Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

TUCKERMAN REHABILITATION AND HEALTHCARE CENTER

NORTH BETHESDA, MD · 41 certified beds · Last Life Safety survey February 25, 2021

CMS Certification Number 215320 · first certified April 1998

Ownership

Operated by MARQUIS HEALTH SERVICES · For profit - Corporation

Ownership changed May 1, 2023 (change of ownership)from SJV 1 TUCKERMAN LANE OPCO LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within MD

7 citations — more than 4% of the 221 certified nursing homes in MD. Compared within MD rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (August 2022 to January 2026), and past the point by which nine in ten MD facilities have been surveyed. This facility’s last Life Safety survey was February 2021. Facilities in MD are typically surveyed 17–59 months after the last one (median 30), measured over 283 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 7 Life Safety citations above. The Physical Environment Index

F-0908 Keep all essential equipment working safely.
F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in MD, and nationally. Surveyors differ markedly between states, so the MD figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	7
Median facility in MD	22
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
May 14, 2018	4
July 3, 2019	1
February 25, 2021	2

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0232	Have corridors or aisles that are unobstructed and are at least 8 feet in width.	1	2021-02-25
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	1	2018-05-14
K-0923	Have proper medical gas storage and administration areas.	1	2018-05-14
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	1	2019-07-03
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	1	2018-05-14
K-0353	Inspect, test, and maintain automatic sprinkler systems.	1	2021-02-25
K-0363	Install corridor and hallway doors that block smoke.	1	2018-05-14

What the citations cover

Citations by CMS category

Smoke Deficiencies 4
Egress Deficiencies 2
Gas, Vacuum, and Electrical Systems Deficiencies 1

Citations by CMS category
Category	Citations
Smoke Deficiencies	4
Egress Deficiencies	2
Gas, Vacuum, and Electrical Systems Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 25, 2021 — 2 citations

Citations issued on February 25, 2021
Tag	What the surveyor checks	Status
K-0232	Have corridors or aisles that are unobstructed and are at least 8 feet in width.	Deficient, Provider has date of correction (March 31, 2021)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 31, 2021)

July 3, 2019 — 1 citation

Citations issued on July 3, 2019
Tag	What the surveyor checks	Status
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (May 8, 2019)

May 14, 2018 — 4 citations

Citations issued on May 14, 2018
Tag	What the surveyor checks	Status
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (June 15, 2018)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (June 15, 2018)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (June 15, 2018)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (June 15, 2018)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.