Berlin Nursing and Rehabilitation

    9715 Healthway Dr, Berlin, MD, 21811
    2.0 · 30 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Horrifying neglect from chronic understaffing

    I placed a loved one here and was horrified: chronic understaffing led to neglect-soiled briefs and linens, missed medications, unanswered call bells, untreated wounds and dehydration, plus terrible communication. Billing and HR were unprofessional, with errors and collection harassment on top of everything. A few staff (front desk, some aides and therapists) were kind and professional, but they were the exception. I would not recommend this facility.

    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

    2.00 · 30 reviews

    Overall rating

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

      1.8
    • Staff

      2.1
    • Meals

      2.0
    • Amenities

      4.0
    • Value

      4.0

    Pros

    • Friendly, welcoming front-desk and some nursing staff
    • Caring and compassionate nurses and aides (several named/praised)
    • Strong rehabilitation team and effective physical therapy
    • Phenomenal memory care reported by multiple families
    • Patient-centered, family-like treatment in some units
    • Attractive, clean dining hall and positive dining experiences for some
    • Organized activities and outdoor seating for residents
    • Supportive business/insurance and laundry staff reported
    • Near-hospital location for easy access to medical care
    • Administration changes reported to have improved care for some residents

    Cons

    • Chronic understaffing and staffing ratios described as inadequate
    • Frequent reports of neglect (residents left in soiled briefs or sheets)
    • Strong, persistent odors (urine/feces) especially on dementia floor
    • Allegations of abuse and calls for state investigation/shutdown
    • Delayed or missed medication administration
    • Poor wound care and reports of infected bedsores/surgical sites
    • Unresponsive staff and unanswered call bells
    • Inadequate nourishment, dehydration, and missed meals
    • Missed or improper discharge procedures and missing paperwork
    • Billing errors, collections on deceased residents, and harassment
    • Poor communication from nursing leadership and administration
    • Instances of rude or unsympathetic staff and resident mistreatment
    • Dirty conditions reported (vomit/body fluids left, urine-soaked linens)
    • Missing personal items from rooms
    • Unprofessional HR and discouraging employment interactions
    • Reports of resident falls and injuries with inadequate follow-up
    • Inconsistent quality between units/staff shifts
    • Lockdown/locked-ward concerns and restricted resident voice
    • Inadequate infection control and cleaning in some accounts
    • Recommendations for drug testing/discipline of aides by some reviewers

    Summary review

    Overall sentiment across the review summaries is sharply mixed and highly polarized. A number of reviewers describe excellent, compassionate, and professional care delivered by specific nurses, therapists, front-desk staff, and members of the rehabilitation team; these accounts highlight effective physical therapy, strong memory-care programming, attentive front-desk service, and a patient-centered approach that treated residents like family. Families who had positive experiences frequently called out individual staff by name, praised the facility’s dining area and activities, and noted helpful business/insurance and laundry support. Several reviewers also reported improvements following an administration change, suggesting there have been periods of meaningful positive transition.

    Counterbalancing those positive reports are numerous and serious negative accounts. The most consistent and urgent theme is chronic understaffing: reviewers repeatedly describe situations where too few nurses and nursing assistants were responsible for large caseloads, long response times to call lights, and caregivers being overworked. That understaffing is directly connected in many reviews to neglectful outcomes — residents left in soiled briefs for hours, urine- and feces-soaked sheets and pads, meals left uneaten, missed or delayed medication administration, dehydration, and missed wound care. Several accounts describe infected bedsores, neglected surgical sites, and vomit or other body fluids left in seating areas or chairs. These are not isolated minor complaints but recurring patterns across multiple summaries.

    Several reviews specifically raise allegations of abuse or severe mistreatment and note that the state was notified and that some urged facility closure. While other reviewers emphasize that many staff are caring and professional, the existence of such allegations indicates a fault line in care consistency and oversight. Related concerns include poor communication from staff and management (missing discharge paperwork, prescriptions not called in, phone calls or interviews canceled without notice), unprofessional behavior by some employees (yelling at residents, rude reception, head nurse communication issues), and instances of missing personal items. Billing and administrative problems are also notable — including billing of deceased residents, collection threats, and what reviewers described as harassment — which point to systemic administrative and compliance issues beyond bedside care.

    Facilities and environment are described variably. Several reviewers praise the attractive dining hall, outdoor seating, organized activities, and general cleanliness in certain units. Conversely, other reviewers report strong, persistent odors particularly on the dementia floor, filthy conditions, and inadequate infection control. This split suggests variation by unit, shift, or time period; some parts of the facility or certain staff teams appear to maintain higher standards than others.

    Staff quality emerges as a highly mixed theme: many reviewers identify specific employees (nurses, aides, a physical therapist, front-desk personnel) as exemplary, compassionate, and professional — even giving praise for end-of-life care. At the same time, many accounts describe aides or nurses who are neglectful, unresponsive, or rude; some reviewers recommend drug testing or disciplinary action for particular staff. Several comments also attribute poor care to being chronically understaffed and overworked, rather than deliberate malice, although allegations of abuse and claims of intentional mistreatment were made by multiple reviewers.

    Patterns and actionable concerns from these reviews include the need for improved staffing levels and accountability, better supervision and training (especially on dignity, infection control, feeding, and wound care), clearer discharge and billing procedures, and improved communication with families. Positive patterns — strong rehabilitation outcomes, good memory-care programming for some residents, and highly praised individual caregivers — indicate the facility has capable staff and programs; however, the inconsistency of care, serious allegations, and recurrent operational issues create substantial risk and discomfort for families seeking reliable, dignified long-term or rehabilitative care. Prospective residents and families should weigh the polarized experiences, ask detailed questions about staffing ratios and unit-specific care, request recent inspection reports, and seek references from families whose relatives recently completed care at the facility.

    Location

    Map showing location of Berlin Nursing and Rehabilitation

    About Berlin Nursing and Rehabilitation

    Berlin Nursing and Rehabilitation sits on Healthway Drive in Berlin, Maryland, and offers 165 certified beds in both private and semi-private suites, and they accept Medicare, Medicaid, and several insurance plans, which means there's a range of options for residents and families needing help with payments or benefits, since they've got a staff team to help work out insurance and financial questions and 24-hour nursing care is available for those needing long-term or short-term help. The place has skilled nursing and rehabilitation care, with services that stretch from physical, speech, and occupational therapies to memory care, pulmonary care, wound care, and tracheostomy care, plus a specialized pulmonary and ventilator unit, so folks needing specific support can often stay right on site for everything without having to be moved around. There's a registered dietitian who helps make sure meals meet the different needs of residents, and care plans get tailored for each person so their health goals and challenges are looked after, and visitors usually come between 8 a.m. and 8 or 9 p.m., but there's 24/7 admissions for emergencies or unexpected changes, and admissions happen even on weekends and holidays too, which is helpful when families have unpredictable schedules.

    The facility belongs to Mid-Atlantic Health Care, LLC, and it's run as part of a larger network, with connection to Fundamental Healthcare, and the management structure includes entities like Maryland Long Term Care LLC and Hunt Valley Holdings LLC, which means sometimes decision-making is done by owners who might not be on site every day, but the local staff aim to keep a comfortable, safe, and supportive environment for residents. Berlin Nursing and Rehabilitation received the 2015 Medicare Quality Innovation Award, and currently holds top ratings-5 stars-for both health inspections and quality measures from federal sources, with average nurse staffing levels just under the state average, and 3.32 nursing hours per resident per day, though nurse turnover sits at 46.4% for the year, which is higher than some other care homes. While there've been inspection delays, and the last standard inspection happened over two years ago, reports from those visits have listed care and safety deficiencies and some infection control problems, even though most citations didn't involve immediate safety risks and the systems for infection control and safety supervision are standard for the industry, and the staff have specific training to keep accident hazards down and respond to changing medical conditions.

    For those looking at quality numbers, nearly all long-stay residents get their flu and pneumococcal vaccines, and the rates for pressure ulcers-both in long-stay and short-stay cases-come in better than Maryland's averages, while rates for falls with major injuries and moderate to severe pain have mostly been low, but urinary tract infections are a bit higher in this home compared to the state at 4.4%. Staff pay attention to antipsychotic, antianxiety, and hypnotic medication use, and regular reviews help track any increases in support needed with daily activities, though some numbers show a higher proportion of residents needing more help to move around or with daily living over time. Staff at Berlin Nursing and Rehabilitation help organize activities, work with volunteers, and keep community involvement present, which can make the place feel like part of the local area for many, and the facility stays open to visitors and tries to have programs that suit a range of personal needs or medical requirements.

    Overall, Berlin Nursing and Rehabilitation offers a mix of skilled nursing care, therapies, long-term care, specialized memory programs and respiratory care, hospice, and respite care, making it a place where many seniors or adults needing rehab after illness or injury can find help, even if the place isn't perfect and there are areas for improvement, especially in staffing and the timing of inspections, but the aim is to provide a safe, comfortable, and health-focused living space for those who need it in Berlin, Maryland.

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