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.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
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.