1/5
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.
1/5
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.
Peak Healthcare at Fox Chase is a skilled nursing facility that offers seniors a comfortable and accessible home in Silver Spring, Maryland. The nursing staff at Peak Healthcare at Fox Chase are exceptional, always providing residents with the highest level of care and attention. The facility is kept spotlessly clean, and residents can take comfort in knowing that their well-being is the top priority. It is fully handicap accessible, ensuring that residents with mobility issues have the support they need to get around.
Pets are welcome in this home as well, allowing residents to keep their beloved furry friends close by. With 27 hospitals located within 25 miles of the facility, including Holy Cross Hospital and Adventist Healthcare, residents can access top-notch medical care whenever they need it. In addition to exceptional care, Peak Healthcare at Fox Chase also offers an activity center and housekeeping services, allowing residents to focus solely on their health and well-being.
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.
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.
This home is ranked 50th out of 125 homes 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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.
| 28m per day | ▼ 45% State avg: 50m per day · National avg: 41m per day |
|
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.
| 47m per day | ▼ 14% State avg: 54m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 2h 3m per day | ▼ 5% State avg: 2h 10m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
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 5m per day | ▼ 11% State avg: 3h 29m per day · National avg: 3h 26m per day |
|
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.
| 8m per day | ▲ 70% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
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.
| 20m per day | ▼ 46% State avg: 37m per day · National avg: 29m per day |
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.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
23% fewer staff per resident than Maryland average
10% worse than Maryland average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 4 RN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursAssists with medical care and medications.
All 20 LPN Staff are full-time employees. No contractors work on this role.
20
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursHelps with daily care and mobility.
All 41 CNA Staff are full-time employees. No contractors work on this role.
41
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 41 | 0 | 41 | 13,318 | 92 | 100% | 7.3 |
| Licensed Practical Nurse | 20 | 0 | 20 | 4,829 | 92 | 100% | 8.1 |
| Registered Nurse | 4 | 0 | 4 | 1,398 | 89 | 97% | 7.1 |
| Clinical Nurse Specialist | 7 | 0 | 7 | 1,095 | 92 | 100% | 8.5 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 917 | 65 | 71% | 7.3 |
| Qualified Social Worker | 2 | 0 | 2 | 694 | 77 | 84% | 6.5 |
| Administrator | 2 | 0 | 2 | 503 | 66 | 72% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 495 | 66 | 72% | 7.5 |
| Other Dietary Services Staff | 2 | 0 | 2 | 427 | 60 | 65% | 7.1 |
| Dietitian | 1 | 0 | 1 | 420 | 56 | 61% | 7.5 |
| Mental Health Service Worker | 2 | 0 | 2 | 418 | 60 | 65% | 6 |
| Physical Therapy Aide | 3 | 0 | 3 | 338 | 73 | 79% | 3.4 |
| RN Director of Nursing | 1 | 0 | 1 | 192 | 27 | 29% | 7.1 |
| Therapeutic Recreation Specialist | 2 | 0 | 2 | 189 | 38 | 41% | 4.8 |
| Medical Director | 1 | 0 | 1 | 52 | 13 | 14% | 4 |
| Dental Services Staff | 1 | 0 | 1 | 17 | 5 | 5% | 3.5 |
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 Jan 2026)
21% higher than Maryland averageMaryland average: $61K
33% fewer fines than Maryland averageMaryland average: 1.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Maryland averageMaryland average: 0.1
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.6
49% better than Maryland averageMaryland average: 12.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.5
51% better than Maryland averageMaryland average: 25.7
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
8.9%
63% better than Maryland averageMaryland average: 23.7%
Percent of long-stay residents whose ability to move independently worsened
9.5%
66% better than Maryland averageMaryland average: 27.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.3%
26% better than Maryland averageMaryland average: 25.9%
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
46% better than Maryland averageMaryland average: 2.3%
Percent of long-stay high risk residents with pressure ulcers
8.3%
28% worse than Maryland averageMaryland average: 6.5%
Percent of long-stay residents with a urinary tract infection
1.3%
21% better than Maryland averageMaryland average: 1.6%
Percent of long-stay residents who lose too much weight
5.2%
11% better than Maryland averageMaryland average: 5.8%
Percent of long-stay residents who have depressive symptoms
13.5%
33% better than Maryland averageMaryland average: 20.2%
Percent of long-stay residents who received an antipsychotic medication
9.1%
30% better than Maryland averageMaryland average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
41.6%
55% worse than Maryland averageMaryland average: 92.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
44.8%
54% worse than Maryland averageMaryland average: 96.6%
Number of hospitalizations per 1,000 long-stay resident days.
3.79
187% worse than Maryland averageMaryland average: 1.32
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.98
146% worse than Maryland averageMaryland average: 1.21
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
22.7%
71% worse than Maryland averageMaryland average: 78.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
22% better than Maryland averageMaryland average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
10.7%
87% worse than Maryland averageMaryland average: 80.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.8%
12% worse than Maryland averageMaryland average: 21.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.2%
43% worse than Maryland averageMaryland average: 9.9%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Maryland averageMaryland average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
55.6%
In line with Maryland averageMaryland average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
33.7%
33% worse than Maryland averageMaryland average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
35% of new residents, usually for short-term rehab.
34% of new residents, often for short stays.
30% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
66Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Peak Healthcare at Fox Chase from 2011–2022, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2022 — the home's most recent complete cost report, an older period than most facilities report.
Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 12/2022. This is an older period than most facilities report, so compare with that in mind.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #121 / 126Payroll — State benchmarkedThis home is ranked 121st out of 126 homes in Maryland for payroll. Shows total annual staff payroll benchmarked to the Maryland average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Maryland that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #92 / 126Payroll % — State benchmarkedThis home is ranked 92nd out of 126 homes in Maryland for payroll %. Shows payroll as a percentage of revenue versus the Maryland average. Well-run Maryland facilities typically land around 49–55% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Maryland that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
New residents most often arrive under Medicare (35% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.6 miles from city center
Estimated distance in miles from Silver Spring's city center to Peak Healthcare at Fox Chase's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the MD Dept. of Health (OHCQ), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Bedford Court, a CCRC | NH AL HOS IL MC RC SNF | Silver Spring (International Drive) | 76
Facility
76
MD AVG
42
Rank
#174 / 685 | - | - | 4.81
Facility
4.81
MD AVG
3.77
Rank
#15 / 125 | -36% | +27% | $0
Facility
$0
MD AVG
$65.0k
Rank
#1 / 127 | 23
Facility
23
MD AVG
49.9
Rank
#17 / 127 | 7.7
Facility
7.7
MD AVG
12.8
Rank
#30 / 127 | - | 43 | - |
64
Facility
64
MD AVG
43
Rank
#261 / 985 | Welltower Opco Group LLC | $23.1MFiscal year ending 12/2023
Facility
$23.1MFiscal year ending 12/2023
MD AVG
$18.7M
Rank
#35 / 126 | $10.0MFiscal year ending 12/2023
Facility
$10.0MFiscal year ending 12/2023
MD AVG
$6.5M
Rank
#38 / 126 | 43.1%Fiscal year ending 12/2023
Facility
43.1%Fiscal year ending 12/2023
MD AVG
38.5%
Rank
#99 / 126 | 215246 | ||||
| Complete Care at Springbrook | NH HOS PC RC SNF | Silver Spring | 93
Facility
93
MD AVG
42
Rank
#142 / 685 |
83.9%
Facility
83.9%
MD AVG
80.3
Rank
#61 / 97 | +4% | 2.77
Facility
2.77
MD AVG
3.77
Rank
#123 / 125 | -72% | -27% | $0
Facility
$0
MD AVG
$65.0k
Rank
#1 / 127 | 33
Facility
33
MD AVG
49.9
Rank
#40 / 127 | 6.6
Facility
6.6
MD AVG
12.8
Rank
#15 / 127 | 1 | 78 | A+ |
36
Facility
36
MD AVG
43
Rank
#563 / 985 | - | $10.5M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$10.5M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MD AVG
$18.7M
Rank
#95 / 126 | $5.1M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$5.1M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MD AVG
$6.5M
Rank
#116 / 126 | 48.9%*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
48.9%*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MD AVG
38.5%
Rank
#108 / 126 | 215052 | ||||
| Althea Woodland Nursing Home | NH HOS MC RC SNF | Silver Spring (Montgomery Knolls) | 50
Facility
50
MD AVG
42
Rank
#213 / 685 |
95.0%
Facility
95.0%
MD AVG
80.3
Rank
#15 / 97 | +18% | 3.79
Facility
3.79
MD AVG
3.77
Rank
#42 / 125 | -3% | 0% | $0
Facility
$0
MD AVG
$65.0k
Rank
#1 / 127 | 29
Facility
29
MD AVG
49.9
Rank
#27 / 127 | 7.3
Facility
7.3
MD AVG
12.8
Rank
#23 / 127 | - | 48 | - |
12
Facility
12
MD AVG
43
Rank
#802 / 985 | Toni Meyer | $6.3MFiscal year ending 12/2023
Facility
$6.3MFiscal year ending 12/2023
MD AVG
$18.7M
Rank
#120 / 126 | $2.5MFiscal year ending 12/2023
Facility
$2.5MFiscal year ending 12/2023
MD AVG
$6.5M
Rank
#125 / 126 | 40.3%Fiscal year ending 12/2023
Facility
40.3%Fiscal year ending 12/2023
MD AVG
38.5%
Rank
#115 / 126 | 215228 | ||||
| Autumn Lake Healthcare at Oakview | NH PC RC SNF | Silver Spring (Wheaton) | 138
Facility
138
MD AVG
42
Rank
#55 / 685 |
88.0%
Facility
88.0%
MD AVG
80.3
Rank
#45 / 97 | +10% | 3.74
Facility
3.74
MD AVG
3.77
Rank
#50 / 125 | -53% | -1% | $0
Facility
$0
MD AVG
$65.0k
Rank
#1 / 127 | 60
Facility
60
MD AVG
49.9
Rank
#92 / 127 | 20.0
Facility
20.0
MD AVG
12.8
Rank
#111 / 127 | - | 121 | - |
29
Facility
29
MD AVG
43
Rank
#638 / 985 | Oakview Holdco LLC | $16.0MFiscal year ending 12/2023
Facility
$16.0MFiscal year ending 12/2023
MD AVG
$18.7M
Rank
#76 / 126 | $2.2MFiscal year ending 12/2023
Facility
$2.2MFiscal year ending 12/2023
MD AVG
$6.5M
Rank
#67 / 126 | 13.7%Fiscal year ending 12/2023
Facility
13.7%Fiscal year ending 12/2023
MD AVG
38.5%
Rank
#42 / 126 | 215338 | ||||
| Peak Healthcare at Fox Chase | NH SNF | Silver Spring (Rock Creek Gardens) | 87
Facility
87
MD AVG
42
Rank
#156 / 685 |
80.8%
Facility
80.8%
MD AVG
80.3
Rank
#65 / 97 | +1% | 3.74
Facility
3.74
MD AVG
3.77
Rank
#50 / 125 | -69% | -1% | $0
Facility
$0
MD AVG
$65.0k
Rank
#1 / 127 | 73
Facility
73
MD AVG
49.9
Rank
#108 / 127 | 14.6
Facility
14.6
MD AVG
12.8
Rank
#88 / 127 | 2 | 70 | - |
66
Facility
66
MD AVG
43
Rank
#240 / 985 | Summit Hills MD Holdco LLC | $8.8M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$8.8M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MD AVG
$18.7M
Rank
#118 / 126 | $2.7M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$2.7M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MD AVG
$6.5M
Rank
#121 / 126 | 30.1%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
30.1%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
MD AVG
38.5%
Rank
#92 / 126 | 215197 |
Peak Healthcare at Fox Chase is located in Silver Spring, Maryland.
Here are the financial assistance programs available to residents in Maryland.
Peak Healthcare at Fox Chase is in the Rock Creek Gardens neighborhood.
Peak Healthcare at Fox Chase has a walk score of 66. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Peak Healthcare at Fox Chase's occupancy is 89.8%.
No, Peak Healthcare at Fox Chase has a no-pet policy.
Peak Healthcare at Fox Chase is registered as a for-profit.
Yes — there are 4 photos of Peak Healthcare at Fox Chase in the photo gallery on this page.
Peak Healthcare at Fox Chase is located at 2015 East-West Hwy, Silver Spring, MD 20910.
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