Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
116
99 employees · 17 contractors · 44 on an average day Friends House Retirement Community
Nursing Home, Assisted Living, Continuing Care Retirement Community, Independent Living & Skilled Nursing · Sandy Spring, MD
CMS overall rating
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Friends House Retirement Community
Nursing Home, Assisted Living, Continuing Care Retirement Community, Independent Living & Skilled Nursing · Sandy Spring, MD
CMS overall rating
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Friends House Retirement Community accepts Medicare, Medicaid, and private pay.
Friends House Retirement Community offers nursing home, skilled nursing, assisted living, independent living, and continuing care retirement community services in Sandy Spring, MD. Nursing home and skilled nursing care provide licensed nursing care on site around the clock, while assisted living helps with daily tasks such as bathing, dressing, and medication. Independent living provides private living with community services and no daily care. Having these care levels together can allow a resident’s care to change without leaving the community.
There are 24 beds. Friends House Retirement Community may be a good fit for someone who prefers a smaller community where staff and residents can get to know each other. The starting rate is $220 per day for a private room and $180 per day for a semi-private room, so the listed difference is tied to the room type.
Payment options are Medicare, Medicaid, and private pay. Medicaid can matter when savings may not cover a long stay, while Medicare applies to short term skilled care after a hospital stay rather than long term residence. Total nurse staffing is 4h 13m per resident per day, representing the combined daily nurse time allocated to each resident.
Pets are allowed, so a resident can bring a pet to the community. Friends House Retirement Community also lists activities, ArtSpace, Community Resources, and the Elephant Shop among its programs and amenities.
Quality ratings
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.
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.
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.
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.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 25th out of 118 nursing homes we track in Maryland for nurse hours. 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.
4h 13m
This nursing home is ranked 25th out of 118 nursing homes we track in Maryland for nurse hours. 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.
4h 13mStandout metric: Physical therapist is +139% above Maryland average
1 of 6 metrics below Maryland average
Daily care time per resident, by role
Registered nurse (RN)
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. All 13 are the facility's own employees; no agency contractors work in this role.
13 staff · 7.4-hour shifts
48m
↓ 7% · MD 52mThis facility: 48m per resident per day, 7% below the Maryland average of 52m (among Maryland facilities reporting a recent figure).
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. All 13 are the facility's own employees; no agency contractors work in this role.
13 staff · 7.4-hour shiftsUS average: 43m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 43m
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 20 are the facility's own employees; no agency contractors work in this role.
20 staff · 7.9-hour shifts
57m
↑ 5% · MD 54mThis facility: 57m per resident per day, 5% above the Maryland average of 54m (among Maryland facilities reporting a recent figure).
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 20 are the facility's own employees; no agency contractors work in this role.
20 staff · 7.9-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. All 49 are the facility's own employees; no agency contractors work in this role.
49 staff · 7.1-hour shifts
2h 29m
↑ 15% · MD 2h 9mThis facility: 2h 29m per resident per day, 15% above the Maryland average of 2h 9m (among Maryland facilities reporting a recent figure).
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. All 49 are the facility's own employees; no agency contractors work in this role.
49 staff · 7.1-hour shiftsUS average: 2h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 26m
Physical therapist
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.
12m
↑ 139% · MD 5mThis facility: 12m per resident per day, 139% above the Maryland average of 5m (among Maryland facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
4h 8m
↑ 19% · MD 3h 28mThis facility: 4h 8m per resident per day, 19% above the Maryland average of 3h 28m (among Maryland facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 32m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 32m
RN, weekends
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.
Sat–Sun
46m
↑ 20% · MD 38mThis facility: 46m per resident per day, 20% above the Maryland average of 38m (among Maryland facilities reporting a recent figure).
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.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
116
99 employees · 17 contractors · 44 on an average day
116 total staff / 52 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
2.23 : 1
↑ 26% · MD 1.77This facility: 2.23 staff per resident, 26% above the Maryland average of 1.77 (among Maryland facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
116 staff ÷ 52 residents
See full Maryland ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.2 h
↓ 10% · MD 8 hThis facility: 7.2 h, 10% below the Maryland average of 8 h (among Maryland facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
29,169 staff hours this quarter
See full Maryland ranking →91.2% of staff hours were worked by the facility's own employees
Maryland average: 87.8% · Contractors this quarter: Respiratory Therapy Technician (5), Physical Therapy Assistant (4), Qualified Social Worker (3), Mental Health Service Worker (2), Physical Therapy Aide (1), Occupational Therapy Assistant (1), Medical Director (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
24
Rank #122 / 139Bed count — State benchmarked This nursing home is ranked 122nd out of 139 nursing homes we track in Maryland for bed count. Shows this facility's certified or reported bed count compared to other Maryland facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
24
Rank #122 / 139Bed count — State benchmarked This nursing home is ranked 122nd out of 139 nursing homes we track in Maryland for bed count. Shows this facility's certified or reported bed count compared to other Maryland facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Years of operating
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #27 / 41Years in operation — State benchmarked This nursing home is ranked 27th out of 41 nursing homes we track in Maryland for years in operation. Shows how long this facility has been in operation compared to other Maryland facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #27 / 41Years in operation — State benchmarked This nursing home is ranked 27th out of 41 nursing homes we track in Maryland for years in operation. Shows how long this facility has been in operation compared to other Maryland facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
20
years
Walk Score
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #155 / 160Walk Score — State benchmarked This nursing home is ranked 155th out of 160 nursing homes we track in Maryland for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Maryland facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #155 / 160Walk Score — State benchmarked This nursing home is ranked 155th out of 160 nursing homes we track in Maryland for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Maryland facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
6
/ 100
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
114
days
About This Community
Pricing & Financial Information
The below pricing was updated on
$220 - $220/Day
Semi-Private Room
$180 - $180/Day
Facility TypeAssisted Living
CountyMontgomery
Resident Council
Hospice partners Hospice providers this community works with, as listed in the Maryland Health Care Commission's consumer guide. Hospice brings end-of-life and comfort care to residents where they live.
- Holy Cross Home Care & Hospice
- Montgomery Hospice & Prince George's Hospice
Mild Alzheimer's LevelAccepts residents with mild (early-stage) Alzheimer's or dementia, who are mostly independent but need reminders and some supervision. Maryland's Health Care Commission asks each assisted living community which stages of Alzheimer's or dementia it accepts and publishes the answer; other states do not report this.
Moderate Alzheimer's LevelAccepts residents with moderate (middle-stage) Alzheimer's or dementia, who need regular help with daily activities and closer supervision. Maryland's Health Care Commission asks each assisted living community which stages of Alzheimer's or dementia it accepts and publishes the answer; other states do not report this.
Pets Allowed
Continuing Care Retirement Community (CCRC)
Elephant Shop
CMS Health Inspection History
Total health inspections
4
↓ 9% · MD 4.4This facility: 4, 9% below the Maryland average of 4.4 (among Maryland facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
19
Rank #9 / 120Health citations — State benchmarked This nursing home is ranked 9th out of 120 nursing homes we track in Maryland for health citations. Shows this facility's total health deficiency citations benchmarked to the Maryland State average, with a ranking across all 120 MD facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 63% · MD 52This facility: 19, 63% below the Maryland average of 52 (among Maryland facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
4.75
Rank #8 / 120Citations per inspection — State benchmarked This nursing home is ranked 8th out of 120 nursing homes we track in Maryland for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Maryland mean across 120 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 60% · MD 11.76This facility: 4.75, 60% below the Maryland average of 11.76 (among Maryland facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
19 of 19 citations corrected
Critical
J–L
0
↓ 100% · MD 0.4This facility: 0, 100% below the Maryland average of 0.4 (among Maryland facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · MD 0.5This facility: 0, 100% below the Maryland average of 0.5 (among Maryland facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
18
↓ 64% · MD 49.8This facility: 18, 64% below the Maryland average of 49.8 (among Maryland facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
1
↓ 23% · MD 1.3This facility: 1, 23% below the Maryland average of 1.3 (among Maryland facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: May 26, 2026 · 6 citations, all corrected
Most cited category: Resident Assessment & Care Planning, 4 of 19 citations · 9 categories in total
Citations history
Most recent first
May 26, 2026
6 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
May 14, 2025
8 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Nov 08, 2024
2 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
May 20, 2021
3 citations
Nursing Services minor citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Top deficiency categories
Share of 19 citations
Resident Assessment & Care Planning
4 deficiencies (21%)
Abuse, Neglect & Exploitation
3 deficiencies (16%)
Infection Control
2 deficiencies (11%)
Resident Rights
2 deficiencies (11%)
Quality of Life & Care
2 deficiencies (11%)
Nutrition & Dietary
2 deficiencies (11%)
Pharmacy Services
2 deficiencies (11%)
Nursing & Physician Services
1 deficiency (5%)
Environmental
1 deficiency (5%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
15 of 19 citations resulted from standard inspections; 2 of 19 resulted from complaint investigations; and 2 of 19 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Demographics Source: Maryland Health Care Commission consumer guide, as reported by the facility. Maryland is the only state that publishes resident demographics for each community. Data retrieved May 2026.
Resident demographic information for this facility.
Gender
- Female 94.1%
- Male 5.9%
Age Distribution
- 85-94 52.9%
- 95+ 23.5%
- 75-84 17.7%
- 65-74 5.9%
Ethnicity
- White 94.1%
- Asian 5.9%
Enforcement
Penalties and fines
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database · Data as of Aug 2026
8 penalties in the past 3 years
Latest: Nov 20, 2023 · $3,904 civil money penalty
Nov 20, 2023 · $3,904 civil money penalty
Nov 13, 2023 · $3,496 civil money penalty
Nov 6, 2023 · $3,208 civil money penalty
Oct 30, 2023 · $2,857 civil money penalty
Oct 23, 2023 · $2,447 civil money penalty
Oct 17, 2023 · $2,098 civil money penalty
Oct 10, 2023 · $1,810 civil money penalty
Sep 18, 2023 · $3,145 civil money penalty
Total fines
$22,965
↓ 57% · MD $53KThis facility: $22,965, 57% below the Maryland average of $53,427. Average among the 87 Maryland facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.Rank #96 / 120Federal fines — State benchmarked This nursing home is ranked 96th out of 120 nursing homes we track in Maryland for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Maryland average among facilities with fines, and where it ranks among 120 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
8
MD avg 1.56Maryland average: 1.56. Average among the 87 Maryland facilities with a penalty on record.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
MD avg 0.1Maryland average: 0.1. Average among the 87 Maryland facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Penalty history · past 3 years
Nov 20, 2023
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$3,904
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$3,904
Nov 13, 2023
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$3,496
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$3,496
Nov 6, 2023
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$3,208
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$3,208
Oct 30, 2023
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$2,857
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$2,857
Oct 23, 2023
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$2,447
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$2,447
Oct 17, 2023
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$2,098
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$2,098
Oct 10, 2023
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$1,810
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$1,810
Sep 18, 2023
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$3,145
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$3,145Fine amount comparison
This facility
$22,965
Maryland average
$53,427
US average
$67,417
Totals count every penalty on record; the history lists the past 3 years. Maryland and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Maryland average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
2
/ 5
Below average
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
17.1
Score · lower is better
↑ 55% · MD 11.0This facility: 17.1, 55% above the MD average of 11.0 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
33.3
Score · lower is better
↑ 48% · MD 22.4This facility: 33.3, 48% above the MD average of 22.4 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.11 long-stay measures: 4 better, 4 worse, 3 near MD average
3 short-stay measures: 1 better, 1 worse, 1 near MD average
Long-stay residents
People who live at the home · 11 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
32.0%
↑ 57% · MD 20.4This facility: 32.0, 57% above the MD average of 20.4 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
32.0%
↑ 57% · MD 20.4This facility: 32.0, 57% above the MD average of 20.4 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
45.5%
↑ 105% · MD 22.2This facility: 45.5, 105% above the MD average of 22.2 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
45.5%
↑ 105% · MD 22.2This facility: 45.5, 105% above the MD average of 22.2 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.3%
↓ 11% · MD 25.0This facility: 22.3, 11% below the MD average of 25.0 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.3%
↓ 11% · MD 25.0This facility: 22.3, 11% below the MD average of 25.0 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
4.5%
↑ 206% · MD 1.5This facility: 4.5, 206% above the MD average of 1.5 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
4.5%
↑ 206% · MD 1.5This facility: 4.5, 206% above the MD average of 1.5 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
2.4%
↓ 1% · MD 2.4This facility: 2.4, 1% below the MD average of 2.4 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
2.4%
↓ 1% · MD 2.4This facility: 2.4, 1% below the MD average of 2.4 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
5.0%
↓ 15% · MD 5.9This facility: 5.0, 15% below the MD average of 5.9 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
5.0%
↓ 15% · MD 5.9This facility: 5.0, 15% below the MD average of 5.9 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
0.5%
↓ 90% · MD 5.4This facility: 0.5, 90% below the MD average of 5.4 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
0.5%
↓ 90% · MD 5.4This facility: 0.5, 90% below the MD average of 5.4 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · MD 22.8This facility: 0.0, 100% below the MD average of 22.8 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · MD 22.8This facility: 0.0, 100% below the MD average of 22.8 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
16.9%
↑ 22% · MD 13.8This facility: 16.9, 22% above the MD average of 13.8 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
16.9%
↑ 22% · MD 13.8This facility: 16.9, 22% above the MD average of 13.8 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.8%
≈ 0% · MD 92.6This facility: 92.8, level with the MD average of 92.6 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.8%
≈ 0% · MD 92.6This facility: 92.8, level with the MD average of 92.6 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 3% · MD 96.6This facility: 100.0, 3% above the MD average of 96.6 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 3% · MD 96.6This facility: 100.0, 3% above the MD average of 96.6 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 3 measures
Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
1.8%
↑ 64% · MD 1.1This facility: 1.8, 64% above the MD average of 1.1 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
1.8%
↑ 64% · MD 1.1This facility: 1.8, 64% above the MD average of 1.1 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.2%
↑ 14% · MD 79.1This facility: 90.2, 14% above the MD average of 79.1 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.2%
↑ 14% · MD 79.1This facility: 90.2, 14% above the MD average of 79.1 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.7%
≈ 0% · MD 80.6This facility: 80.7, level with the MD average of 80.6 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.7%
≈ 0% · MD 80.6This facility: 80.7, level with the MD average of 80.6 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Friends House Retirement Community’s finances from its CMS cost report for the fiscal year ending June 2025, compared with 116 Maryland nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Jun 2025
Is it financially stable?
Losing money on care, and more than last year
−59.4% operating margin
−2.7 pts vs prior year
An operating loss in 8 of the last 8 reported years. Other income ($6.2M) trims the net loss to −$0.4M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends more on payroll than most Maryland homes
81.2% payroll share of revenue
MD average 47.0%Rank #8 / 116Payroll % of net patient revenue — State benchmarked This nursing home is ranked 8th out of 116 nursing homes we track in Maryland for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Maryland average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.8M while revenue rose $0.6M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2025 scorecard
Each row shows the FY 2025 figure, the change since the prior report, the trend, and how it compares with Maryland homes.
Revenue & profit
Losing money on care
| Metric | FY 2025 | vs prior year | Trend 2018 → 2025Trend | MD median | Compared with MD homesRank in MD | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $11.3M | +$0.6M | Trend 20182025 | MD median $17.7M | Rank in MD Rank #99 / 116Net patient revenue — State benchmarked This nursing home is ranked 99th out of 116 nursing homes we track in Maryland for net patient revenue. Shows this facility's net patient revenue compared to the Maryland average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 15% of homes | Below MD median Higher net patient revenue than 15% of MD homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $17.9M | +$1.2M | Trend 20182025 | MD median — | Rank in MD Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$6.7M | −$0.6M | Trend 20182025 | MD median — | Rank in MD Not ranked | Loss, widening Resident care lost money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −59.4% | −2.7 pts | Trend 20182025 | MD median — | Rank in MD Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $6.2M | — | Trend — | MD median — | Rank in MD Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$0.4M | +$0.3M | Trend — | MD median — | Rank in MD Not ranked | Loss The bottom line is below zero even after other income. |
Staffing spend
Spends more of revenue on staff than most Maryland homes
| Metric | FY 2025 | vs prior year | Trend 2018 → 2025Trend | MD median | Compared with MD homesRank in MD | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $9.1M | +$0.8M | Trend 20182025 | MD median $6.3M | Rank in MD Rank #33 / 116Payroll costs — State benchmarked This nursing home is ranked 33rd out of 116 nursing homes we track in Maryland for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Maryland average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 72% of homes | Above MD median Higher payroll than 72% of MD homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 81.2% | +2.8 pts | Trend 20182025 | MD median 40.5% | Rank in MD Rank #8 / 116Payroll % of net patient revenue — State benchmarked This nursing home is ranked 8th out of 116 nursing homes we track in Maryland for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Maryland average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 94% of homes | 34.2 pts over MD average The MD average is 47.0% of revenue. Within 3 points of it reads as near the average. |
Charts, 2018–2025 2 charts · MD benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Maryland payroll average.
% of net patient revenue
Payroll share Operating margin MD payroll average
Year-by-year data, 2018–2025 every reported year · latest first, scroll sideways
| Metric | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $9.2M | $9.4M | $9.1M | $8.1M | $9.6M | $9.5M | $10.7M | $11.3M |
| Operating expenses | $9.8M | $10.7M | $10.2M | $10.6M | $14.5M | $15.3M | $16.8M | $17.9M |
| Net patient income | −$0.5M | −$1.3M | −$1.1M | −$2.5M | −$4.9M | −$5.8M | −$6.1M | −$6.7M |
| Operating margin | −5.5% | −13.6% | −12.0% | −30.9% | −50.4% | −60.8% | −56.7% | −59.4% |
| Net income | $0.2M | −$0.6M | −$1.0M | $0.3M | −$0.9M | −$1.2M | −$0.7M | −$0.4M |
| Payroll costs | $5.5M | $5.3M | $5.5M | $4.6M | $5.9M | $6.8M | $8.4M | $9.1M |
| Payroll share of revenue | 59.8% | 56.7% | 60.0% | 56.1% | 61.2% | 71.4% | 78.4% | 81.2% |
| Beds | 105 | 106 | 106 | 106 | 106 | 106 | 106 | 106 |
| Gross revenue | $11.5M | $11.8M | $10.7M | $9.8M | $11.3M | $11.1M | $12.6M | $11.3M |
| Salaries | $4.5M | $4.3M | $4.5M | $3.7M | $5.1M | $5.9M | $7.2M | $7.8M |
| Wage-related costs | $1.0M | $1.0M | $1.0M | $0.8M | $0.8M | $0.9M | $1.2M | $1.4M |
| Contract labor | — | — | $0.7M | $0.8M | $0.8M | $0.8M | $0.9M | $0.9M |
| Other operating costs | $4.2M | $5.3M | $4.7M | $6.1M | $8.6M | $8.5M | $8.4M | $8.8M |
| Net patient revenue per day | $306 | $315 | $321 | $333 | $342 | $352 | $367 | $370 |
| Cost per day | $323 | $358 | $360 | $436 | $514 | $566 | $574 | $590 |
| Average length of stay | 96.5 days | 88.1 days | 148.0 days | 125.5 days | 116.2 days | 97.0 days | 89.6 days | 113.8 days |
Showing 2025–2023 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2025
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Arriving
215 admissions · FY2025
Residents admitted during the year.
Medicare
200 · 93%
Medicaid
10 · 5%
Private pay & other
5 · 2%
Resident snapshot
52 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
5 · 10%
Medicaid
35 · 67%
Private pay & other
12 · 23%
Leaving
213 discharges · FY2025
Residents discharged during the year.
Medicare
198 · 93%
Medicaid
10 · 5%
Private pay & other
5 · 2%
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Places of interest near Friends House Retirement Community
0.9 miles from city center
Estimated distance in miles from Sandy Spring's city center to Friends House Retirement Community's address, calculated via Google Maps.
— 8.7 miles to nearest hospital (UM Laurel Medical Center)
Calculate Travel Distance to Friends House Retirement Community
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Financial Assistance for
Retirement Community in Maryland
Friends House Retirement Community is located in Sandy Spring, Maryland.
Here are the financial assistance programs available to residents in Maryland.
Frequently Asked Questions about Friends House Retirement Community
Is Friends House Retirement Community in a walkable area?
Friends House Retirement Community has a walk score of 6. Car-dependent. Most errands require a car, with limited nearby walkable options.
What is the occupancy rate at Friends House Retirement Community?
Friends House Retirement Community's occupancy is 78.6%.
How long has Friends House Retirement Community been in business?
Friends House Retirement Community has been operating for approximately 20 years, based on available licensing and registration records.
Are pets allowed at Friends House Retirement Community?
Yes, Friends House Retirement Community allows residents to bring their pets.
Does Friends House Retirement Community operate as a for-profit or non-profit?
Friends House Retirement Community is registered as a for-profit in MD.
What is the overall rating for Friends House Retirement Community?
Friends House Retirement Community received a 5-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
How many beds does Friends House Retirement Community have?
Friends House Retirement Community has 24 beds.
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