Mirador estimate
    $6,090/month

    AlfredHouse Elder Care, Inc

    18110 Cashell Rd, Rockville, MD, 20853
    4.6 · 27 reviews
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    3.0

    Caring staff but inconsistent management

    I have mixed feelings. The little home is clean, well-furnished and intimate (about 8 residents), with 24/7 personalized, caring caregivers, nice rooms, and overall a home-like feel - my parent thrived and the food and attention were often excellent. However, I also experienced troubling lapses: rude/unstable management, dietary restrictions ignored, limited memory-care options in a separate building, and staff who seemed overworked and lacked dementia and regulatory knowledge, leading to inconsistent care. I'd recommend it only with caution - great for personalized end-of-life care if you confirm memory-care expertise, dietary handling, and state compliance first.

    Pricing

    $6,090+/moSuiteAssisted Living

    Schedule a Tour

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Hospice waiver
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Telephone
    • Wifi

    Memory care community services

    • Dementia waiver
    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

    4.59 · 27 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.3
    • Staff

      4.3
    • Meals

      2.8
    • Amenities

      3.3
    • Value

      4.6

    Pros

    • Clean and well-maintained facility
    • Updated, efficiently designed spaces
    • Spacious, home-like rooms
    • Well-furnished rooms and nice bathrooms
    • Pleasant dining area and kitchen/eating area
    • Good or very good food (reported by multiple reviewers)
    • Activities offered (some report twice daily)
    • Friendly, caring, and attentive caregivers
    • Accommodating staff who keep families informed
    • Available house manager and supportive management
    • Personalized, family-like 24/7 care
    • Intimate, small-group setting (about 8 residents)
    • Safe environment with good cleanliness and safety
    • Supportive long-term care and end-of-life suitability
    • Flexible staff and individualized attention
    • Residents reported thriving and enjoying activities
    • Strong recommendations from many families
    • Spanish-language positive feedback (muy limpio, recomendado)
    • Located in Olney–Rockville area (convenient local reputation)

    Cons

    • Reports of subpar or poor care in some cases
    • Inconsistent adherence to dietary restrictions
    • Some reviewers reported cheap/poor-quality food
    • Allegations of no activities or inadequate stimulation
    • Rude or unhelpful management reported by some
    • Lack of dementia knowledge among some staff
    • Alleged non-compliance with state regulations
    • Perceived staff incompetence in certain cases
    • Staff appear overworked, underpaid, or unhappy
    • Inconsistent care quality between residents
    • Limited memory-care room options
    • Memory care housed in a separate building (disliked by some)

    Summary review

    Overall sentiment across reviews for AlfredHouse Elder Care, Inc. is predominantly positive but with a notable cluster of serious negative reports. Many reviewers describe the home as clean, updated, and efficiently designed, with spacious, well-furnished rooms and pleasant bathrooms. The facility is frequently characterized as small and intimate (around eight residents), creating a home-like atmosphere that several families found comforting. Multiple reviewers praise the grounds and the general safety and cleanliness of the environment, and several strongly recommend the facility for long-term and end-of-life care. There are repeated accounts of 24/7 personalized attention, caregivers who are kind and attentive, and management that is accessible and communicative for families.

    Care quality is a mixed theme. A large number of reviews describe high-quality, compassionate care: staff help with meals, bathing, and medications; residents are described as thriving and happy; families report being kept informed and reassured. Several long-term residents and their relatives explicitly state they were very pleased and that expectations were exceeded. However, a separate and troubling subset of reviews allege subpar care: instances where dietary restrictions were not followed, inadequate stimulation or lack of activities, and what reviewers describe as cheap or poor-quality food. These negative accounts are fewer in number but serious in nature because they relate directly to resident wellbeing and nutrition.

    Staff and management receive both praise and criticism. Positive comments emphasize friendly, compassionate caregivers, a fantastic tour guide, available house management, and staff who ‘‘step up to the plate.’’ Many describe the staff as flexible, supportive, and professional. Conversely, other reviews allege rude management, staff incompetence, and a lack of necessary knowledge—particularly regarding dementia care and nutrition. There are repeated statements that staff are overworked, underpaid, or miserable, which reviewers link to inconsistent care. This contrast suggests variability in staff performance or possible turnover, and indicates that experiences may depend heavily on which staff members are on duty and the specific needs of the resident.

    Facilities, setting, and amenities are generally viewed positively. Reviewers repeatedly call the facility clean, safe, and home-like, with good communal dining areas and a pleasant layout. The small size is seen as an advantage by many families because it allows individualized attention. At the same time, some practical limitations were mentioned: memory-care options are limited and memory care is located in a separate building, which a few reviewers disliked. There is also at least one complaint about the lack of a gym/exercise facility.

    Dining and activities show inconsistency across reviews. Several families praise the food as very good and the dining area as nice. Activities are noted by some reviewers as occurring twice daily and being enjoyed by residents. Yet other reviewers say there are no meaningful activities or stimulation and describe the food as low quality. Additionally, at least one reviewer alleges dietary restrictions were not honored. These opposing comments point to variability in programming and meal preparation that may depend on staffing, management practices, or changes over time.

    Regulatory, dementia-care, and compliance concerns stand out as the most serious negative patterns. Some reviewers explicitly allege non-compliance with state regulations and insufficient dementia knowledge among staff. These are serious claims that, even if limited in number, warrant careful follow-up by prospective families. Given the mixed feedback—many families are highly satisfied while a minority report serious problems—the pattern suggests inconsistent experiences rather than uniform quality. The discrepancies may reflect differences in residents’ needs (for example, higher-acuity dementia care vs general elder care), variable staff expertise, or episodic staffing/management problems.

    In summary, AlfredHouse is frequently described as a clean, intimate, and compassionate small facility with many satisfied families who highlight individualized, 24/7 care, good food, and strong staff-family communication. However, there are non-trivial reports of poor care, dietary and activity shortcomings, management rudeness, staff knowledge gaps (especially around dementia and nutrition), and alleged regulatory non-compliance. These contrasting themes indicate that while the facility can and does provide excellent, family-like care for many residents, there is also a risk of inconsistent experiences. Prospective families—especially those seeking dementia-specific care or strict dietary accommodations—should tour the facility, ask about memory care logistics, staffing levels and training, recent state inspections or complaint histories, how dietary restrictions are managed, and observe day-to-day activities and meal service before making a placement decision.

    Location

    Map showing location of AlfredHouse Elder Care, Inc

    About AlfredHouse Elder Care, Inc

    AlfredHouse Elder Care, Inc has several small senior homes in Rockville, Silver Spring, Potomac, Bethesda, and Olney, and the communities feel homey and warm, with each setting offering a safe and secure place for up to eight residents at a time. Staff help out with everyday needs like dressing, bathing, transfers, and medication management, and there's always someone on hand, since the caregiver ratio is one caregiver for every four residents and the nurses and support team are around 24/7. The buildings are all single-story, which means folks with wheelchairs or walkers can get around more easily, and families are welcome to visit whenever they want, which gives a comforting, open feeling. Each location includes furnished rooms, many with private bathrooms, telephone access, and welcoming community spaces where residents can chat, read, or enjoy a movie night. Meals are prepared by a chef and served in the dining room according to a schedule, but there's also the option for all-day dining and special menus for different needs, and housekeeping, linen, laundry, and even dry-cleaning are included. Residents can also spend time in gardens or try out natural therapies like aromatherapy, hydrotherapy, or therapy swings, or simply relax on the wrap-around porch or walking paths.

    AlfredHouse Elder Care, Inc specializes in memory care for those with Alzheimer's, dementia, or other cognitive losses, providing both BCAT Certified Memory Care and individualized plans. There's a strong focus on safety, as all staff get certified training and both 24/7 emergency alerting and security features are built in. The homes are designed for people who may need help with daily life but don't always need full-time nursing, though there are also on-site medical directors, visiting geriatric specialists, wellness therapists, and BCAT-certified staff for more complex needs. The care team offers support with mobility, chronic illnesses, and behavior issues, as well as palliative and hospice waiver care, with all care customized around each resident's health and comfort. Transportation and parking are available, and outings are scheduled regularly by the in-house recreation director, with trips to the theater or parks, along with daily activities and fitness sessions in the community rooms or garden spaces. Respite care is available for short or temporary stays, including a "Return Home Stronger" program that helps people leave the hospital, rehab, or a nursing home safely.

    Unlike some larger places, each AlfredHouse community stays small and personal, so it's easier to know each staff member and neighbor, and the family-owned business has over 30 years of experience running homes this way, always keeping a strong commitment to dignity, independence, and open communication, and striving for an environment where every resident has meaningful, daily experiences.

    People often ask...

    Nearby Communities

    • Exterior view of a large, multi-story senior living facility building at dusk with lights on inside. In the foreground, there is a landscaped area with a sign that reads 'Legend Personal Care Memory Care' and the number 425. The building has multiple windows and a sloped roof.
      $5,725 – $7,442+4.3 (30)
      Semi-private • 1 Bedroom • Studio
      assisted living, memory care

      Legend at Silver Creek

      425 Lambs Gap Rd, Mechanicsburg, PA, 17050
    • Exterior view of a senior living facility named Legend of Lititz showing the main entrance with a covered drop-off area, landscaped greenery, and a clear blue sky.
      $3,575 – $5,270+4.1 (130)
      1 Bedroom • 2 Bedroom
      independent, assisted living, memory care

      Legend of Lititz

      80 W Millport Rd, Lititz, PA, 17543
    • Exterior front view of a large three-story senior living facility building with beige siding and stone accents, a red roof, multiple windows, balconies, a driveway with a stop sign, landscaped greenery, and parked cars under a clear blue sky.
      $2,730 – $4,895+4.4 (139)
      Studio • 1 Bedroom • 2 Bedroom
      continuing care retirement community

      Merrill Gardens at West Chester

      1201 Ward Ave, West Chester, PA, 19380
    • Covered entrance to a brick building with glass double doors, two chairs on either side, potted plants, and greenery around the entrance.
      $2,214 – $3,800+4.4 (137)
      Semi-private • Studio • 1 Bedroom
      independent, assisted living, memory care

      Exton Senior Living

      600 N Pottstown Pike, Exton, PA, 19341
    • Exterior view of a single-story building with beige siding, white trim, and a red roof. The building features multiple windows and a small tower-like structure with a conical roof. The foreground includes a stone retaining wall, green shrubs, and trees partially framing the view.
      $3,925+4.0 (146)
      suite
      independent, assisted living, memory care

      Truewood by Merrill, Glen Riddle

      263 Glen Riddle Rd, Glen Riddle, PA, 19063
    • Front exterior of a multi-story senior living building at sunset with lit windows, a driveway, and landscaped lawn.
      $2,600 – $3,380+4.1 (77)
      Semi-private • Studio
      assisted living, memory care

      Sunrise of Paoli

      324 Lancaster Ave, Malvern, PA, 19355

    Assisted Living in Nearby Cities

    1. 166 facilities$5,079/mo
    2. 99 facilities$5,030/mo
    3. 157 facilities$4,993/mo
    4. 208 facilities$5,054/mo
    5. 264 facilities$5,163/mo
    6. 211 facilities$5,117/mo
    7. 282 facilities$5,143/mo
    8. 148 facilities$4,940/mo
    9. 71 facilities$4,928/mo
    10. 167 facilities$4,963/mo
    11. 112 facilities$5,089/mo
    12. 70 facilities$4,994/mo
    © 2025 Mirador Living