23 Chain-Owned Nursing Homes in Montgomery County, Maryland

Nurse hours

3.08 /day

Staff turnover

48%

Serious cites

0

Sterling Care Bethesda runs 200 certified beds under for-profit LLC ownership, and its staffing numbers are the main thing to know. At 3.08 nurse hours per resident day, it sits about 20% under the national average of 3.86, and weekends dip roughly 12% below its own weekday levels, gaps families often notice on Saturdays and Sundays. Turnover is 47.9%, slightly above the 45.8% national figure. Its record shows 38 deficiencies, none at harm or jeopardy level, but three tied to abuse. Inspections are current as of April 2026, and quality measures score well even as staffing lags. Worth asking about weekend coverage directly.

Nurse hours

3.30 /day

Staff turnover

65%

Serious cites

0

Fox Chase Healthcare runs on 3.30 nurse hours per resident day, about 14% under the national average, and weekend coverage dips roughly 7% below what it manages on weekdays. Staff turnover sits at 64.5% against a national average of 45.8%, meaning close to two-thirds of the nursing staff left within a year. The inspection record shows 65 deficiencies, four tied to abuse, though none rose to the harm or jeopardy level, and the most recent inspection was March 2025. State inspectors rated the home one star for health inspections. A for-profit limited liability company owns its 87 certified beds.

Nurse hours

3.46 /day

Staff turnover

38%

Serious cites

0

Special Focus Facility

Layhill runs 3.46 nurse hours per resident per day, about ten percent under the national average, and weekends drop roughly sixteen percent below its own weekday staffing. The inspection record is the bigger problem: 103 deficiencies, three at harm or jeopardy level and nine tied to abuse, plus two fines totaling $153,596. A recent inspection in February 2026 means that record is current, not old. Turnover at 38.1% is actually better than the 45.8% national figure, so the issue isn't retention so much as thin coverage and a long, serious citation history at this for-profit LLC.