Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Maplewood Park Place during CMS and state inspections, most recent first.
Staff did not fully develop or implement a comprehensive, person-centered care plan for a resident with a history of falls and multiple medical conditions. Although fall prevention interventions such as bilateral fall mats and a low bed were in use, these were not documented in the medical record, as confirmed by the DON. This resulted in incomplete care planning and implementation for the resident.
A resident with limited range of motion was ordered to have palm protectors applied with skin checks every two hours, but staff failed to document the required skin monitoring, resulting in a deficiency for not following physician orders and not ensuring proper treatment documentation.
Licensed staff failed to check required vital signs before administering antihypertensive medications to three residents, resulting in a medication error rate above 5%. In each case, RNs gave medications that should have been held for low blood pressure or heart rate, but did not verify these parameters prior to administration, instead documenting readings after the fact and attributing them to a GNA.
Failure to Document and Implement Comprehensive Fall Prevention Care Plan
Penalty
Summary
Facility staff failed to develop and implement a comprehensive, person-centered care plan for a resident with a history of falls and multiple medical conditions, including cognitive impairment, osteoporosis, urinary tract infection, and atrial fibrillation with respiratory failure. The resident required moderate to extensive assistance with activities of daily living and had experienced falls both prior to and during their stay, including a fall with a hip fracture before admission and subsequent falls without injury while in the facility. The MDS assessment and CAA process identified the resident as being at risk for falls, and care plans were initiated to address these risks and actual fall events. Despite these assessments and care plans, there was a failure to document the implementation of specific fall prevention interventions, such as the use of bilateral fall mats and maintaining the bed in the lowest position, which were observed in place during the survey. The Director of Nursing confirmed that these interventions had been in use prior to the most recent fall but were not documented in the resident's medical record. This lack of documentation indicated that the care plan was not fully comprehensive or properly implemented as required.
Failure to Document Skin Monitoring for Palm Protector Use
Penalty
Summary
A deficiency was identified when a resident with limited range of motion in both upper and lower extremities was observed to have palm protectors applied to both hands. The physician's order specified that the palm protectors should be applied during the day shift for 8 hours, removed every 2 hours, and that the skin should be monitored. However, review of the Treatment Administration Record (TAR) showed that staff documented the application of the palm protectors but did not document the required skin checks. Interviews with nursing staff confirmed that while the palm protectors were applied and removed as ordered, no documentation was made regarding the skin monitoring. Further review of the resident's care plan indicated interventions for the use of palm protectors and monitoring for changes in range of motion or complaints of pain. Despite these interventions, there was no evidence in the medical record that skin checks were performed or documented as required by the physician's order. The deficiency was based on the facility's failure to follow the physician's order and to monitor and document the effectiveness of the treatment provided.
Medication Error Rate Exceeds 5% Due to Missed Vital Sign Checks
Penalty
Summary
Licensed nursing staff failed to maintain a medication error rate below 5 percent during a medication pass observation, resulting in a calculated error rate of 6.52 percent. Specifically, three errors were observed out of 46 opportunities. In each instance, registered nurses administered antihypertensive medications to residents without first obtaining and verifying the required vital signs as specified in the physician's orders. For one resident, Triamterene-Hydrochlorothiazide was given without checking the blood pressure beforehand, despite the order to hold the medication if systolic blood pressure was less than 110. The nurse documented the blood pressure after administration and stated that a Geriatric Nursing Aide (GNA) was responsible for taking the reading. Similarly, another resident received Amlodipine and Losartan, both with instructions to hold for systolic blood pressure less than 110, but the blood pressure was not checked prior to administration. The nurse again documented the reading after the fact, attributing the measurement to the GNA. In a third case, a resident was given Metoprolol, which was to be held if the heart rate was less than 60, but the heart rate was not checked before administration. The nurse documented the heart rate post-administration and stated that the GNA took the reading. These actions directly contributed to the facility exceeding the acceptable medication error rate.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 1,208 citations issued within 25 miles in the last 12 months — including the 12 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Bethesda
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sterling Care Bethesda | 0.7 mi | ★★★★★ | 24 | 0 |
| Montcare At Bethesda | 1 mi | ★★★★★ | 14 | 0 |
| Carriage Hill Bethesda | 1 mi | ★★★★★ | 23 | 0 |
| Tuckerman Rehabilitation And Healthcare Center | 1.2 mi | ★★★★★ | 5 | 0 |
| Hebrew Home Of Greater Washington | 2.7 mi | ★★★★★ | 5 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.