Solomons Nursing and Rehab Center
13325 Dowell Road · Solomons, MD · 20688 · 4103260077
95 certified beds For profit - Corporation Chain: Green Tree Healthcare Management
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $188,013 in fines in the last 24 months.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$188,013 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.64 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.65 | 0.55–0.75 |
| Weekend hours / resident-day | 3.18 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | 7 · $225,946 |
Inspection citations (32 in the current record)
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Potential for harm · D January 16, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 26, 2026 · Quality of Life and Care
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Potential for harm · E March 4, 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 March 14, 2025 · Resident Rights
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Potential for harm · E March 4, 2025 · found via complaint
Have enough outside ventilation via a window or mechanical ventilation, or both.
Corrected March 14, 2025 · Environmental
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Immediate jeopardy · K August 29, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 17, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G August 29, 2024 · found via complaint
Provide appropriate foot care.
Corrected October 17, 2024 · Quality of Life and Care
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Potential for harm · D August 29, 2024
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Corrected October 17, 2024 · Resident Rights
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Potential for harm · D August 29, 2024
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected October 17, 2024 · Resident Rights
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Potential for harm · D August 29, 2024
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 November 21, 2024 · Resident Rights
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Potential for harm · D August 29, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected November 27, 2024 · Resident Rights
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Potential for harm · D August 29, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected October 17, 2024 · Quality of Life and Care
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Potential for harm · D August 29, 2024
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected October 17, 2024 · Nursing and Physician Services
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Potential for harm · E August 29, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected November 27, 2024 · Nutrition and Dietary
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Potential for harm · E August 29, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 17, 2024 · Nutrition and Dietary
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Potential for harm · E August 29, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 29, 2024
Provide and implement an infection prevention and control program.
Corrected October 17, 2024 · Infection Control
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Potential for harm · D August 29, 2024
Keep all essential equipment working safely.
Corrected October 17, 2024 · Environmental
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Potential for harm · D August 29, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected October 17, 2024 · Resident Rights
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Potential for harm · D August 29, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 29, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 17, 2024 · Quality of Life and Care
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Potential for harm · D August 29, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 17, 2024 · Quality of Life and Care
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Potential for harm · D August 29, 2024 · found via complaint
Give the resident's representative the ability to exercise the resident's rights.
Corrected October 17, 2024 · Resident Rights
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Potential for harm · D August 29, 2024 · found via complaint
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected October 17, 2024 · Resident Rights
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Potential for harm · D August 29, 2024 · found via complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected October 17, 2024 · Resident Rights
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Potential for harm · E August 29, 2024 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected October 17, 2024 · Resident Rights
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Potential for harm · E August 29, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 27, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 29, 2024 | Fine | $188,013 |
| February 20, 2024 | Fine | $4,938 |
| February 12, 2024 | Fine | $4,938 |
| January 22, 2024 | Fine | $13,674 |
| January 8, 2024 | Fine | $3,798 |
| January 2, 2024 | Fine | $3,176 |
| December 11, 2023 | Fine | $7,409 |
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 215270 · certified since November 16, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.