Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
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 Bethesda Health Care Facility during CMS and state inspections, most recent first.
A resident with a documented history of type 2 DM and generalized anxiety disorder did not have these conditions accurately coded on the annual MDS. Although the care plan addressed DM and physician documentation showed diet-controlled DM and an order for daily Ativan for anxiety and mood disorder, the MDS omitted both DM and anxiety as active diagnoses while still indicating use of an antianxiety medication and severe cognitive impairment. The MDS nurse later acknowledged that the resident’s DM and anxiety diagnoses should have been coded and that their omission was an oversight, and the Administrator confirmed that all diagnoses should be reflected on the MDS.
A resident was admitted with medical diagnoses and a Level I PASRR that showed no mental illness and did not trigger Level II criteria. Over time, the resident’s record was updated to include generalized anxiety disorder, depressive disorder, and later a psychiatrist-documented mood disorder with psychosis/bipolar, with Zyprexa prescribed and bipolar disorder coded on the MDS. Despite these new serious mental illness diagnoses, no Level II PASRR request was found in the record. The MDS Coordinator reported she did not notify the Business Office Manager (who is responsible for submitting Level II PASRR requests) when the new mental health diagnoses were added, and the Business Office Manager confirmed she was never informed of these diagnoses.
Surveyors found that staff failed to manage food items appropriately in two nourishment room refrigerators, where multiple expired products and unlabeled, undated beverages were stored. In the main nourishment room, there were outdated strawberry preserves, a high-protein milkshake, and nutritional energy drinks, along with several partially filled drink containers that lacked labels and dates. In the locked unit nourishment room, surveyors observed expired yogurt and prepackaged apples, with some apples showing visible spoilage. Nursing staff and unit leadership acknowledged that nurses were responsible for labeling, dating, and discarding expired items, and facility leadership stated they expected staff to ensure all nourishment room food was properly labeled and free of outdated items.
A facility failed to provide the required NOMNC to a resident who was admitted with Medicare Part A skilled services and remained in the facility after services ended. The resident, who was severely cognitively impaired, did not receive the NOMNC, and the Secretary Assistant admitted to not being aware of the requirement. The Administrator confirmed the oversight.
Inaccurate MDS Coding for Diabetes and Anxiety Diagnoses
Penalty
Summary
The facility failed to ensure an accurate MDS assessment for one resident by not correctly coding documented diagnoses of diabetes and anxiety. The resident, who had a medical history significant for type 2 diabetes mellitus and generalized anxiety disorder, was care planned for diabetes but not for anxiety. A physician encounter note documented diet-controlled diabetes mellitus, and a physician order directed administration of Ativan 0.5 mg once daily in the evening for anxiety and an unspecified mood disorder. Despite this documentation and the resident being coded on the annual MDS as cognitively severely impaired and receiving an antianxiety medication, the annual MDS did not include diabetes or anxiety as active diagnoses. In interviews, the MDS nurse acknowledged that these diagnoses were present and should have been coded on the annual MDS, stating that their omission was an oversight, and the Administrator confirmed that all resident diagnoses, including diabetes and anxiety, should have been reflected on the MDS.
Failure to Request Level II PASRR After New Serious Mental Illness Diagnoses
Penalty
Summary
The facility failed to submit a request for a Level II Preadmission Screening and Resident Review (PASRR) evaluation for a resident who developed serious mental health diagnoses after admission. The resident was admitted with medical diagnoses including hypertension, hyperkalemia, and hyperlipidemia, and a Level I PASRR completed on 11/01/2021 indicated no mental health diagnosis and did not meet Level II criteria. Later, the active diagnosis list showed generalized anxiety disorder and depressive disorder as active beginning 03/26/2025, and a psychiatrist’s note dated 01/20/2026 documented a presenting problem of mood disorder with psychosis/bipolar, with Zyprexa 5 mg PO at bedtime prescribed for this condition. The MDS assessment reflected a diagnosis of bipolar disorder but indicated the resident was not considered by the state Level II PASRR process to have serious mental illness or intellectual disability/related condition. Record review and staff interviews revealed that no request for a Level II PASRR evaluation was found in the resident’s electronic or paper medical record despite these new mental health diagnoses. The MDS Coordinator stated that her usual practice was to notify the Business Office Manager (BOM) when residents received new mental illness diagnoses so the BOM could submit a Level II PASRR request to the state agency, but she acknowledged she failed to notify the BOM when the resident’s new mental health diagnoses were added in March 2025. The BOM confirmed she was responsible for requesting Level II PASRR evaluations and reported she had not been informed of the resident’s anxiety disorder, depressive disorder, or later bipolar disorder diagnosis. The Administrator stated that the Level I PASRR received after admission showed no mental illness and that the Level II PASRR evaluation should have been completed when the new mental illness diagnoses were added in March 2025.
Expired and Unlabeled Food Items in Nourishment Room Refrigerators
Penalty
Summary
Failure to properly manage food storage in nourishment room refrigerators occurred when staff did not discard expired or spoiled food items and did not label and date resident personal food items. In the Main Unit nourishment room refrigerator, surveyors observed a partially used jar of strawberry preserves with a use-by date that had passed, an unopened high-protein milkshake with a best-if-used-by date that had passed, and three unopened bottles of a nutritional energy drink with a use-by date that had passed. Additionally, there were multiple beverage containers, including a 2-liter soft drink bottle half full of an orange liquid, and two 500-milliliter bottles containing purplish and brownish liquids, none of which were labeled or dated. Staff present during the observation acknowledged that nursing staff were supposed to ensure all nourishment refrigerator items were labeled, dated, and that expired items were discarded. In the Locked Unit nourishment room refrigerator, surveyors observed a cup of yogurt with an expiration date that had passed and a package of three prepackaged apples with an opened-by and best-by date that had passed, with two apples showing grayish fuzz. The Locked Unit Charge Nurse stated that nurses were responsible for labeling food items, checking expiration dates, and that she should have checked the refrigerator at the beginning of her shift to ensure expired items were discarded to prevent foodborne illnesses. The DON and the Administrator both stated their expectation that nursing staff inspect nourishment refrigerators to ensure there were no outdated items and that all food items were labeled and dated.
Failure to Provide Required NOMNC to Resident
Penalty
Summary
The facility failed to provide the required Centers for Medicare and Medicaid Services (CMS) Notice of Medicare Non-Coverage (NOMNC) for a resident who was admitted with Medicare Part A skilled services. The resident, who was severely cognitively impaired, had their Medicare Part A skilled services end without exhausting the benefit, yet remained in the facility. There was no evidence that the resident or their Responsible Party (RP) received the NOMNC. During an interview, the Secretary Assistant admitted to providing the RP with the Skilled Nursing Facility Advance Beneficiary Notice (SNFABN) but not the NOMNC, due to a lack of awareness that it was required since the resident still had Medicare Part A days remaining. The Administrator confirmed that the RP should have received the NOMNC as per federal guidelines.
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 51 citations issued within 25 miles in the last 12 months — including the 1 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 Eastover
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Whispering Pines Nursing & Rehab Center | 4.2 mi | ★★★★★ | 0 | 0 |
| Woodlands Nursing & Rehabilitation Center | 4.9 mi | ★★★★★ | 0 | 0 |
| Haymount Rehabilitation & Nursing Center, Inc. | 5 mi | ★★★★★ | 0 | 0 |
| Highland House Rehabilitation And Healthcare | 5.4 mi | ★★★★★ | 6 | 0 |
| Village Green Health And Rehabilitation | 5.4 mi | ★★★★★ | 3 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Bethesda Health Care Facility.
100% money-back within 48 hours.
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.