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VIERRA COMMUNITIES

Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency across a group says more about an operator than any single building.

Homes

3

States

2

Beds

430

Avg score

76

Avg turnover

41%

Federal fines

$66,996

All 3 homes

B

82/100

Carriage Hill Bethesda

Bethesda, MD · Montgomery County

CMS 3/5108 bedsFor-profitMedicaid
Nurse hours
3.97 /day
Staff turnover
25%
Serious cites
0

Carriage Hill Bethesda runs 108 beds under for-profit LLC ownership, and the staffing numbers are its strongest card: 3.97 nurse hours per resident day, a bit above the national average, with turnover at 24.5%, roughly half the national rate. That kind of retention usually means consistent caregivers who know the residents. The catch is weekends, when hours drop about 11% below the weekday level, so coverage isn't evenly spread across the week. The inspection record shows 43 deficiencies, none at harm or jeopardy level, but five tied to abuse, worth asking about directly. A recent March 2026 inspection means the picture is current.

B

82/100

Vierra Falls Church

Falls Church, VA · Fairfax County

CMS 2/5160 bedsFor-profitMedicaid
Nurse hours
4.01 /day
Staff turnover
33%
Serious cites
0

Vierra Falls Church runs 160 certified beds under individual for-profit ownership, and its nurse staffing sits at 4.01 hours per resident day, roughly 4% above the national average of 3.86. Weekend coverage, though, drops about 12% below its own weekday level, so care thins out when families tend to visit. Annual turnover is 33.1%, well under the national 45.8%, which suggests a steadier crew than most. The record shows 32 deficiencies, but none at the harm or jeopardy level and none abuse-related. One thing to weigh: the last inspection was August 2022, so that clean harm record is now several years old.

C

64/100

St. Elizabeth Rehabilitation & Nursing Center

Baltimore, MD · Baltimore City County

CMS 3/5162 bedsFor-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
67%
Serious cites
0

St. Elizabeth runs 3.98 nurse hours per resident day, slightly above the national average, but that cushion thins on weekends, staffing drops about 14% from weekday levels. The bigger issue is turnover: 66.7% of staff leave each year versus 45.8% nationally, which makes consistent care hard to maintain. Inspectors have cited 43 deficiencies, including three at the harm or jeopardy level and six tied to abuse, with $66,996 in fines on record. The last inspection was February 2026, so the picture is current. Quality measures score well, but a for-profit LLC with that turnover and those deficiency numbers is a real risk for families weighing placement.