CCN 215164 · Montgomery County, Maryland

Shady Grove Nursing and Rehabilitation Center

9701 Medical Center Drive, Rockville, MD 20850

Shady Grove Nursing and Rehabilitation Center is a 154-bed for-profit nursing home in Rockville, Maryland, first certified for Medicare or Medicaid in 1987. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 139.2 residents a day, about 90% of its certified beds. HUD's healthcare database shows an FHA-insured Section 232 loan for a project matching this facility, most recently $9.1 million in December 2006 (223(f) refinance or purchase), and none of them appears in HUD's active-loan file.

Facility facts

Certified beds
154
Average residents per day
139.2 (90.4% of beds)
Ownership type
For profit - Limited Liability company
Certification
Medicare and Medicaid
Legal business name
Shady Grove SNF LLC
Certified since
Jun 5, 1987
Chain or affiliated group
Lifeworks Rehab (64 facilities, chain average 2.1 stars)
Location
Urban

Ratings and staffing

Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.

MeasureThis facilityMaryland medianUS median
Overall rating3 of 5State spread: 33 at 1, 43 at 2, 46 at 3, 43 at 4, 54 at 5
Health inspections2 of 5
Quality measures5 of 5
Staffing3 of 5
Total nurse hours per resident per day3.603.603.68
RN hours per resident per day0.670.700.58
Weekend nurse hours per resident per day3.29
Nursing staff turnover30.6%41.5%44.9%
Occupancy (residents / beds)90.4%89.0%85.7%
Fines reported by CMS1 totaling $8,278
Health deficiencies, latest standard survey25 (May 8, 2026)

HUD 223(f) Express Lane: the CMS part

HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Shady Grove Nursing and Rehabilitation Center meets that part today: 3 stars overall, 2 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.

Who owns and operates it

These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.

NameRoleShareSince
Thunder Health Holdco LLCOrganizationDirect Ownership Interest100%07/01/2018
Rma Equity LLCOrganizationIndirect Ownership Interest10%07/13/2023
Birnbaum, IsraelIndividualIndirect Ownership Interest37%05/01/2021
Kohn, AvrohomIndividualIndirect Ownership Interest10%08/01/2018

Changes of ownership

EffectiveBuyerSeller
Aug 1, 2018Shady Grove SNF LLC9701 Medical Center Drive Operations LLC

HUD Section 232 loans

HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.

EndorsedProgramOriginal amountStatusFHA number
Dec 19, 2006223(f) refinance or purchaseHUD project name: Shady Grove Adventist Nursing and Rehab Center, 170 beds. Lender at endorsement: Capstone Realty Advisors$9,079,900Ended Nov 30, 2010Prepayment00022014

Watch this facility

Get one email when the monthly CMS or HUD files show a change at Shady Grove Nursing and Rehabilitation Center: a new owner, operator or lender of record, a change of ownership, a new overall star rating, or a change to its HUD loan.

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Sources and dates

Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.

SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.