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Nursing HomeMedicaid Investigative

Adelphi Nursing and Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1801 Metzerott Road, Adelphi, MD 20783170 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 297 Google reviews

5
4
3
2
1
Adelphi Nursing and Rehabilitation Center Nursing Home in Adelphi, MD — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (21 vs median 16.0)

Below average in MD · Below recommended RN staffing · Low staff turnover (stable workforce) · No penalties on record

Source: Medicare data

What this means for your family

This facility has a highly active and engaging recreation program, which is a major benefit for resident quality of life. However, the recurring reports of hygiene issues and slow nursing response times are significant red flags; we strongly recommend visiting during a weekend or evening shift to see how the facility operates when administrative staff are not present.

Google Reviews

Google Reviews

297 reviews on Google
Adelphi Nursing and Rehabilitation Center receives highly polarized feedback, with many reviewers praising the activities department and specific administrative staff, while others report severe concerns regarding hygiene, neglect, and poor communication. Families should be aware of a recurring pattern of complaints involving facility cleanliness, slow response times, and inconsistent nursing care, despite recent efforts to modernize the building. It is recommended to visit in person and observe the environment during off-hours to verify if the facility meets your standards.

Quality Themes

Tap a score for details
Food4.0Staff5.0Clean2.0Activities9.0Meds3.0MemoryN/AComms3.0ValueN/A

Strengths

  • Highly engaging activities department
  • Helpful and responsive admissions/administrative staff
  • Modernized facility upgrades
  • Effective physical and occupational therapy

Concerns

  • Unsanitary conditions and persistent odors (mentioned by 8 reviewers)
  • Slow or non-existent response to call lights (mentioned by 4 reviewers)
  • Inattentive or rude nursing staff (mentioned by 7 reviewers)
  • Poor communication and difficulty reaching staff by phone (mentioned by 4 reviewers)
  • Safety issues including fall risks and lack of supervision (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2344.02023(26)4.02024(39)4.32025(38)4.42026(36)

Distribution · 139 analyzed

5
100
4
14
3
1
2
1
1
23

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1We've heard great things about your activities department; could you tell us more about the types of programs available to keep residents engaged?
  • 2Since we noticed the administration team is very responsive to feedback, how do you typically communicate daily updates or changes in care to family members?
  • 3What specific protocols are in place to ensure the facility remains clean, fresh, and comfortable for all residents?
  • 4How does the nursing team manage call lights to ensure that residents receive timely assistance when they need it?
  • 5Could you describe your process for monitoring medication management and ensuring there are no errors in daily care?
  • 6In the event of a medical emergency or a fall, what are the immediate steps the staff takes to ensure the resident is safe and supervised?

Personalized based on this facility's data


Key Review Excerpts

The recreation team at Adelphi Nursing and Rehabilitation Centers is fantastic. Their activity calendar is always full of fun and enhancement activities for the residents.

Family member · 2023★★★★★

I really appreciate the kindness and concern shown by the staff.

Family member · 2024★★★★★

The facility had a strong odor of urine and appeared dirty overall. I was called by the facility and was told my relative would have a private room. It is on their website as well. When I arrived at the facility, my relative was sharing a room with someone.

Family member · 2025☆☆☆☆
Source: 297 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.44hrs
58%
Registered nurses for medical care
Total Nursing
3.60hrs
88%
All nurses + aides combined
Staff Turnover
28%
Lower is better (< 30% = good)
RN Turnover
37%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

8

measures

Worse Than Avg

7

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility40.0%
Worse than Avg
Here
40.0%
US
12.1%
MD
22.2%
Prince georges
21.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility74.2%
Worse than Avg
Here
74.2%
US
95.5%
MD
96.6%
Prince georges
96.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility35.7%
Worse than Avg
Here
35.7%
US
14.4%
MD
21.5%
Prince georges
17.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.6%
Better than Avg
Here
10.6%
US
15.3%
MD
24.5%
Prince georges
20.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility15.3%
Mixed vs Avgs
Here
15.3%
US
15.4%
MD
14.1%
Prince georges
7.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility25.2%
Worse than Avg
Here
25.2%
US
19.4%
MD
25.1%
Prince georges
19.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility75.1%
Worse than Avg
Here
75.1%
US
81.8%
MD
78.7%
Prince georges
81.9%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility77.7%
Worse than Avg
Here
77.7%
US
79.7%
MD
80.6%
Prince georges
81.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.2%
Better than Avg
Here
0.2%
US
1.6%
MD
1.3%
Prince georges
0.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

21deficiencies
Above state avg (18.9)
41 complaint-triggered

This facility has a concerning pattern of repeated complaints from families triggering 41 of 104 total deficiencies, with persistent issues in care planning, quality of care, and safety systems. The most recurring problems involve resident assessment and care planning, quality of life and care, and fire/smoke safety systems. While all deficiencies show correction dates, the same issues repeatedly resurface across multiple surveys from 2018 to 2025, suggesting systemic problems that aren't being sustainably resolved.

Oct 20, 2025Complaint
3
0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Feb 11, 2025Routine
29
0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0726Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0004Potential for harm · PatternCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0223Potential for harm · PatternCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0362Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0500Potential for harm · PatternCorrected

Services Deficiencies

Meet other general requirements that are deficient.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0907Potential for harm · IsolatedCorrected

Environmental Deficiencies

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

0909Potential for harm · IsolatedCorrected

Environmental Deficiencies

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.

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

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

0225Potential for harm · IsolatedCorrected

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

0281Potential for harm · IsolatedCorrected

Egress Deficiencies

Install proper backup exit lighting.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Feb 11, 2025Complaint
8
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0551Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0925Potential for harm · IsolatedCorrected

Environmental Deficiencies

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

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0626Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0660Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Oct 24, 2023Complaint
25
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0660Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0921Potential for harm · PatternCorrected

Environmental Deficiencies

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

0551Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0725Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0774Potential for harm · IsolatedCorrected

Administration Deficiencies

Help the resident with transportation to and from laboratory services outside of the facility.

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0814Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

Sep 7, 2023Complaint
5
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Mar 18, 2020Routine
28
0756Potential for harm · WidespreadCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0623Potential for harm · PatternCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0557Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0711Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

0744Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0924Potential for harm · IsolatedCorrected

Environmental Deficiencies

Put firmly secured handrails on each side of hallways.

0311Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0324Minimal · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0351Minimal · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Adelphi Nursing and Rehabilitation Center

Organization Type

for profit

Ownership & Management

Owners

Tortuga Health Holdco LLC

Owner · Organization

100%

Ismd Holdings LLC

Owner (parent company) · Organization

47%

Miro Investments LLC

Owner (parent company) · Organization

5%

Mlmd Holdings LLC

Owner (parent company) · Organization

47%

Key personnel

Birnbaum, IsraelW-2 Managing EmployeeBirnbaum, IsraelOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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