AlfredHouse Elder Care, Inc

    18110 Cashell Rd, Rockville, MD 20853
    • Assisted Living
    • Memory Care

    Intimate, compassionate care; mother thriving

    My mother lived here about 1.5 years and I'm very pleased with the high-quality, family-like care. The intimate eight-resident home is clean, safe, and homey with spacious rooms, pretty grounds, very good food, and twice-daily activities; staff provide attentive 24/7 help with meals, bathing, and medications and keep families informed. Management and caregivers are compassionate and flexible-mom is thriving, and I recommend this Olney-Rockville facility.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    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

    Reviews

    4.59·(27)

    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, updated interior
    • Spacious, well-furnished resident rooms
    • Private, well-appointed bathrooms
    • Home-like small-facility setting
    • Pleasant outdoor grounds
    • Dedicated, compassionate caregiving staff
    • Attentive 24/7 personalized care
    • Responsive house manager and family communication
    • Scheduled social activities and engagement
    • Home-style meal offerings
    • Safety-focused environment
    • Suitable for long-term and end-of-life care

    Cons

    • Inconsistent clinical care quality
    • Gaps in dietary and nutrition management
    • Insufficient dementia-specific training and practices
    • Regulatory compliance and documentation
    • Low staff morale and compensation
    • Staffing shortages and overwork affecting care consistency
    • Variable activity programming and resident stimulation
    • Limited memory-care capacity and layout flexibility
    • Limited on-site exercise/gym facilities
    • Management communication and responsiveness concerns

    Summary of reviews

    The reviewer summaries describe a small, home-like facility with many physical strengths: clean, updated interiors; spacious, well-furnished rooms; private bathrooms; and attractive grounds. Multiple accounts emphasize a close, intimate environment—an eight-resident scale in some descriptions—that supports individualized attention. Several families and residents praise compassionate, attentive caregivers who provide round-the-clock assistance with personal care, medications, and meals, and who convey a strong family-style approach to long-term and end-of-life care.

    At the same time, the feedback shows notable variability in operational performance. While some families describe high-quality, home-style dining and regular social programming, others cite inconsistent food quality and failures to honor dietary restrictions. Activity offerings are similarly mixed: a number of residents participate in scheduled activities and appear engaged, whereas other accounts indicate limited stimulation or inconsistent programming. These contrasts suggest that daily resident experience can depend on staffing and shift-level practices.

    Clinical and regulatory concerns are a recurring theme in the critical summaries. Patterns described include inconsistent clinical care practices, gaps in dietary and nutrition management, and limited dementia-specific knowledge among staff. Reviewers also raised concerns about documentation and compliance with state regulations. These items point to potential weaknesses in clinical oversight, staff training, and policy enforcement rather than isolated physical-plant issues.

    Staffing and management practices appear to contribute to variability. Many comments highlight caring, flexible staff and an available house manager who communicates with families; concurrently, there are concerns about low staff morale, undercompensation, and overwork. Such workforce pressures can undermine consistency in caregiving, activities, and dietary accommodations. Management communication receives mixed marks as well—some families find managers responsive, while others describe concerns about tone and responsiveness.

    Facilities and amenities are generally viewed positively for a small residential model: tidy common areas, an efficient layout, and a secure, safe atmosphere. However, limitations include constrained memory-care room options and the absence of dedicated exercise/gym facilities, which may matter for residents with more intensive activity or therapy needs.

    For prospective residents and families, the pattern is mixed but distinct: AlfredHouse Elder Care offers a clean, intimate, and often compassionate environment that many families value for personalized, long-term, or end-of-life care. At the same time, there are operational traits that merit targeted inquiry before placement—specifically, ask about dementia-specific training, current staffing levels and turnover, how dietary restrictions are implemented, regulatory compliance and documentation practices, and the consistency of activity programming. Observing a typical shift, meeting direct-care staff, and requesting written care plans and dietary protocols can help assess whether the facility’s strengths align with an individual resident’s needs.

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    Location

    Map showing location of AlfredHouse Elder Care, Inc

    AlfredHouse Elder Care, Inc is located at 18110 Cashell Rd, Rockville, MD, 20853.

    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...

    AlfredHouse Elder Care, Inc offers competitive pricing, with rates starting at a cost of $6,090 per month.

    AlfredHouse Elder Care, Inc offers assisted living, memory care, and board and care.

    There are 30 photos of AlfredHouse Elder Care, Inc on Mirador.

    The full address for this community is 18110 Cashell Rd, Rockville, MD 20853.

    No, AlfredHouse Elder Care, Inc does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Maryland, the Department of Health's Office of Health Care Quality licenses assisted living programs and publishes the results of its surveys and complaint investigations.

    License number246
    Facility typeAssisted Living Level 3
    Capacity16 residents
    EffectiveJanuary 1st, 2002
    Special certificationAlzheimer's Care: Mild, Moderate, Severe
    View the official license record

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of AlfredHouse Elder Care, Inc. The information above has not been verified or approved by the owner or operator. For exact information, please contact AlfredHouse Elder Care, Inc directly. There is no cost for this service. We are compensated by the community you select.

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