Carriage Hill of Bethesda

Nursing Home in Bethesda

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Carriage Hill of Bethesda

Nursing Home in Bethesda

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Overview of Carriage Hill of Bethesda

Carriage Hill of Bethesda is a distinguished senior living community in West Cedar Lane, Bethesda, MD, offering short-term rehabilitation, residential care, respite, and hospice care. With over 50 years of experience in delivering top-tier care and assistance, seniors can rest their worries and enjoy their life to the fullest. The community was also awarded the Best Nursing Home by the U.S. News for its top-notch quality in caring for seniors.

Featuring specially designed amenities and a team of compassionate and well-trained professionals, residents are encouraged to live an active and blissful retirement. While the end-of-life journey can be intimidating, the community works hard to provide proper support for seniors and their families to get through this difficult time. Carriage Hill of Bethesda is ideal for seniors looking for a place where they can find all their needs.

(301) 897-5500

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
3/5 ■ Avg Maryland average: 3.0/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
3/5 ▲ 0.2 Maryland average: 2.8/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
4/5 ▲ 1.0 Maryland average: 3.0/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
4/5 ▲ 0.3 Maryland average: 3.7/5

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to Maryland state averages

Total nursing care / resident Info This home is ranked 50th out of 112 homes in Maryland.

Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 28m per day
This facility Maryland avg (3h 46m per day)
vs Maryland avg
-8%

4 of 5 metrics below state avg

Standout metric Physical Therapist is +160% above state avg
Staff typeHours / dayvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 44m per day ▼ 12% State avg: 50m per day · National avg: 41m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 1h 51m per day ▼ 15% State avg: 2h 10m per day · National avg: 2h 21m per day
Total Nursing (Weekend) Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 3h 16m per day ▼ 6% State avg: 3h 29m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 13m per day ▲ 160% State avg: 5m per day · National avg: 4m per day
RN (Weekend) Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 21m per day ▼ 43% State avg: 37m per day · National avg: 29m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 108

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Maryland average: 82.4%
Occupancy rate 71.4%
Avg. Length of Stay 57 days
Occupancy rate
71.4%
Avg. Length of Stay
57 days

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

72% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

24% of new residents, often for short stays.

Typical stay 3 months

Medicaid

4% of new residents, often for long-term daily care.

Typical stay 9 - 10 months

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$15.7M
Profit
$39.3K
Privately-owned community Operated by a business corporation.
Home revenue
$15.7M
Profit
$39.3K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.7M
36.3% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$10.0M
Total costs $15.7M
Walk Score
Walk Score: 54 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What does this home offer?

Accepts Medicaid icon
Accepts Medicaid icon

Accept Medicaid: Yes

Total residents icon
Total residents icon

Total Residents: 108

Housing options icon
Housing options icon

Housing Options: Studio

Building type icon
Building type icon

Building Type: Two-story

Types of Care at Carriage Hill of Bethesda

Nursing Home

Contact Carriage Hill of Bethesda

Health Inspection History

Inspections
Total health inspections 3

Maryland average 3.9


Last Health inspection on Jan 2025

Total health citations 33

Maryland average 49.9

Citations per inspection
11

Maryland average 12.81


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

28 of 33 citations resulted from standard inspections; 2 of 33 resulted from complaint investigations; and 3 of 33 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Maryland average

Maryland average: 0.5


Serious Health citations More info 0
100% better than Maryland average

Maryland average: 0.6

0 critical citations More info Maryland average: 0.5

0 serious citations More info Maryland average: 0.6

29 moderate citations More info Maryland average: 47.2

4 minor citations More info Maryland average: 1.7
Citations history (last 3 years)
Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Jan 17, 2025
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Jan 17, 2025
Corrected

Environmental moderate citation Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. Jan 17, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Jan 17, 2025
Corrected

Compare Nursing Homes around Bethesda The information below is reported by the Maryland Department of Health, Office of Health Care Quality.

5 facilities compared · CMS & MD Dept. of Health data · Updated Apr 2026

Filter by care type
Montcare Bethesda
HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Bethesda (Georgetown Village)110 84.7% +3%3.04 -13%-19%0348.50105- 70 Ribikow, Jack$5.1M$1.7M33.7%215095
Carriage Hill of Bethesda
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Bethesda (Maplewood)108 71.4% -13%3.47 -33%-8%03311.00102- 54 Vucich, Derek$15.6M$5.7M36.5%215234
Bartholomew House -
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Bethesda35--------000.00--------
Modena Reserve Bethesda -
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Bethesda113--------000.00--------
Sterling Care Bethesda -
HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Bethesda---------000.00--------

Financial Assistance for
Nursing Home in Maryland

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Community Options Waiver

Maryland Medicaid Community Options Waiver

Age 65+ or disabled
General Maryland resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple) (excludes home, car).
MD

High urban demand; rural outreach efforts.

Benefits
Personal care (5-7 hours/day, e.g., bathing, dressing) Respite care (up to 240 hours/year) Adult day care ($70/day) Home modifications ($1,500 avg.)

Senior Care Program

Maryland Senior Care

Age 65+
General Maryland resident, at risk of nursing home placement.
Income Limits ~$2,000/month individual, varies by county
Asset Limits $11,000 individual
MD

Limited funding; waitlists common in high-demand areas.

Benefits
In-home care (3-5 hours/week) Respite care (up to 10 days/year) Meals (~$6/meal) Transportation (~5 trips/month) Case management

Maryland Nursing Home Medicaid

Maryland Medical Assistance (Medicaid) Nursing Home Program

Age 65+
General Maryland resident, Medicaid-eligible, requires nursing home-level care.
Income Limits (2025) $943/month (individual); most income applied to care costs.
Asset Limits $2,500 (individual), $3,000 (couple); spousal protections up to $155,356.
MD

Home equity limit $636,000; estate recovery applies post-55.

Benefits
24/7 nursing care Meals Therapy Medications (unlimited per medical need)

Senior Assisted Living Subsidy Program

Maryland Senior Assisted Living Group Home Subsidy

Age 62+
General Maryland resident, in or moving to approved assisted living, low/moderate income.
Income Limits (2025) ~$34,000/year individual, varies by county
Asset Limits Not strict; prioritizes low-income.
MD

Not available statewide; facility must be licensed by MDH.

Benefits
Personal care Meals 24-hour supervision (up to $1,500/month subsidy typical)

Veterans Aid and Attendance (A&A) Benefit

Maryland VA Aid and Attendance

Age
General Wartime veteran/spouse, age 65+ or disabled, needs ADL help, Maryland resident.
Income Limits (2025) Net income minus medical expenses < $1,984/month individual with A&A
Asset Limits $155,356 net worth limit
MD

High veteran population in suburban/rural areas.

Benefits
Cash benefit ($1,478-$2,471/month, varies by status) for care costs

Senior Prescription Drug Assistance Program (SPDAP)

Maryland Senior Prescription Drug Assistance Program

Age 65+
General Maryland resident (6+ months), Medicare Part D enrolled.
Income Limits (2025) $48,560/year individual, 300% FPL
Asset Limits None specified.
MD

Supplements Medicare Part D; annual enrollment required.

Benefits
Up to $40/month premium subsidy Reducing drug costs

Medicare Savings Programs (MSP)

Maryland Medicare Savings Programs

Age 65+
General Maryland resident, Medicare Part A/B enrollee.
Income Limits (2025) $2,014/month (QMB), $2,706/month (SLMB/QI, individual).
Asset Limits $9,090 (individual), $13,630 (couple).
MD

Includes QMB, SLMB, QI categories.

Benefits
Covers premiums (up to $174.70/month Part B) Co-pays Deductibles

Community Personal Assistance Services (CPAS)

Maryland Medicaid Community Personal Assistance Services

Age 65+
General Maryland resident, Medicaid-eligible, needs ADL assistance.
Income Limits (2025) $943/month (individual); spend-down available.
Asset Limits $2,500 (individual), $3,000 (couple).
MD

Consumer-directed option allows hiring family caregivers.

Benefits
Personal care (hours vary, typically 20-30/week) Chores Nurse supervision

Places of interest near Carriage Hill of Bethesda

Address 2.1 miles from city center Info Estimated distance in miles from Bethesda's city center to Carriage Hill of Bethesda's address, calculated via Google Maps.

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 148
Employees 148
Contractors 0
Staff to resident ratio 1.42:1
21% worse than Maryland average

Maryland average ratio: 1.81:1

Avg staff/day 61
Average shift 7.6 hours
5% worse than Maryland average

Maryland average: 8 hours

Total staff hours (quarter) 42,403
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 32
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 49
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

0%

0 contractor hours this quarter

No contractor roles were reported this quarter.

Staff by category
Certified Nursing Assistant4904917,59391100%7.4
Licensed Practical Nurse3203210,04891100%8
Clinical Nurse Specialist110113,7717684%7.7
Registered Nurse130133,06491100%8.4
Respiratory Therapy Technician8081,4118290%7.5
Physical Therapy Aide3031,1016875%7.6
Physical Therapy Assistant7071,0187582%6.8
Mental Health Service Worker2027285965%8
Speech Language Pathologist3036907279%7.1
Nurse Practitioner1015126470%8
Qualified Social Worker4045057077%4.6
Dietitian1014966268%8
Other Dietary Services Staff1014826571%7.4
Administrator1014645864%8
Physical Therapist5052481112%8
Dental Services Staff2022262831%7.1
RN Director of Nursing5054733%7.9
49 Certified Nursing Assistant
% of Days 100%
32 Licensed Practical Nurse
% of Days 100%
11 Clinical Nurse Specialist
% of Days 84%
13 Registered Nurse
% of Days 100%
8 Respiratory Therapy Technician
% of Days 90%
3 Physical Therapy Aide
% of Days 75%
7 Physical Therapy Assistant
% of Days 82%
2 Mental Health Service Worker
% of Days 65%
3 Speech Language Pathologist
% of Days 79%
1 Nurse Practitioner
% of Days 70%
4 Qualified Social Worker
% of Days 77%
1 Dietitian
% of Days 68%
1 Other Dietary Services Staff
% of Days 71%
1 Administrator
% of Days 64%
5 Physical Therapist
% of Days 12%
2 Dental Services Staff
% of Days 31%
5 RN Director of Nursing
% of Days 3%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 104
Medicare
25
24% of residents
Medicaid
35
33.7% of residents
Private pay or other
44
42.3% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 18.4
42% worse than Maryland average

Maryland average: 12.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 35.0
36% worse than Maryland average

Maryland average: 25.7

Long-stay resident measures
Below average Maryland avg: 3.8 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 37.6%
59% worse than Maryland average

Maryland average: 23.7%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 37.5%
36% worse than Maryland average

Maryland average: 27.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 29.7%
15% worse than Maryland average

Maryland average: 25.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.2%
50% better than Maryland average

Maryland average: 2.3%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 9.7%
48% worse than Maryland average

Maryland average: 6.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.0%
24% worse than Maryland average

Maryland average: 1.6%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.8%
In line with Maryland average

Maryland average: 5.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 16.5%
18% better than Maryland average

Maryland average: 20.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 14.4%
11% worse than Maryland average

Maryland average: 12.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 85.8%
7% worse than Maryland average

Maryland average: 92.0%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.4%
In line with Maryland average

Maryland average: 96.6%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.29
73% worse than Maryland average

Maryland average: 1.32

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.85
30% better than Maryland average

Maryland average: 1.21

Short-stay resident measures
Above average Maryland avg: 3.7 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 65.1%
17% worse than Maryland average

Maryland average: 78.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.4%
73% better than Maryland average

Maryland average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 76.2%
5% worse than Maryland average

Maryland average: 80.6%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 24.0%
13% worse than Maryland average

Maryland average: 21.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 8.9%
10% better than Maryland average

Maryland average: 9.9%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Maryland average

Maryland average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 48.6%
9% worse than Maryland average

Maryland average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 59.8%
18% better than Maryland average

Maryland average: 50.6%

Guides for Better Senior Living

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