Chesapeake Shores Nursing Center

    21412 Great Mills Rd, Lexington Park, MD, 20653
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousCurrent/former resident
    3.0

    Excellent rehab but dirty, understaffed

    I had a deeply mixed experience. Many nurses, therapists, and some aides were compassionate, went above and beyond, and the rehab program was excellent. But the facility was often dirty and reeked of urine, was clearly understaffed (ignored call bells, missed meds, delayed personal care), and care and management were inconsistent-items went missing and nights were worst. Because of that unpredictability I can't confidently recommend it for long-term care.

    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

    4.16 · 164 reviews

    Overall rating

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

      3.5
    • Staff

      4.1
    • Meals

      3.5
    • Amenities

      2.9
    • Value

      1.5

    Pros

    • Many individual staff members described as caring, compassionate, and dedicated
    • Rehabilitation/therapy program frequently praised and credited with good outcomes
    • Some aides go above and beyond routine duties
    • Certain managers and administrators noted as responsive and helpful (e.g., Dan, open-door admin)
    • Activities program described as engaging and varied (karaoke, outings, holiday events)
    • Kitchen/dietary staff praised in several reports and able to make accommodations
    • Good speech therapy and attention to swallowing/choking concerns
    • Supportive communication and regular updates reported by some families
    • Secure access and medical safety precautions noted
    • Some rooms reported clean and comfortable; some residents feel well cared for and at home
    • Staff facilitated resident–family communication during COVID and adapted activities
    • Positive reports of smooth transitions to and from rehab and hospital discharges
    • Friendly, professional front-desk and social work interactions in several accounts
    • Some long-term residents report strong sense of community and family-like care
    • Helpful, attentive individual caregivers and therapists who encouraged recovery

    Cons

    • Strong, persistent urine and raw sewage odors reported throughout facility
    • Frequent complaints about poor overall cleanliness and sanitation
    • Slow or unresponsive call-bell response and delayed assistance
    • Chronic understaffing and poor staff-to-patient ratios
    • Medication problems: refusals, delays, missed doses, and at least one IV antibiotic not given
    • Neglect incidents: residents left in urine, on bedpans, unattended wandering, or half-dressed in halls
    • Inconsistent or untrained staff unable to perform basic tasks (e.g., catheter change)
    • Therapy inconsistency: PT sometimes limited, uncooperative, or not performed as prescribed
    • Night shift repeatedly cited as worse, with reports of inattentiveness
    • Staff professionalism issues: gossiping, eye-rolling, lack of empathy reported
    • Missing personal belongings (cell phone, charger, glasses) and allegations of lost donations
    • Management problems in some cases: unresponsive unit managers, alleged dishonesty, blocking reports
    • Facility maintenance issues: dated building, unsealed floors, poor lighting, furniture/bed replacement needs
    • Privacy concerns: small rooms, lack of private rooms, privacy breaches
    • Food and dining inconsistencies: poor quality or cold food in some reports
    • Safety incidents including falls, emergency transports, and hospital readmissions
    • Wide variability in staff quality and reliability across shifts
    • Allegations of blocked reporting or safety concern suppression
    • Insurance-driven early discharges cited as causing relapse
    • Trash not removed and clothing left dirty in some accounts
    • Perceived misleading promotional photos/ratings versus actual conditions
    • COVID-related visitation restrictions and inconsistent communication about infection status

    Summary review

    The reviews for Chesapeake Shores Nursing Center present a deeply mixed picture with sharp contrasts between pockets of clearly excellent care and recurring systemic problems. On the positive side, many reviewers single out individual nurses, aides, therapists, and administrators as compassionate, competent, and devoted. The facility’s rehabilitation/therapy program is repeatedly praised — several reviewers credit therapy staff with meaningful functional improvement and successful discharges home. Activities programming, dietary accommodations by kitchen staff, speech therapy attention to swallowing concerns, and some strong management figures (named staff like Dan and an open-door administrator) are highlighted as significant strengths. Families in several cases report good communication, attentive social work interactions, and staff who go out of their way to help residents connect with loved ones, especially during COVID visitation restrictions.

    Counterbalancing those positive reports are frequent and serious complaints about cleanliness, safety, staffing, and basic standards of care. Multiple reviewers describe pervasive urine odor and even raw-sewage smell, unclean rooms, trash and dirty clothes not being removed, and general maintenance issues (unsealed floors, poor lighting, dated building features). These environmental problems are not isolated; they appear across many reviews and contribute to an overall impression of inadequate sanitation and upkeep.

    Clinical and safety concerns are prominent in negative reviews. There are repeated accounts of slow or unresponsive call-bell responses, understaffing and poor staff-to-patient ratios, and night shift performance being especially problematic. Reports include missed, delayed, or refused medications — in one summary an IV antibiotic and an inhaler were not given promptly — and allegations of medication being dropped or not swallowed. Several reviewers recount neglectful incidents: residents left on bedpans for extended periods, left in urine, unattended wandering, residents found half-dressed in hallways, and catastrophic lapses such as falls leading to emergency transports. Some families say nursing staff lacked skills for basic procedures (for example catheter changes) and that therapy services were inconsistent — with physical therapy sometimes limited or not provided as ordered.

    Staff culture and consistency are another key theme. While many staff members receive strong praise for kindness and professionalism, other reports describe gossiping nurses, eye-rolling, lack of empathy, and personnel who appear to be "just collecting a paycheck." The reviews indicate wide variability across shifts and staff: the same facility is described both as "phenomenal" and as the "worst ever," depending on unit, shift, or individual caregiver. Missing personal items (phones, chargers, glasses), lost donated items, and allegations that reporting of violations or safety concerns is blocked add to family frustration and distrust.

    Management and administration receive mixed marks. Specific supervisors and administrators are lauded for responsiveness, problem-solving, and being family-oriented, while other accounts accuse unit managers of being unresponsive or even dishonest. Communication quality is highly variable: some families report daily updates and proactive outreach, whereas others say calls go unanswered, concerns are ignored, or decisions (including coerced long-term stays or insurance-driven discharges) are mishandled.

    Dining and amenities are similarly mixed. Several reviewers praise the kitchen and dietary staff for accommodations and professionalism, but others complain about poor food quality, cold meals, and insufficient communal amenities (such as too few TVs or limited comfortable seating). Activities and social programming receive considerable positive feedback — residents enjoying outings, holiday events, karaoke, and an engaging activities director — which is a strong point for residents who thrive on social involvement.

    There are notable process concerns relating to COVID and infection control: some families appreciated PPE use and creative adaptations for activities and communication, while others were frustrated by visitation limits and insufficient transparency around infection status. Insurance pressures and early discharge practices are cited as causing relapses in some cases, suggesting external systemic pressures affecting patient outcomes.

    Overall, the pattern in these reviews is polarization: Chesapeake Shores appears capable of delivering excellent, even exceptional, individualized care — especially in its rehab program and through standout staff — yet also demonstrates recurring, serious systemic weaknesses in cleanliness, staffing levels, consistency of care, medication management, and maintenance. Prospective residents and families should weigh the facility’s strong rehabilitation outcomes, caring staff members, and engaging activities against documented risks including sanitation issues, delayed or missed care, variable management responsiveness, and safety incidents. The reviews suggest that active family involvement, careful monitoring (especially early on and during night shifts), and clear communication with management are often necessary to ensure a good outcome for residents at this facility.

    Location

    Map showing location of Chesapeake Shores Nursing Center

    About Chesapeake Shores Nursing Center

    Chesapeake Shores Nursing Center sits over on Great Mills Road in Lexington Park, Maryland, run by Signature HealthCARE which has many centers across different states, and it's a nursing home that holds up to 113 residents in private or semi-private rooms, with the grounds laid out in a country spot close to St. Mary's City and the Patuxent Naval Base, which gives things a quiet, green setting. The staff there speak English, and they keep the doors open at all times, even on weekends and holidays, with care available 24 hours a day no matter what. Chesapeake Shores Nursing Center doesn't have a Family Council or a Resident Council at this time, but the staff work together in teams and aim to focus on comfort and health for everyone living there, with doctors on-site 1-2 days a week and nurse practitioners or physician assistants showing up 3-4 days each week to help check on residents and make medical care plans that fit each person.

    The center's for-profit and offers both short-term and long-term skilled nursing care, covering things like post-acute care, rehabilitation for different needs, speech and physical therapy, occupational therapy, wound care, dentistry, IV antibiotics, stroke recovery, palliative care, and even some more specialized care such as tracheotomy, podiatry, cardiac and orthopedic therapy, diabetes management, nutrition counseling, pharmacy support, optometry, and recreational therapy, plus hospice and respite care for families who need a break. Daily life there's set up for comfort, with regular room cleaning, fresh laundry, and an onsite van for getting folks to appointments or outings, plus meals served three times a day, snacks in between, and staff who are careful about nutrition and dietary needs. Chesapeake Shores gives each patient quite a bit of time with registered staff and medical personnel, and they report higher RN staffing than the national average.

    As far as inspections go, this facility's seen steady grades of A+, with a top-five-star health inspection rating, and there haven't been any major deficiencies, federal fines, or payment denials in years, though there's a three-star rating for staffing and quality measures combined, and the center does have a slightly higher than average rate of antipsychotic use and physical restraints, which some people might want to think about. Some quality highlights include a near perfect record of short-stay residents getting their flu and pneumonia vaccines, a very low number of pressure ulcers developing, and injury rates from falls or urinary tract infections are kept below many other places, though more than half of low-risk long-term residents are reported as incontinent, and some experience moderate to severe pain.

    Chesapeake Shores Nursing Center keeps a full activity calendar, so there's things like bingo, book club, religious services, outdoor gatherings, and movie nights, all meant to help keep people social and active. There's no information about a Family or Resident Council for advocating at the facility, and right now, the center isn't taking new patients. The nursing center accepts Medicare and Medicaid, has a reputation for compassion, and emphasizes a home-like setting, but like anywhere, it's wise to consider every detail and check that the services fit what's needed.

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