14519 Manor Park Drive, Rockville, MD 20853
For more information about senior living options: (866) 208-4318
ALFred House IV Costs & Pricing
At ALFred House IV, the monthly costs for various room types present a competitive alternative to both Montgomery County and the broader state of Maryland. A private room is priced at $4,100, which is notably lower than Montgomery County's average of $5,009 while remaining modestly above the state's average of $4,112. For those considering semi-private accommodations, ALFred House IV offers a rate of $4,600 - slightly higher than Montgomery County's average of $4,337 but significantly more than Maryland's lower average of $3,545. The one-bedroom option at ALFred House IV is set at $6,500, exceeding both county and state averages; however, it reflects the premium nature of the facility's offerings. Lastly, their studio units are priced at $10,000 per month, standing out against both local and state figures that are considerably lower (Montgomery County at $5,542; Maryland at $4,656). Overall, while ALFred House IV may have higher rates in some categories - particularly for studios - it offers compelling value and amenities that may justify the investment for many prospective residents.
| Floor plans | ALFred House IV | Montgomery County | Maryland |
|---|---|---|---|
| Private | $4,100 | $5,009 | $4,112 |
| Semi-Private | $4,600 | $4,337 | $3,545 |
| 1 Bedroom | $6,500 | $4,842 | $3,904 |
| Studio | $10,000 | $5,542 | $4,656 |
Overall Review of ALFred House IV
Pros
The Alfred House staff are compassionate and caring.- The facility is elegant and sophisticated, with a 1:4 caregiver ratio and a central Rockville location.
- One reviewer rated the staff exceptionally highly, giving them 20 out of 10.
- A tour of the community was pleasant, with the surroundings clean and the staff kind and helpful.
Cons
The reviewer reports numerous issues within AlfredHouse. - The reviewer notes the manager (the founder's son) shows limited to no interest in the mom's needs from day one.
- There was no care plan review.
- Dietary needs were promised by the marketing director but not addressed after admission, requiring the reviewer to provide them at their own expense.
- The caregiver acted as she pleased, endangering the mom's health.
- Complaints to the assisted living manager were not received well, and he became hostile.
- He yelled at the reviewer over the phone, saying AlfredHouse could not meet the mom's needs and advising to hire a personal aide and move her.
- It is disgraceful that such services could not be provided for 6K/month; the money buys the cheapest quality food, incompetence, and zero engagement beyond the TV.
- Costs are grossly underestimated, and the organization skims on care to line its own pockets.
- Caregivers do all cooking and housework, leaving no time to engage with residents.
- The organization has no understanding of dementia and provides no appropriate training.
- They urge everyone to avoid AlfredHouse at all costs.
Review
ALFred House IV in Rockville is best suited for families who want a refined, intimate setting and believe in the value of hands-on, attentive caregiving. The facility presents itself as elegant and centrally located, with a 1:4 caregiver ratio that promises meaningful resident contact. In the best moments, staff dedication is highlighted by an experienced RN who praises the team’s compassion, creating an impression that residents can receive genuine, individualized attention when operations run smoothly. This is a community that rewards families willing to participate in oversight and advocate for tailored care plans.
That said, there are clear reasons some families should look at alternatives. The most troubling feedback centers on management performance and organizational stability. Multiple reviews report hostile interactions from leadership, insufficient attention to care planning, and a pervasive sense that the home’s promises do not consistently translate into practice. In several accounts, dietary needs, regular toileting support, and proper medication administration were either not addressed or required family intervention at considerable personal expense. For families seeking predictable, well-documented care and a transparent billing structure, these dynamics are a strong signal to explore other options.
On the upside, the 1:4 caregiver ratio is not just a statistic; it translates into more hands-on contact than in many comparable communities. When staff are engaged, residents can receive closer supervision, more routine assistance, and quicker response times. A few reviews describe a facility ambiance that feels polished and calm, with clean surroundings and courteous initial encounters during tours. That combination, personal attention within a sophisticated setting, can matter a lot for residents who value dignity, companionship, and a safer daily routine.
Yet the most consequential concerns dwarf these positives. Reports of limited nursing oversight, scant dementia training, and care plans that never materialize into a consistent, resident-specific program raise serious safety and quality questions. If caregivers are left to improvise care, or if administrative staff cannot translate a resident’s dietary and medical needs into enforceable practice, the risk to vulnerable residents grows quickly. The perception that care quality is sacrificed to reduce costs, such as relying on staff to perform cooking and housekeeping duties at the expense of meaningful resident engagement, adds a layer of frustration for families expecting a higher standard.
Weighing the pros against the cons shows a clear pattern: the strongest value propositions, close caregiver contact and a reassuring, refined environment, only deliver when management and program systems are dependable. When the system falters, even a slightly elevated care ratio cannot compensate for missed care plans, inconsistent nursing oversight, and a leadership tone that feels unreceptive to family concerns. Families who are prepared to vigilantly monitor, insist on documented care plans, and step in to coordinate diet and medications may still extract meaningful benefit from the staff’s goodwill. Others, especially those with complex medical or dementia needs, will likely see the gaps as too consequential to accept.
Bottom line: ALFred House IV is a high-potential choice for families willing to invest in rigorous oversight and proactive advocacy. It can deliver a respectful, intimate setting with attentive caregivers, but only if leadership and operations are consistently aligned with resident needs. For those who cannot commit to that level of supervision, or who require steady, transparent care planning and robust dementia-specific oversight, alternatives will offer greater peace of mind. In short, choose ALFred House IV if a family intends to partner closely with staff to shape individualized care and is comfortable navigating occasional management challenges; seek another option if reliability, structured care plans, and clear governance are non-negotiables.
6 resident community capacity
Assisted Living
Board and Care Home
Memory Care
Skilled Nursing Facility
Air-conditioning
Bath tubs
Cable or satellite TV
Dining room
Full kitchen
Fully furnished
Garden
Ground floor units
Handicap accessible
Housekeeping services
Laundry
Move-in coordination
Outdoor space
Private
Private patio, deck, or balcony
Respite or short term stays offered
Telephone
Wheelchair accessible showers
Wi-Fi/high-speed internet available
Ronald Reagan Washington National (17 miles away)
Transportation & parking
24-hour supervision
Activities of daily living assistance
Ambulatory care
Assistance with bathing
Assistance with dressing
Assistance with transfers
Diabetes diet
Diabetic care
High acuity care
Incontinence care
Meal preparation and service
Medication management
Physical therapy
Special dietary restrictions
Transportation arrangement (medical)
Art classes
Brain fitness
Cards / pinochle club
Cooking club
Fitness programs
Games
Live musical performances
Religious services
Stories
Stretching classes
Visiting Rabbi
Visiting chaplain or priest
Delving into the Inner World of Dementia: Insights into Thoughts and Awareness
Five Subtle Dementia Indicators to Observe: An In-Depth Guide to Understanding “Does My Mom Have Dementia?”
Dementia, Paranoia, and Caregiver Guidance: Understanding the Connection
