19 health deficiencies
Top issue: Resident Rights (6 deficiencies)
20 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Solomons, MD
1-star overall rating with 1-star inspections with abuse icon flag with $225,946 in total fines with 19 recent health deficiencies with 20 fire-safety deficiencies in the latest cycle
13325 Dowell Road, Solomons, MD
(410) 326-0077
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
95
Certified beds
Average residents
94
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Green Tree Healthcare Management
Operator or chain grouping
Approved since
1994-11-16
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.67
Registered nurse staffing
LPN hours / resident day
0.55
Licensed practical nurse staffing
Aide hours / resident day
2.14
Nurse aide staffing
Weekend hours
3.03
Weekend nurse staffing
RN turnover
43%
Annual RN turnover
Total nurse turnover
49%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.3
0.2 pts worse
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.2
0.3 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% |
91.9%
7.3 pts better
|
93.4%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
96.6%
3.4 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.0% |
2.3%
0.3 pts better
|
3.3%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 19.3% |
21.4%
2.1 pts better
|
11.4%
7.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 8.1% |
5.7%
2.4 pts worse
|
5.4%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.8% |
16.1%
2.7 pts worse
|
19.6%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 20.8% |
15.3%
5.5 pts worse
|
16.7%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose ability to walk independently worsened | 24.6% |
26.6%
2 pts better
|
16.3%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.1% |
22.9%
11.8 pts better
|
14.9%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.7%
0.4 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
1.5%
0.3 pts better
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.9% |
25.4%
3.5 pts worse
|
19.8%
9.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 6.5% |
6.3%
0.2 pts worse
|
5.1%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.4% |
78.4%
18 pts better
|
81.7%
14.7 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.0% |
9.9%
2.1 pts worse
|
12.0%
About the same
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.3%
0.9 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.0% |
80.6%
9.4 pts better
|
79.7%
10.3 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 33.5% |
21.2%
12.3 pts worse
|
23.9%
9.6 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Resident Rights (6 deficiencies)
20 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Resident Rights (4 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Administration (1 deficiency)
10 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (5 deficiencies)
Fire safety
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-11-12
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-10-10
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-10-10
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-10-10
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-11-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-12
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-10-10
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-10-10
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-12
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-10-10
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-11-12
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-10-10
Fire Safety
Install proper backup exit lighting.
Corrected 2024-10-10
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-10-10
Fire Safety
Meet other general requirements.
Corrected 2024-10-10
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-10-10
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-10-10
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-10-10
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-10-10
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-10-10
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-11-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-11-01
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-11-01
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2019-11-01
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2019-11-01
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-11-01
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2018-09-21
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2018-09-21
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2018-09-21
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2018-09-21
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2018-11-01
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2018-09-21
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2018-09-21
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2018-09-21
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2018-09-21
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2018-09-21
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-26
Health
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 2025-03-14
Health
Have enough outside ventilation via a window or mechanical ventilation, or both.
Corrected 2025-03-14
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-10-17
Health
Provide appropriate foot care.
Corrected 2024-10-17
Health
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 2024-10-17
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-11-27
Health
Respond appropriately to all alleged violations.
Corrected 2024-11-27
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-11-27
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-11-27
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-17
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-10-17
Health
Give the resident's representative the ability to exercise the resident's rights.
Corrected 2024-10-17
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2024-10-17
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-10-17
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-10-17
Health
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 2024-10-17
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-10-17
Health
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 2024-11-21
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-11-27
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-10-17
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-10-17
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-17
Health
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 2024-10-17
Health
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 2024-10-17
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-17
Health
Keep all essential equipment working safely.
Corrected 2024-10-17
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2019-10-25
Health
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.
Corrected 2019-10-25
Health
Post nurse staffing information every day.
Corrected 2019-10-25
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2018-08-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2018-08-09
Penalties and ownership
Fine · fine $188,013
Fine
Fine · fine $4,938
Fine
Fine · fine $4,938
Fine
Fine · fine $13,674
Fine
Fine · fine $3,798
Fine
Fine · fine $3,176
Fine
Fine · fine $7,409
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
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