Solomons Nursing and Rehab Center
13325 Dowell Road, Solomons, MD 20688 · Calvert County · (410) 326-0077
95 certified beds, about 95 residents a day · For profit - Individual · Medicare and Medicaid since 1994
Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 215270 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 2, 2026, inspectors cited 18 health deficiencies (the Maryland average is 17, the national average 9.2).
Of 50 health citations since September 2019, 3 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 7 fines totaling $225,946 in the last three years; the largest was $188,013, and the latest is dated August 29, 2024.
Nurses and nurse aides worked 3.58 hours per resident per day, against 3.87 across Maryland and 3.86 nationally. Registered nurses accounted for 0.60 of those hours.
53.0% of nursing staff left within the year CMS measured (Maryland average 40.2%).
CMS links it to Green Tree Healthcare Management, an affiliated group of 4 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
309/19
2408/24
203/25
101/26
1802/26
207/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 50 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
1K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
35D
9E
2F
Potential for minimal harm
0A
1B
0C
July 10, 2026Complaint inspection · 2 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review and staff interviews, the facility failed to ensure that the supervision and behavioral interventions implemented for Resident #11 were sufficient to prevent a resident-to-resident altercation. This was evident for 1 of 2 residents reviewed for accidents (Resident #11) and resulted in harm to Resident #9.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and staff interviews, the facility failed to ensure the Quarterly Minimum Data Set (MDS) assessment accurately reflected Resident #11's wandering and behavioral symptoms for 1 of 1 resident reviewed for MDS accuracy (Resident #11).
February 2, 2026Standard inspection · 18 citations
- F Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observations and interviews with facility staff, it was determined that the facility failed to ensure that meals were delivered to residents at safe and palatable temperatures. This was evident for 1 (Resident #6) out of 1 resident during test tray and tray service line temperature observations. This practice has the potential to affect all residents who receive meals prepared by the facility.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations and interviews with facility staff, it was determined that the facility failed to store food in a manner consistent with professional standards for food service safety. This was evident in 2 of the 3 kitchen observations conducted during the recertification survey.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interviews and record reviews it was determined that the facility failed to maintain residents dignity. This was evident for 2 (Resident #9 and #69) out of 2 residents observed for dignity and privacy during the recertification survey.
- D 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.
Inspectors wroteBased on observations and interviews it was determined that the facility failed to ensure Resident rooms and laundry room were kept in a clean homelike environment. This was found to be evident for 3 (Resident #7, #17, & #91) out of 9 Resident rooms and 1 out of 1 soiled laundry room observed for a clean homelike environment during the re-certification survey.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record review and facility staff interview, it was determined that the facility failed to ensure the resident/resident representative received the completed bed hold notification form in writing. This was evident for 1 (Resident #101) of 2 residents reviewed for transfers during the annual recertification survey.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on interviews and record review it was determined that the facility failed to ensure a resident was invited and provided quarterly care plan meetings. This was evident for 2 (Resident # 7 and #61) out 2 Residents reviewed for care plan meetings during the recertification survey.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation and interviews it was determined that the facility failed to provide services that met professional standards of practice. This was found to be evident for 2 (Resident #5& #1) out of 2 Resident reviewed for professional standards of practice during the complaint survey.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interviews and record reviews it was determined that the facility failed to ensure Activities of Daily Living (ADL) were provided to a Resident in a timely manner. This was found to be evident for 1 (Resident #84) out of 1 Resident reviewed for ADL care during the recertification survey.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interviews and record review, the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice. This was found to be evident by 1 (Resident #13) out of 1 resident reviewed for quality of care.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, record review, and interview, it was determined that the facility failed to ensure that a resident with pressure ulcers received necessary treatment and services consistent with professional standards of practice to promote healing and prevent the development of new pressure ulcers. This was evident for 1 (Resident #13) out of 1 resident reviewed for pressure ulcers.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, interviews with facility staff, and medical record review, it was determined that the facility failed to provide respiratory care consistent with professional standards. This was evident for 2 (Residents #16 and #26) out of 2 residents reviewed for respiratory care during the recertification survey process.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation and interviews, it was determined the facility failed to ensure medications were accurately reconciled. This was evident for 1 of 2 medication carts observed during the annual recertification survey.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation and interviews, it was determined the facility failed to ensure medications were properly stored and wasted. This was evident for 1of 2 medication carts and 1 of 1 medication storage rooms observed during the annual recertification survey.
- D Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observations, record review and interviews it was determined that the facility failed to provide a therapeutic diet as ordered. This was found to be evident for 1 (Resident#1) out of 1 Resident reviewed for therapeutic diet during the recertification survey.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on medical record reviews and interviews it was determined that the facility failed to ensure medical records were accurate. This was evident for 1 (Resident #69) of 20 residents reviewed for accurate medical record documentation.
- D Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on record reviews and interviews it was determined that the facility failed to have a designated Interdisciplinary Team (IDT) member for their hospice services. This was found to be evident for 1 (Resident #7) out of 1 Resident reviewed for hospice services during the recertification survey.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interviews and record review it was determined that the facility failed to ensure staff practiced infection control. This was found to be evident for 2 (Resident #9 and #69) out of 2 Residents observed for infection control during the recertification survey.
- D Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Inspectors wroteBased on interview and record review it was determined that the facility failed to ensure education was provided to staff for the current Covid-19 vaccinations. This was found to be evident for 110 out of 110 staff employed at the facility reviewed for infection control during the recertification survey.
January 16, 2026Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview, record review, facility document review, and facility policy review, the facility failed to assess, document, and notify the physician, oncoming staff, and the responsible party of a fall for 1 (Resident #2) of 3 sampled residents reviewed for falls.
March 4, 2025Complaint inspection · 2 citations
- E 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.
Inspectors wroteBased on observation and interview with facility staff, it was determined that the facility failed to maintain a homelike environment in resident rooms. This was evident for 7 of 7 resident rooms reviewed during the environmental survey.
- E Have enough outside ventilation via a window or mechanical ventilation, or both.
Inspectors wroteBased on observation and interview with facility staff, it was determined that the facility failed to ensure that resident bathrooms had effective mechanical ventilation. This was evident for 5 of 7 resident rooms reviewed during the environmental survey.
August 29, 2024Standard inspection, Complaint inspection · 24 citations
- K Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on resident and staff interviews, review of facility grievance logs, and resident medical records it was determined that the facility failed to protect residents from physical and verbal abuse. This finding was evident for 3 out of 9 residents (#58, #291, and # 18) reviewed for abuse. The Maryland Office of Health Care Quality (OHCQ) determined that this concern met the Federal definition of Immediate Jeopardy, and the facility was notified in writing of this determination at 6:00 PM on 8/23/24. The facility submitted an abatement plan to remove the immediacy while surveyors were on site. The abatement plan was accepted by the OHCQ at 11:30 PM on 8/23/24.
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation and interview with residents and facility staff, it was determined that the facility failed to ensure that food was delivered to residents at an appropriate and palatable temperature. This was evident for 1 out of 1 observation of test tray temperatures. This practice has the potential to affect all residents who eat food prepared by the facility.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview with facility staff, it was determined that the facility failed to store food in a manner that maintains professional standards of food service safety. This practice had the potential to affect all residents who eat the food prepared in the facility's kitchen.
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interview with staff, it was determined that the facility failed to maintain complete and accurate medical records in accordance with acceptable professional standards. This was evident for 3 (Resident #64, Resident #34, and Resident #44) out of 56 resident records reviewed during the annual survey.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, interview with staff, and record review it was determined that the facility failed to: 1) ensure a resident has a call bell within reach and is able to use it if desired and, 2) provide reasonable accommodations for a resident to assist with mobility. This was evident for 1 (Resident #44) observed during a tour of the facility and 1 (Resident #300) out of 2 residents reviewed for accommodations.
- D 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.
Inspectors wroteBased on observations and interviews it was determined that the facility failed to ensure information related to the Resident's [NAME] of Rights, including but not limited to the name and contact information of the Maryland's Long-Term Care Ombudsman program and a statement informing residents that they may file a complaint with Maryland's Survey Agency concerning any suspected violation of state or federal nursing facility regulation, was posted in easily viewed and accessible locations. This was found to be evident on all units/halls with resident care areas.
- D Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Inspectors wroteBased on observation and interview, it was determined that the facility staff failed to display the results of the annual recertification survey and plan of correction in a place readily accessible to residents, family members, and legal representatives. This was evident in 1 of 1 survey results book posted in the facility.
- D 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.
Inspectors wroteBased on record review and interview with staff, it was determined that the facility failed to have a system in place to ensure that copies of the resident's Advanced Directives have been obtained and maintained in the resident's medical record. This was evident for 3 (Resident # 8, #70 and #291) out of 4 residents reviewed for Advanced Directives.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on medical record review and interview it was determined that the facility failed to provide written transfer notice to the resident and/or the responsible representative. This was found to be evident for 2 (Resident #8 and #20) of 2 residents reviewed for Hospitalizations.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review, and interview it was determined that the facility failed to: 1) conduct care plan meetings after each Resident Assessment, 2) hold quarterly care plan meetings for residents, and 3) failed to include interventions for a resident's activity care plan. This was found evident in 3 (Resident #290, #8, and #72) out of 4 residents reviewed for care planning.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on record review, interview, and observation it was determined that the facility failed to provide necessary services to maintain good personal hygiene for dependent Residents. This was found evident in 2 (#291 & #45) out of 8 Residents reviewed for Activity of Daily Living (ADL) cares.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record facility policy review, and interviews, it was determined that the facility failed to: 1) adequately document responses to treatment of skin conditions and 2) provide 2-person assistance to ensure resident safety during transfers. This was found evident for 2 (Resident #291 an #29) of 4 residents reviewed for wounds and resident- assisted transfers.
- D 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.
Inspectors wroteBased on surveyor observation, review of medical records and interview of facility staff, it was determined that the facility failed to provide appropriate treatment to maintain an individual's limited range of motion. This finding was evident for 1 (Resident# 6) of 1 resident reviewed for range of motion.
- D 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.
Inspectors wroteBased on review of the daily staffing sheets and interviews with staff, it was determined that the facility failed to have a Registered Nurse (RN) providing services for at least 8 consecutive hours a day, 7 days a week. This was found to be evident 4 out of 19 days reviewed for sufficient and competent nursing staff during the annual survey.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on medical record review, observation and interview, it was determined that the facility failed to provide a safe, sanitary environment to prevent the development and transmission of disease and infection. This was evident for 2 (Resident #72 and Resident # 22) out of 56 residents observed for Infection Control.
- D Keep all essential equipment working safely.
Inspectors wroteBased on observation and interview with staff, it was determined that the facility failed to ensure that the walk-in freezer was in safe operating condition that prevented ice build-up including ice frozen to the floor. This was found to be evident for the walk-in freezer in the kitchen.
- G Provide appropriate foot care.
Inspectors wroteBased on record review, review of hospital records, and interviews, it was determined that the facility failed to provide adequate treatment for an identified foot concern that resulted in harm to the resident. This was found evident in 1 (Resident # 296) out of 1 resident reviewed for foot care.
- E 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.
Inspectors wroteBased on record review, and interviews it was determined that the facility failed to make an effort to resolve residents' grievances. This was found to be true for 2 of 2 grievances for Resident #58, 1 of 1 grievance for Resident #18, and 6 out of 8 grievances for Resident #291.
- E Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on medical record review, resident interview and staff interview it was determined that facility staff failed to: 1) ensure that residents' allegations of theft were reported to in a timely manner and 2) respond to and report allegations of abuse. This was evident for 5 (Resident #68, Resident #42 and Resident #291, Resident #58, and Resident #18) of 10 residents reviewed for timely reporting and abuse.
- E Respond appropriately to all alleged violations.
Inspectors wroteBased on record review, review of the facility's investigation files, and interviews it was determined that the facility failed to complete a thorough investigation and maintain the records of their investigation. This was found evident for 6 (Resident #291, #283, #58, #18, #28 and #38) out of 10 residents investigated for abuse.
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review and interviews it was determined that the facility failed to provide routine administration of medications timely. This was found evident in 1 (Resident # 298) of 5 residents reviewed for medication administration.
- D Give the resident's representative the ability to exercise the resident's rights.
Inspectors wroteBased on record review, and interview it was determined that the facility failed to notify the Resident's health care Responsible Party (RP) of a change to the Resident's plan of care. This was found evident in 1 (Resident #290) of 4 Residents reviewed for care planning.
- D Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Inspectors wroteBased on record review, and interview it was determined that the facility failed to inform a Resident's Responsible Party (RP) in advance of a change in the residents' plan of care. This was found evident in 1 (Resident #285) of 10 residents reviewed for Resident Rights.
- D Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on interviews and family council meeting minutes, it was determined that the facility failed to demonstrate their prompt response and rationale on concerns from the family council group. This was evident for 5 of the 7 months of family council meeting minute notes reviewed.
September 13, 2019Standard inspection · 3 citations
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on review of resident medical records and interview with facility staff, it was determined that the facility failed to ensure that drug regimen reviews performed by a consulting pharmacist identified irregularities in residents' medication regimens. This was evidenced by a resident with an order for an as-needed psychotropic medication that was not time-limited being cleared without medication irregularities for the four reviews that took place since the psychotropic was prescribed. This was evident for 1 (Resident #56) of 5 residents reviewed for unnecessary medications. Psychotropic medications affect a person's mental state or mood, and include antipsychotics and antianxiety medication, as well as, other categories of medication. [...]
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on review of resident medical records and interview with facility staff, it was determined that the facility failed to ensure that residents' drug regimens remained free of unnecessary psychotropic medication. This was evident for 1 (Resident #56) of 5 residents reviewed for unnecessary medications. Psychotropic medications affect a person's mental state or mood, and include antipsychotics and antianxiety medication, as well as other categories of medication. Because elders are particularly susceptible to the effects of psychotropic medicaiton, federal regulation prohibits the use of psychotropic medication in nursing homes that is deemed unnecessary. This includes the use of psychotropic medication used on an as-needed basis for longer than a 14-day trial period without due explanation for such use.
- B Post nurse staffing information every day.
Inspectors wroteBased on observation and interview with facility staff, it was determined that the facility failed to ensure that nurse staffing data was posted daily. This was evident for nurse staff information posted in both nursing units.
Fire safety inspections
38 fire safety citations on file: 12 on February 2, 2026, 20 on August 29, 2024, 6 on September 13, 2019.
Every fire safety citation38 citations
- F Conduct testing and exercise requirements.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Provide properly protected cooking facilities.
- D Install corridor and hallway doors that block smoke.
- D Ensure proper usage of power strips and extension cords.
- D Have proper medical gas storage and administration areas.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Provide properly protected cooking facilities.
- F Install a fire alarm system that can be heard throughout the facility.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Install proper backup exit lighting.
- E Have proper medical gas storage and administration areas.
- D Meet other general requirements.
- D Have properly located and lighted "Exit" signs.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- D Install corridor and hallway doors that block smoke.
- D Meet other general requirements that are deficient.
- E Provide properly protected cooking facilities.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Install corridor and hallway doors that block smoke.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Ensure proper usage of power strips and extension cords.
Fines and payment denials
| Date | Penalty | Amount or 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 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Maryland | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.58 | 3.87 | 3.86 |
| Registered nurses | 0.60 | 0.84 | 0.69 |
| All nursing staff on weekends | 3.10 | 3.47 | 3.42 |
| Nurse aides | 2.24 | ||
| Licensed practical nurses | 0.74 | ||
| Nursing staff turnover (share who left in a year) | 53.0% | 40.2% | 45.8% |
| Registered nurse turnover | 61.1% | 38.7% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.09 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.77 on weekdays and 3.10 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 14.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.54 in April to June 2025 to 3.58 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.58 | 0.60 | 3.77 | 3.10 | 14.3% | 0 of 90 | 95 |
| Oct to Dec 2025 | 3.64 | 0.65 | 3.82 | 3.18 | 5.8% | 0 of 92 | 90 |
| Jul to Sep 2025 | 3.36 | 0.67 | 3.49 | 3.03 | 6.9% | 0 of 92 | 94 |
| Apr to Jun 2025 | 3.54 | 0.81 | 3.72 | 3.10 | 9.2% | 0 of 91 | 89 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Maryland, Jan to Mar 2026 | 3.73 | 0.74 | 3.88 | 3.34 | 8.0% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Maryland | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 17.3 | 20.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.6 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.9 | 2.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.4 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.3 | 22.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 9.5 | 5.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.5 | 13.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.5 | 21.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.1 | 9.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.2 | 1.8 |
Owners and operators
Legal business name: SOLOMONS SKILLED NURSING CENTER LLC. CMS links this home to Green Tree Healthcare Management, a group of 4 nursing homes averaging 2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Hermisol Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 09/01/2020 |
| Stern, Aharon | 5% or greater indirect ownership interest | Individual | 25% | 12/31/2023 |
| Stern, Aharon | Corporate director | Individual | 09/01/2020 | |
| Stern, Simon | Corporate director | Individual | 09/01/2020 | |
| Stern, Simon | Operational/managerial control | Individual | 09/01/2020 | |
| 10-26 Nationwide Tr | Adp of the SNF | Organization | 09/01/2020 | |
| Mendlowitz, Moshe | Adp of the SNF | Individual | 09/01/2020 | |
| Stern, Aharon | Adp of the SNF | Individual | 09/01/2020 | |
| Stern, Simon | Adp of the SNF | Individual | 09/01/2020 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 13 problems in this area, most recently on February 2, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 10 problems in this area, most recently on July 10, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on July 10, 2026: "Ensure each resident receives an accurate assessment."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on February 2, 2026: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.10 hours per resident per day, below the Maryland average of 3.47.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Asbury Solomons Solomons, 0.6 mi · 5 of 5 stars · 24 citations
- Chesapeake Shores Nursing Center Lexington Park, 6.5 mi · 3 of 5 stars · 40 citations
- St. Mary's Nursing Center Inc Leonardtown, 10.4 mi · 5 of 5 stars · 20 citations
- Calvert County Nursing Ctr. Prince Frederick, 16.6 mi · 2 of 5 stars · 45 citations
- Charlotte Hall Veterans Home Charlotte Hall, 19.7 mi · 5 of 5 stars · 33 citations
Maryland contacts for a concern about a nursing home
These are the official offices in Maryland. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Maryland Department of Health, Office of Health Care Quality, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Maryland Long-Term Care Ombudsman Program, Maryland Department of Aging, 800-243-3425. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Maryland Health Care Commission, Maryland Quality Reporting, Nursing Homes, where Maryland publishes its own records on licensed homes.
Common questions
- What is Solomons Nursing and Rehab Center's Medicare star rating?
- CMS rates Solomons Nursing and Rehab Center 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Solomons Nursing and Rehab Center get at its last inspection?
- 18 health deficiencies at the standard inspection on February 2, 2026. The Maryland average is 17.
- Has Solomons Nursing and Rehab Center been fined?
- Yes. CMS lists 7 fines totaling $225,946 in the last three years.
- Does Solomons Nursing and Rehab Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Solomons Nursing and Rehab Center?
- CMS lists 9 owners and managers, and links the home to Green Tree Healthcare Management. Legal business name: SOLOMONS SKILLED NURSING CENTER LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.