Adelphi Nursing and Rehabilitation Center

1801 Metzerott Road · Adelphi, MD · 20783 · 3014340500

170 certified beds For profit - Limited Liability company

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 33
Serious harm & abuse 20% 100
Staffing 20% 67
Federal penalties 15% 100
Trend 10% 83
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.603.48 min · 4.1 strong
RN hours / resident-day0.440.55–0.75
Weekend hours / resident-day3.13≈ weekday level
Nursing turnover / year28%median 45%
Fines (3-yr window)none

Inspection citations (77 in the current record)

  • Potential for harm · D April 8, 2026 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected May 22, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 20, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected November 25, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D October 20, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected November 25, 2025 · Quality of Life and Care

  • Potential for harm · D October 20, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected November 25, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 11, 2025

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected April 26, 2025 · Resident Rights

  • Potential for harm · D February 11, 2025

    Ensure each resident receives an accurate assessment.

    Corrected April 26, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 11, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 26, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 11, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected April 26, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 11, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected April 26, 2025 · Quality of Life and Care

  • Potential for harm · E February 11, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected April 26, 2025 · Quality of Life and Care

  • Potential for harm · D February 11, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected April 26, 2025 · Quality of Life and Care

  • Potential for harm · E February 11, 2025

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected April 26, 2025 · Nursing and Physician Services

  • Potential for harm · D February 11, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected April 26, 2025 · Pharmacy Service

  • Potential for harm · E February 11, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 26, 2025 · Nutrition and Dietary

  • Potential for harm · D February 11, 2025

    Provide and implement an infection prevention and control program.

    Corrected April 26, 2025 · Infection Control

  • Potential for harm · D February 11, 2025

    Provide enough space and equipment to meet each resident's needs

    Corrected April 26, 2025 · Environmental

  • Potential for harm · D February 11, 2025

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

    Corrected April 26, 2025 · Environmental

  • Potential for harm · D February 11, 2025

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected April 26, 2025 · Environmental

  • Potential for harm · D February 11, 2025 · found via complaint

    Give the resident's representative the ability to exercise the resident's rights.

    Corrected April 26, 2025 · Resident Rights

  • Potential for harm · E February 11, 2025 · found via complaint

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected April 26, 2025 · Resident Rights

  • Potential for harm · D February 11, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected April 26, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 11, 2025 · found via complaint

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected April 26, 2025 · Environmental

  • Potential for harm · D February 11, 2025 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected April 26, 2025 · Resident Rights

  • Potential for harm · D February 11, 2025 · found via complaint

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

    Corrected April 26, 2025 · Resident Rights

  • Potential for harm · D February 11, 2025 · found via complaint

    Plan the resident's discharge to meet the resident's goals and needs.

    Corrected April 26, 2025 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 215064 · certified since December 17, 1968. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.