Adelphi Nursing and Rehabilitation Center

    1801 Metzerott Rd, Adelphi, MD, 20783
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousCurrent/former resident
    3.0

    Caring Staff but Facility Concerns

    I had a mixed experience at Adelphi. Many staff - especially Roxanne, Melissa, Christiana and the activities/therapy team (Victoria, Veda) - were warm, responsive and excellent at rehab and engagement. At the same time I saw inconsistent cleanliness, strong odors, maintenance and safety lapses (unanswered call bells, missing rails), understaffing and poor communication from some nurses/administration. Meals, phone access and admissions were hit-or-miss. I appreciate the caring people and recent improvements, but I'd visit in person and be cautious about long-term placement.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.71 · 252 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.6
    • Staff

      3.3
    • Meals

      2.0
    • Amenities

      1.4
    • Value

      1.6

    Pros

    • Several caring, compassionate nurses and aides (many named)
    • Strong, active activities program (multiple praised activity directors)
    • Effective physical and occupational therapy, successful rehab outcomes
    • Supportive social work and discharge planning (named staff like Florence, Neri)
    • Some administrators and admission staff responsive and helpful
    • Certain clean areas (front lobby) and examples of good housekeeping
    • Improvements reported under new management/leadership
    • Dedicated long-term staff who go above and beyond
    • Helpful dialysis and specialized services reported
    • Examples of timely medication and attentive care in some cases
    • Family engagement encouraged and sometimes accommodated
    • Instances where privacy and dignity were respected
    • Positive customer service experiences at admissions
    • Some staff praised for communication and care coordination
    • Award/recognition mentioned for rehab team (5 Star Performer)

    Cons

    • Widespread sanitation and cleanliness failures (urine odor, feces, dead roaches)
    • Pervasive maintenance problems (peeling paint, holes, unfinished drywall)
    • Allegations of neglect leading to bedsores, sepsis, pneumonia, death
    • Severe staffing shortages, slow call-bell and care response times
    • Medication errors and delays (dropped meds, meds delayed hours)
    • Unsafe patient handling and transfers (injuries, improper techniques)
    • Overcrowding and shared rooms (triple/quad occupancy), privacy loss
    • Food quality repeatedly criticized as poor or inedible
    • Poor communication with families; phone lines unanswered or hung up
    • Inconsistent staff quality; some staff rude or unprofessional
    • Allegations of abuse, assault, racial slurs and inadequate incident response
    • Failure to timely recognize/emergency-transfer serious conditions (strokes, fractures)
    • Laundry and personal belongings mishandled or lost
    • Reports of unresponsive or evasive management and DON at times
    • Allegations of review manipulation or incentivized positive reviews
    • Unsafe environmental hazards (exposed drywall, circuit covers, cigarette butts)
    • Isolation or denial of care (refusal of AMA, being held against will)
    • Inadequate infection control or sanitation leading to outbreaks
    • Broken equipment and nonfunctioning safety features (bed rails, emergency buttons)
    • Allegations of staff protecting one another and lying in investigations
    • Claims of understaffed shifts and inattentive night staff
    • Discrepancy between marketing/website and actual conditions
    • Problems with long waits for therapy or delayed discharges
    • Inconsistent enforcement of policies (COVID response, masking, visitation)
    • Frequent calls from reviewers for health-department intervention or shutdown

    Summary review

    Overall sentiment across these reviews is highly polarized but heavily weighted toward serious concerns. While many reviewers praise individual staff members, therapy teams, and the activities department, a large and persistent subset of reviews detail systemic problems with sanitation, staffing, safety, communication, and clinical care. The result is a facility described in some accounts as capable of good rehab and compassionate individual attention, but in many other accounts as dangerously neglectful and unsafe for vulnerable residents.

    Care quality and clinical safety emerge as the most consequential themes. Positive reports highlight effective physical and occupational therapy, successful recoveries, and discharge planning that families appreciated. Several reviewers credited named therapists and social workers with meaningful improvement for residents. Contrasting those positive clinical stories are numerous and severe allegations: delayed recognition or transfer for strokes and fractures, untreated pneumonia and sepsis, development of pressure ulcers (bedsores) requiring surgery, aspiration risk and tracheostomy needs, and deaths attributed by reviewers to inadequate care. Medication management problems (dropped pills, multi-hour delays) and unsafe transfer techniques —including one report of a nurse handling a large knife during transfers—are repeatedly cited and compound concerns about resident safety.

    Staffing and staff behavior show stark variability. Many individual nurses, CNAs and administrative staff receive heartfelt praise (several by name), and several reviews describe teamwork, empathy, and professionalism. At the same time, a large number of reviews report rude, inattentive or untrained staff, cover-ups, staff protecting each other, and instances of explicit mistreatment —including verbal harassment and alleged racial slurs. Night and weekend staffing are frequently singled out as particularly thin, contributing to slow responses to call bells and unmet care needs. Several reviews indicate a culture where a few committed employees can provide good care, but systemic understaffing and inconsistent training create danger for many residents.

    Sanitation and maintenance are recurrent, concrete concerns. Reports of urine odor, feces on clothing and in hallways, dead roaches, cigarette butts and trash in halls, bulging bags of laundry, filthy rooms, and peeling paint create a picture of poor environmental infection control and housekeeping. Multiple reviews describe unfinished drywall around beds, exposed patchwork, holes in walls, and broken equipment (nonworking bed rails, unresponsive emergency buttons, broken ice machines). These conditions are described not as isolated incidents but as pervasive, prompting repeated calls from reviewers for health-department inspections and even facility shutdowns.

    Safety incidents and incident reporting are another dominant cluster of complaints. Reviewers describe assaults by other residents with inadequate staff response, improper handling of dementia patients (being shoved into dark rooms), and lack of police involvement when incidents occurred. Several families recount being denied proper incident statements, being moved to hallways rather than having incidents addressed, and management not taking allegations seriously. There are also reports of involuntary retention (being held when attempting to leave AMA) and aggressive or unsafe restraint practices. Taken together, these accounts raise substantial concern about both immediate physical safety and the facility's processes for incident investigation and external reporting.

    Communication and management responsiveness are inconsistent across reviews. Numerous families praise particular administrators and staff (names like Melissa, Roxanne, Dr. Maceline Yaya, and others) who were responsive, coordinated care, or implemented improvements. Several reviewers also note positive changes after leadership turnover and praise the admissions process for being welcoming. However, just as many reports criticize management for not returning emails, ignoring complaints, hanging up on callers, failing to produce investigation reports, or seeming to protect staff rather than residents. Some reviewers allege incentivized positive reviews or manipulation of reputational data, which, if true, would further undermine trust.

    Activities, admissions, and rehabilitation are relative bright spots. Multiple reviewers emphasize a dynamic, engaging activities program with directors repeatedly singled out for excellence, and many credit the therapy teams with substantive functional recovery. Admissions and front-desk staff frequently receive praise for being welcoming and informative. For families whose priority is active rehabilitation and social engagement, these strengths were influential in positive experiences.

    Dining, amenities, and room arrangements show mixed-to-negative feedback. Food quality is often criticized —described as poor, inedible, or prison-like— though a few reviewers note improvements or enjoyable meals. Room overcrowding (triple or even quadruple occupancy in some reports), shared TVs, minimal privacy, and cramped layouts worry families. Broken or missing equipment (walkers, ice machines, basins), and uncomfortable room conditions (overly hot rooms, poor air quality) are also mentioned and exacerbate concerns about basic comfort and dignity.

    Notable patterns and recommendations that recur in reviews: many families say active engagement and frequent family presence improves outcomes, and several urge others to demand oversight or contact regulatory authorities. Multiple reviewers recommend transferring loved ones or advise against sending family members there, while others say the facility was the right choice for their rehab needs. Given the frequency of severe allegations (untreated infections, bedsores, delayed transfers, infestations, allegations of abuse and racism), readers should treat the facility as high-variability: it may provide good therapy and have dedicated staff, but there are consistent, serious, and repeated reports of unsafe conditions that warrant formal oversight and verification.

    In summary, reviews portray Adelphi Nursing and Rehabilitation Center as a facility with meaningful strengths —notably in therapy, activities, and certain compassionate staff— but also as one with significant and recurring systemic problems in cleanliness, staffing, safety, and clinical responsiveness. Families considering this facility should carefully weigh the documented rehabilitation successes and named compassionate staff against persistent reports of neglect, unsafe care, sanitation failures, and inconsistent management responsiveness. If choosing this facility, prospective families should seek direct, recent evidence of corrective actions (inspections, staffing improvements, infection control measures), maintain active involvement in care, and verify how incidents and complaints are handled and reported by administration.

    Location

    Map showing location of Adelphi Nursing and Rehabilitation Center

    About Adelphi Nursing and Rehabilitation Center

    Adelphi Nursing and Rehabilitation Center sits at 1801 Metzerott Rd in Adelphi, MD, right in a district that gets visitors from nearby areas, and has 170 certified beds with about 136 residents counted most recently, although their average resident count lands closer to 158 a day, and they're not taking new patients just now, which happens sometimes at places where staffing changes or leadership brings in new processes, and Adelphi's actually been under new ownership recently with changes in leadership and a stated new vision, which for some might feel promising, but it takes time for things to settle in. The center is part of HCR ManorCare, that company's known nationally and runs more than 250 facilities across the country, but this location's got its own track record, including a quality measures score that's pulled in a 5-star Medicare rating, and there are strengths like zero residents showing signs of depression or being put in physical restraints, which anyone would agree is important, plus there's been a good track record for pain management, since residents in both short and long-stay didn't report pain during recent checks, and urinary tract infection numbers are low, which folks find reassuring.

    The place keeps nurse staffing levels at an average 3.45 hours per resident each day, which is about the same as most places across the state and country, and nurse turnover sits at 38.4%, which is a little high if you ask around, but the staff includes RNs, LPNs, LVNs, as well as physical therapists, and a Doctor of Occupational Therapy named Chisom Ezeani, OTD, OTR/L, which means folks needing specialized rehab can usually get evaluated by a trained professional, and that's helpful for individualized care plans. The administration states their intent to create a caring environment, and there are customer service representatives, for example, Tiffeni Butler, who helps residents and families if questions or small matters come up, which can make daily life smoother. They've held activities like sip and paint sessions and have outdoor areas, and their rooms include ADA-accessible private options, so folks with mobility issues can move freely.

    Service-wise, Adelphi provides skilled nursing, long-term care, rehabilitation, care for chronic illnesses, and special units for Alzheimer's and dementia, which helps some families keep loved ones in one facility even as care needs increase, and there's 24-hour care available throughout the week, so night and weekend needs don't have to mean a trip elsewhere. Independent and assisted living options are here, and facilities look well-kept, with a warm atmosphere and outside space, though those are always up to evolving tastes and needs, and the staff speaks English. The facility provides flu and pneumonia shots to almost every resident, with vaccination rates over 99%, though there is history of failing to stop the spread of infection fully during at least one inspection, and three infection-related deficiencies came up in recent survey reports, which folks might read carefully if that's a concern.

    Even though they've scored high on some quality measures, Adelphi's had more health inspection deficiencies than most-70 stand out across recent reports-with issues covering areas like administration, quality of care, resident rights, and documentation, plus at least one finding of failing to keep resident fund records securely and drawing money from a resident's account without proper permission, and in other cases, surveyors noted inconsistencies in medication management or discharge planning, which can be part of daily operations in busy facilities but really call for attention from management. The federal government cited them for not providing proper dialysis care and not always accommodating residents' needs and preferences in a few instances, and that's something to ask about during a tour or before making any decisions.

    Adelphi's also recognized for keeping resident safety high, with only about 2% of long-stay residents suffering a fall with injury, which is lower than the national average, but at the same time there's a higher than average rate of pressure ulcers, so wound prevention measures should be a topic for anyone checking in or planning a stay. Residents can expect help from a team that includes nurses, aides, therapists, and customer service folks, but like in many big facilities, turnover does mean you'll get to know new faces from time to time, and that can impact consistency in care. The place operates as a for-profit limited liability company, with ownership split between Tortuga Health Holdco LLC (100% indirect ownership by ISMD Holdings LLC, MLMD Holdings LLC, and Miro Investments LLC), and as a privately held company, it lives by its own business model.

    Adelphi's specialized in chronic illness care as well as dementia programs, and its care team works up customized care plans trying to fit resident needs, so long-term and rehabilitation stays both get attention, but as with many facilities in this field, the inspection records and administrative findings mean you'll want to ask questions and perhaps visit more than once to get a fair sense of what life's really like on a daily basis for folks staying here.

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