-16
0602 Protect each resident from the wrongful use of the resident's belongings or money. D 2024-10-02 2024-11-16
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-10-02 2024-11-16
0610 Respond appropriately to all alleged violations. D 2024-10-02 2024-11-16
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-10-02 2024-11-16
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-10-02 2024-11-16
0687 Provide appropriate foot care. D 2024-10-02 2024-11-16
0712 Ensure that the resident and his/her doctor meet face-to-face at all required visits. D 2024-10-02 2024-11-16
0919 Make sure that a working call system is available in each resident's bathroom and bathing area. D 2024-10-02 2024-11-16
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. D 2024-10-02 2024-11-16
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. B 2020-02-03 2020-03-06
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2020-02-03 2020-03-06
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2020-02-03 2020-03-06
0840 Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. D 2020-02-03 2020-03-06
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2020-02-03 2020-03-06
0868 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly C 2020-02-03 2020-03-06
0926 Have policies on smoking. E 2020-02-03 2020-03-06
0569 Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. B 2019-03-29 2019-05-09
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2019-03-29 2019-05-09
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. D 2019-03-29 2019-05-09
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. E 2019-03-29 2019-05-09
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2019-03-29 2019-05-09

Showing 50 most recent of 55. See the All Data CSV for the full list.

Penalties (1)

Fines issued
1
last 3 years
Total fines
$48,529
Date Type Fine amount
2025-02-04 Fine $48,529

Source: CMS Nursing Home Penalties.

Financial Health (FY 2024)

Payer mix (share of resident days)

Medicare 2.5% Medicaid 47.4% Other 50.0%

Operating performance

Operating Margin
-0.1%
Total Margin
-0.0%
Occupancy Rate
93.7%
Cost per Resident Day
$29

Revenue & costs

Net Patient Revenue
$11.1M
Total Costs
$925K
Net Income
-$3K

Balance sheet

Total Assets
$2.6M
Total Liabilities
$2.2M
Fund Balance
$413K
Current Ratio
1.27

Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: COMMUNICARE HEALTH

Chain ID
153
Facilities in chain
122
Legal business name
BEL PRE LEASING CO., LLC
Chain-average star ratings (for peer context)
Overall
2.8
Health
2.4
Staffing
2.4
QM
4.3

Owner / manager organizations (14)

Organization Role Association
SECOND OPTION OP CO LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 12/05/2018
C R STOLTZ II LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 04/19/2008
C.R. STOLTZ IRREVOCABLE TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 04/19/2008
HC REAL ESTATE HOLDINGS, LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 04/19/2008
I. ROSEDALE IRREVOCABLE TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/11/2008
OMG RE HOLDINGS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 04/19/2008
OPTION HOLDINGS II LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 04/19/2008
R.S. WILHEIM IRREVOCABLE TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/06/2003
RONALD S WILHEIM 2012 SPOUSAL TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/02/2013
ROSEDALE FAMILY INVESTMENT COMPANY, INC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 12/31/2011
RRW, LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 04/27/2011
S.L. ROSEDALE IRREVOCABLE TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/06/2003
WILHEIM FAMILY INVESTMENT COMPANY, INC. 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 12/31/2011
BEL PRE MGMT. CO., LLC OPERATIONAL/MANAGERIAL CONTROL since 12/05/2018

Owner / manager individuals (7)

Name Role Association
ALI, HUSSEIN OPERATIONAL/MANAGERIAL CONTROL since 09/30/2024
GROVES, DONNA OPERATIONAL/MANAGERIAL CONTROL since 04/14/2023
KABA, SUELA OPERATIONAL/MANAGERIAL CONTROL since 06/01/2023
ROMEO, DOMINIC OPERATIONAL/MANAGERIAL CONTROL since 04/01/2023
ROMEO, DOMINIC CORPORATE OFFICER since 04/01/2023
STOLTZ, CHARLES CORPORATE OFFICER since 04/19/2008
WILHEIM, RONALD CORPORATE OFFICER since 04/19/2008

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $29 metrics.cost_per_resident_day
Cost Report Current Ratio 1.27 metrics.current_ratio
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Medicaid Day Share (%) 47.4% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 2.5% metrics.medicare_day_share
Cost Report Net Income ($) $-3,314 metrics.net_income
Cost Report Net Patient Revenue ($) $11,135,270 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 93.7% metrics.occupancy_rate
Cost Report Operating Margin (%) -0.1% metrics.operating_margin
Cost Report Total Assets ($) $2,589,083 metrics.total_assets
Cost Report Total Costs ($) $924,723 metrics.total_costs
Cost Report Total Fund Balances ($) $412,678 metrics.fund_balance
Cost Report Total Liabilities ($) $2,176,405 metrics.total_liabilities
Cost Report Total Margin (%) -0.0% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.97334 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.56496 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 1.10113 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.63943 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 4.03413 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 62.6 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.87255 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.37139 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.68776 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.93169 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.46537 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.4 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.8 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.3 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.4 Chain Average Staffing Rating
Provider Information Chain ID 153 Chain ID
Provider Information Chain Name COMMUNICARE HEALTH Chain Name
Provider Information City/Town SILVER SPRING City/Town
Provider Information CMS Certification Number (CCN) 215065 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Montgomery County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1969-04-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 39.0829 Latitude
Provider Information Legal Business Name BEL PRE LEASING CO., LLC Legal Business Name
Provider Information Location 13908 NEW HAMPSHIRE AVENUE,SILVER SPRING,MD,20904 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -77.001 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 4 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 100 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 122 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.39282 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.01101 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 13908 NEW HAMPSHIRE AVENUE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name SILVER SPRING HEALTHCARE CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 150 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 187 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 94 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 0 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 2 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 24 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-02-04 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 281 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 24 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 7 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2020-02-03 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 88 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 14 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 88 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 21 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.87392 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 44.4 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 2.11250 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.99118 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.61197 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.13486 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 1.12131 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 4.72447 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 2 Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 4 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State MD State
Provider Information Telephone Number 3015986000 Telephone Number
Provider Information Total Amount of Fines in Dollars 48529.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 4.10807 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 42.3 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 232.750 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 20904 ZIP Code