Solomons Nursing and Rehab Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 22 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (19 vs median 16.0)
Bottom 25% in MD · Below recommended RN staffing · Worst in GREEN TREE HEALTHCARE MANAGEMENT chain · $225,946 in fines · Abuse citation
What this means for your family
While the facility is physically modern, the recurring reports of neglect, slow response times, and medical mismanagement are significant red flags. We strongly advise families to conduct unannounced visits and speak directly with current residents' families to verify if staffing levels have improved, as the current pattern of complaints suggests systemic issues with oversight.
Google Reviews
Google Reviews
22 reviews on Google“Solomons Nursing and Rehab Center receives polarized feedback, with some families praising the facility's appearance and individual staff members, while others report severe neglect and unprofessional conduct. Critical issues include long wait times for assistance, poor medical oversight, and instances of staff mistreating or ignoring residents. Prospective families should be aware of a significant pattern of complaints regarding communication and basic care standards.”
Quality Themes
Tap a score for detailsStrengths
- Clean and modern physical facility
- Some individual staff members described as caring
- Effective physical therapy staff (in some reports)
Concerns
- Slow response times to call buttons and requests for assistance (mentioned by 4 reviewers)
- Neglect regarding hygiene and basic care needs (mentioned by 4 reviewers)
- Unprofessional or abusive staff behavior toward residents (mentioned by 4 reviewers)
- Poor medical oversight and medication management (mentioned by 3 reviewers)
- Failure to follow dietary restrictions (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 22 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given the recent focus on staffing levels, could you walk me through your current process for responding to resident call buttons and how you ensure timely assistance?
- 2What specific protocols are in place to ensure that residents with strict dietary requirements consistently receive the correct meals?
- 3How does your nursing team coordinate medication management to ensure accuracy and timely administration for residents?
- 4I noticed some concerns regarding hygiene and daily care; what is your current process for monitoring and maintaining these standards for each resident?
- 5How do you foster a positive and professional culture among your staff to ensure residents always feel treated with dignity and respect?
- 6What does a typical daily schedule look like for residents here, and how do you encourage social engagement and activity participation?
Personalized based on this facility's data
Key Review Excerpts
“They brought her chili and cheese hotdogs every other day, and when my mother had to be changed or her diaper being changed they would leave the door wide open while she was laying on the bed naked She would push the button for help and sometimes it would take over an hour for someone to come.”
“The nursing/CNA staff are mostly caring, although there are not enough of them for the number of residents that are living there-- this is for- profit health care, after all. Your loved one will wait and wait for assistance when they call for it.”
“My mother in law got a bad infection here during her first visit sending her back for a second surgery. Then the second time they released her with an extremely toxic cocktail of prescriptions that no doctor reviewed.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
10
measures
4
measures
3
measures
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows concerning patterns with 68 deficiencies across multiple surveys, including families filing 15 complaints that triggered inspections. The most recurring issues involve fire safety and building code violations, resident rights problems, and medication management failures. Particularly troubling is a recent serious abuse/neglect violation and repeated fire safety deficiencies spanning from 2018 to 2024, suggesting ongoing systemic problems that persist despite correction claims.
Jan 16, 2026Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Mar 4, 2025Complaint2
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.
Environmental Deficiencies
Have enough outside ventilation via a window or mechanical ventilation, or both.
Aug 29, 2024Routine32
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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.
Egress Deficiencies
Install proper backup exit lighting.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Rights Deficiencies
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.
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
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.
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.
Quality of Life and Care Deficiencies
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.
Nursing and Physician Services Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Keep all essential equipment working safely.
Construction Deficiencies
Meet other general requirements.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Meet other general requirements that are deficient.
Aug 29, 2024Complaint12
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Resident Rights Deficiencies
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Sep 13, 2019Routine9
Smoke Deficiencies
Provide properly protected cooking facilities.
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.
Pharmacy Service Deficiencies
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.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Jun 26, 2018Routine12
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Construction Deficiencies
Meet requirements for sections of health care facilities separated by fire resistive construction.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Federal Penalties
Fine
Aug 29, 2024
$188,013
Fine
Feb 20, 2024
$4,938
Fine
Feb 12, 2024
$4,938
Fine
Jan 22, 2024
$13,674
Fine
Jan 8, 2024
$3,798
Fine
Jan 2, 2024
$3,176
Fine
Dec 11, 2023
$7,409
Ownership & Operations
Who Operates This Facility
Solomons Nursing and Rehab Center
for profit
Chain Affiliation
Green Tree Healthcare Management
4 facilities nationwide
Chain avg rating: 2.4/5 · Rank 4 of 5 (Worst)
Ownership & Management
Owners
Hermisol Holdco LLC
Owner · Organization
Mendlowitz, Moshe
Owner (parent company)
Stern, Aharon
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
22 reviews from families & visitors
Official Website
Visit solomonssnf.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
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