Friends Nursing Home
Friends Nursing Home
3.8 (33 reviews)
Skilled Nursing Facility • 82 Licensed Beds
Part of a CCRC
17340 Quaker Lane, Sandy Spring, MD
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
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Friends Nursing Home

Skilled Nursing Facility • 82 Licensed Beds
Part of a CCRC
17340 Quaker Lane,
Sandy Spring, MD
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

Friends Nursing Home – Medicare Certified Since 1990

Friends Nursing Home is a Medicare and Medicaid certified skilled nursing facility located in Sandy Spring, Maryland. This facility has been serving the community for 36 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.

This facility is part of a Continuing Care Retirement Community (CCRC), which offers a continuum of care on a single campus—from independent living to assisted living to skilled nursing care. CCRC residents often have priority access to the skilled nursing facility and can transition between levels of care as their needs change without having to relocate to a new community.

This facility has 82 certified beds with a current occupancy rate of 81% (averaging 66 residents per day), which is moderate. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.

Staffing Levels: Based on CMS payroll data, this facility provides approximately 3.89 hours of total nursing care per resident per day (2.31 hours from CNAs, 0.92 hours from LPNs, 0.66 hours from RNs). Physical therapy staffing is 0.22 hours per resident per day.

Medicare Quality Ratings: According to CMS, Friends Nursing Home has an overall quality rating of 5 out of 5 stars, which is much above average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 4 stars, staffing: 5 stars, quality measures: 4 stars.

Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.

Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.

Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.

Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.

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Local Comparison Snapshot

How Friends Nursing Home compares to 42 facilities in Silver Spring-Frederick-Rockville, MD

Click a measure name to jump to details • Hover over for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
5
3.4
Quality Measures
Clinical outcomes & safety
4
4.1
Health Inspections
State survey results
4
3.1
Staffing
Nurse-to-resident ratio
5
3.2
Staffing Hours (per resident/day)
RN Hours
Registered nurses
0.66 hrs
0.78 hrs
LPN/LVN Hours
Licensed practical nurses
0.92 hrs
0.95 hrs
CNA Hours
Certified nursing assistants
2.31 hrs
2.08 hrs
Total Nursing Hours
CNA + LPN + RN combined
3.90 hrs
3.82 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
0 %
2.4 %
LPN/LVN Agency Use
% of LPN hours from contractors
0 %
4.2 %
CNA Agency Use
% of CNA hours from contractors
0 %
4.9 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
20 %
32 %
Occupancy Rate
Percentage of beds filled
81 %
83 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$431
$457
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
Better than Area
Near Average
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 42 facilities in Silver Spring-Frederick-Rockville, MD.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

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Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of December 2025

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
5/5
Quality Measures
4/5
Health Inspections
4/5
Staffing
5/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 42 other nursing homes in Silver Spring-Frederick-Rockville, MD

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
Friends Nursing Home
Silver Spring-Frederick-Rockville, MD Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

Friends Nursing Home
Silver Spring-Frederick-Rockville, MD Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

Friends Nursing Home
Silver Spring-Frederick-Rockville, MD Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

Friends Nursing Home
Silver Spring-Frederick-Rockville, MD Average

Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of December 2025

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
139
minutes/day
CNAs
Certified Nursing Assistants
55
minutes/day
LPNs
Licensed Practical Nurses
40
minutes/day
RNs
Registered Nurses
13
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LPNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
Friends Nursing Home
Silver Spring-Frederick-Rockville, MD Average (83.3%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of December 2025

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Average Daily Rate

Average daily charge for care at this facility

Based on CMS Cost Report data (inpatient revenue ÷ total patient days)

FY 2023 Daily Rate
$431
per resident per day
Compared to 42 facilities in your area
Below local median ($457)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.

Financial Health

Comprehensive financial indicators from CMS Cost Reports

Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)

Nonprofit Facility Part of CCRC

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
-57% 0% Below
Net Income
Annual profit or loss
$-707,175 $374,914.5 Below
Staff Cost per Resident
Daily salary expense per resident
$245/day $156/day Higher
Occupancy Rate
Bed utilization percentage
81% 83% Lower
Est. Daily Rate
Average revenue per patient day
$431/day $457/day Lower
Total Beds
Licensed bed capacity
82 122 Smaller

Local comparisons based on 42 skilled nursing facilities in the Silver Spring-Frederick-Rockville, MD metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$10,699,389
Operating Expenses
Total operating costs
$16,765,349
Total Salaries
Staff compensation
$7,156,136
Contract Labor
Agency & temp staff
$909,290

Payer Mix

Medicare
23%
Medicaid
47%
Private Pay & Other
30%

Operating Margin Trend (2018-2023)

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.

Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.

Who Stays Here

Breakdown of residents by payment type

Based on fiscal year 2023 cost report data

Total Days
29,185
Medicare
Short-term skilled nursing
23%
Medicaid
Long-term care residents
47%
Private Pay / Other
Self-pay, insurance, VA
30%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
89.58
days
Medicare Stays
27.71
days
Medicaid Stays
728.74
days
Total Admissions
262
Total Discharges
274
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Services

Comprehensive skilled nursing services, rehabilitation programs, and medical care in SANDY SPRING

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SANDY SPRING, MD
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SANDY SPRING, MD
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Reviews

3.8 (33 reviews)
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Donna Stocker's profile photo
Donna Stocker 9 months ago

My 86 year old mom who suffers from dementia was at Friends House Rehabilitation/Nursing Home for six weeks after breaking her hip. What a wonderful place! I cannot say enough about the staff. Nurse Dora was so sweet and patient. She had a calming disposition and was easy to talk to. All the nursing aides who cared for her were kind and gentle.The physical therapy/occupational therapy department was amazing. Teresita, Linda and staff went out of their way to work with my mom. The in house physician Dr. Kim was very thorough and explained all aspects of her care and treatments. Everyone made sure she was as comfortable as possible during her stay. I would highly recommend Friends House!

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ng rea 5 months ago

On the third day of our heatwave my A/C stopped working. I called the front desk about 3:30. Within minutes Dorwick was at my cottage to assess the situation. He told me Nicholas would be by after he finished another job. He asked if I wanted some fans (I have fans). At 4:00 Nicholas was enduring the extreme heat next to the south facing wall, where the metal was probably hot enough to burn. He diagnosed compressor failure. He said he would order parts and be back in the morning and asked if I needed fans. He looked hot enough that I was worried about his health. Today Nicholas was back early and I had functioning A/C before 10:00 AM. In this kind of heatwave, if I had been a homeowner I would not have been able to get that kind of fast service. Thank you FH Maintenance!

Nick Porter's profile photo
Nick Porter 7 months ago

I recently had the pleasure of attending the Friends House Wellness Expo—what a special event! The variety of vendors was truly impressive, ranging from home care to acupuncture, massage therapy, mobile prescriptions, and mental health services. Catia and Marie thought of everything—from shuttle services to a delicious homemade lunch. There was even a free sound bath demo! It was such a fantastic resource for the community, and I’m grateful to have been a part of the festivities. Not all communities go the extra mile to showcase such meaningful support for their residents the way Friends House does. Truly inspiring!

Judy Stanfield's profile photo
Judy Stanfield 6 months ago

I moved in two months ago and was warmly welcomed and included in community events. I quickly felt as though I belonged here - centered and calm and peaceful. Almost everyone I've met, whether it be staff or residents, has been friendly and kind. The sense of community is quite strong and I can take part in it just as much as I want and just as I am. I'm so grateful!

Stephanie Dickson's profile photo
Stephanie Dickson 10 months ago

Friends House Retirement/Rehabilitation Facility was the perfect fit for my 84-year-old mother's recovery from knee replacement surgery. The nurses, occupational and physical therapists, doctor, nurses' head, activity directors, food delivery staff, nutritionist, and cleaning crew were all very caring, friendly, and willing to assist in various ways. They are well-staffed, experienced, and consistent. With a bright attitude, this facility is clean and sunny. The admissions director, Chris T., was excellent throughout the admission process, answering questions before and during the stay. The phone was my constant communication with her while I was out of state. At Friends House, I felt confident in the care she received. During my mother's 10-week stay, the slower pace and relaxed atmosphere suited her perfectly. The physical therapy and occupational therapy gave her the rehab she needed to make her way home. Activities were provided to keep her engaged, filling her schedule, time, and enjoyment throughout her stay. Friends House in Sandy Springs, Maryland, is located in a serene part of Maryland and offered us exactly what we needed and did not disappoint. ANOTHER GREAT EXPERIENCE, when she went back again! (after the second knee replacement, the following year). Friends House Rehabilitation Facility provides exceptional care, making it our top choice for my mother's rehabilitation following her second knee replacement at the age of 85. Once again, Friends House demonstrated its commitment to quality care through its skilled nursing staff, dedicated doctor who visits weekly, nursing aides, physical therapists, occupational therapists, facility director, Chris Trump, and countless other employees who make this facility exceptional. Each professional plays an integral role in fostering a caring and supportive environment that promotes recovery. Located near the serene town of Olney, Maryland, the facility offers a peaceful setting that adds to the healing process. Friends House delivers consistent care from the moment a patient arrives, executing a well-organized rehabilitation plan designed to help patients regain mobility and independence. The staff encourages patients through frequent evaluations and personalized goals, ensuring they feel supported and motivated throughout their recovery. Having trusted Friends House for my mother's second stay, I once again, experienced peace of mind knowing she was receiving exceptional care. The staff’s professionalism and dedication were evident in everything they did. Additionally, I was impressed by the positive work environment, where the staff genuinely seemed to enjoy their roles. During my visits, I encountered many happy and engaged employees, which speaks to the facility’s positive atmosphere. The facility also offers activities that keep patients' minds and bodies active, tailored to each individual's abilities and preferences. Often, when I called, she couldn't talk then because she was occupied and engaged. As I was unable to be the primary caregiver due to living out of state, I am incredibly grateful for the outstanding care my mother received at Friends House. I wholeheartedly recommend this facility for anyone seeking high-quality rehabilitation care.

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