SNF

CARRIAGE HILL BETHESDA

CCN: 215234 · BETHESDA, MD 20814 · Montgomery County

Overview

Address
5215 CEDAR LANE, BETHESDA, MD 20814
Phone
3018975500
Certified beds
108
Avg daily residents
103 (95% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1991-08-08
Setting
Urban
3 /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.
★★★★★ 3/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 3/5
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.
★★★★★ 3/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 2/5
Short-Stay Quality Measures ★★★★★ 4/5

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
 3.71 4.09 3.50 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.73 0.72 0.69 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 1.13 0.91 1.06 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 1.85 2.47 1.75 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.86 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.21 — — —

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)
3.27
hrs / resident / day
RN (weekend)
0.35
hrs / resident / day
Total nurse (adjusted, weekend)
3.08
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
25.3%
annual
RN turnover
38.1%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.45
higher acuity than avg
Case-Mix Index Ratio
1.05
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) 2025-01-17 17 17 3 112 1 112
Cycle 2/3 (prior) 2020-02-14 9 7 2 36 1 36
Total weighted health score
93.0
lower is better

Deficiencies (33)

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).

4 A/B/C No actual harm — minor
29 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2025-01-17 2025-02-28
0558 Reasonably accommodate the needs and preferences of each resident. E 2025-01-17 2025-02-28
0636 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. E 2025-01-17 2025-02-28
0638 Assure that each resident’s assessment is updated at least once every 3 months. E 2025-01-17 2025-02-28
0640 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F 2025-01-17 2025-02-28
0641 Ensure each resident receives an accurate assessment. D 2025-01-17 2025-02-28
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-01-17 2025-02-28
0679 Provide activities to meet all resident's needs. D 2025-01-17 2025-02-28
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-01-17 2025-02-28
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-01-17 2025-02-28
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2025-01-17 2025-02-28
0790 Provide routine and 24-hour emergency dental care for each resident. D 2025-01-17 2025-02-28
0806 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. D 2025-01-17 2025-02-28
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F 2025-01-17 2025-02-28
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 2025-01-17 2025-02-28
0800 Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. D 2025-01-17 2025-02-28
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E 2025-01-17 2025-02-28
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-01-17 2025-02-28
0610 Respond appropriately to all alleged violations. D 2025-01-17 2025-02-28
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2020-02-14 2020-03-15
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2020-02-14 2020-03-15
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 2020-02-14 2020-03-15
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2020-02-14 2020-03-15
0730 Observe each nurse aide's job performance and give regular training. B 2020-02-14 2020-03-15
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 2020-02-14 2020-03-15
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2020-02-14 2020-03-15
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. B 2019-01-07 2019-01-31
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. B 2019-01-07 2019-01-31
0625 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. B 2019-01-07 2019-01-31
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2019-01-07 2019-01-31
0661 Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. D 2019-01-07 2019-01-31
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2019-01-07 2019-01-31
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 2019-01-07 2019-01-31

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 40.8% Medicaid 19.9% Other 39.3%

Operating performance

Operating Margin
-0.5%
Total Margin
0.3%
Occupancy Rate
71.4%
Cost per Resident Day
$79

Revenue & costs

Net Patient Revenue
$14.1M
Total Costs
$2.2M
Net Income
$39K

Balance sheet

Total Assets
$2.3M
Total Liabilities
$1.9M
Fund Balance
$381K
Current Ratio
1.08

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: VIERRA COMMUNITIES

Chain ID
597
Facilities in chain
3
Legal business name
CARRIAGE HILL OPCO LLC
Chain-average star ratings (for peer context)
Overall
2.5
Health
2.5
Staffing
3.0
QM
3.5

Owner / manager organizations (2)

Organization Role Association
CARRIAGE HILL OPCO HOLDCO LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 01/01/2024
VIERRA MANAGEMENT LLC OPERATIONAL/MANAGERIAL CONTROL since 06/01/2022

Owner / manager individuals (3)

Name Role Association
VUCICH, DEREK 5% OR GREATER DIRECT OWNERSHIP INTEREST since 06/01/2022
MBEBOH, JULIUS OPERATIONAL/MANAGERIAL CONTROL since 04/01/2023
VUCICH, DEREK CORPORATE OFFICER since 06/01/2022

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.

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Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $79 metrics.cost_per_resident_day
Cost Report Current Ratio 1.08 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 19.9% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 40.8% metrics.medicare_day_share
Cost Report Net Income ($) $39,285 metrics.net_income
Cost Report Net Patient Revenue ($) $14,102,233 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 71.4% metrics.occupancy_rate
Cost Report Operating Margin (%) -0.5% metrics.operating_margin
Cost Report Total Assets ($) $2,326,956 metrics.total_assets
Cost Report Total Costs ($) $2,209,797 metrics.total_costs
Cost Report Total Fund Balances ($) $381,277 metrics.fund_balance
Cost Report Total Liabilities ($) $1,945,679 metrics.total_liabilities
Cost Report Total Margin (%) 0.3% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.06432 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.74938 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.68942 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.50312 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.08330 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 103.1 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 0.90826 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.46845 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.71591 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.09262 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.60721 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.5 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.5 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.5 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 3.0 Chain Average Staffing Rating
Provider Information Chain ID 597 Chain ID
Provider Information Chain Name VIERRA COMMUNITIES Chain Name
Provider Information City/Town BETHESDA City/Town
Provider Information CMS Certification Number (CCN) 215234 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 1991-08-08 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 3 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 39.0055 Latitude
Provider Information Legal Business Name CARRIAGE HILL OPCO LLC Legal Business Name
Provider Information Location 5215 CEDAR LANE,BETHESDA,MD,20814 Location
Provider Information Long-Stay QM Rating 2 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -77.103 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 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 108 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 3 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.44983 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.05240 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 3 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 5215 CEDAR LANE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name CARRIAGE HILL BETHESDA 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 3 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 112 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 3 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 17 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-01-17 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 112 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 17 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 2020-02-14 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 36 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 2 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 36 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 9 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.35197 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 38.1 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.85898 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.12819 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.85436 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.21206 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.73079 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 3.71334 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 4 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — 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 3018975500 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.26832 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover 25.3 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 93.000 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 20814 ZIP Code