ElderGrade
F

36/100

Poor

Elkton Nursing And Rehabilitation Center

1 Price Drive, Elkton, MD 21921

CMS 1/5 stars #3 of 3 in Cecil County (410) 398-6474
Certified beds
182
Occupancy
90%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Special Focus Facility

    CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.

  • 3 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $31,134 in federal fines

    CMS has fined this facility across 3 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

2/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years
  • -8 for 2 actual-harm citation(s) in the last 3 years
  • -10 for 117 total citations against a national median of 17

Staffing

13/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.59 total nurse hours per resident per day (national median 3.77)
  • 0.52 RN hours per resident per day
  • Weekend staffing drops 10% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 46% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

3/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $31,134 in federal fines across 3 action(s)
  • -2 for 1 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 54 (grade D) — CMS Special Focus Facility
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.55 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.52 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.19 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 46.20%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 142 citations

Last standard health inspection: October 9, 2025 (10 months ago).

E Jan 29, 2026 F0757 From a complaint

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

No actual harm, potential for more than minimal harm

D Jan 29, 2026 F0684 From a complaint

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D Jan 29, 2026 F0686 From a complaint

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D Jan 29, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D Jan 29, 2026 F0770 From a complaint

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

No actual harm, potential for more than minimal harm

G Oct 9, 2025 F0684 From a complaint

Quality of Life and Care Deficiencies

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

Actual harm to a resident

G Oct 9, 2025 F0697 From a complaint

Quality of Life and Care Deficiencies

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

Actual harm to a resident

F Oct 9, 2025 F0565

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of LIFEWORKS REHAB, which operates 69 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
BIRNBAUM, ISRAEL Individual W-2 MANAGING EMPLOYEE
KOHN, AVROHOM Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
BIRNBAUM, ISRAEL Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
ELKTON HEALTH HOLDCO LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST
RMA EQUITY LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST

What families say

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Common questions about Elkton Nursing And Rehabilitation Center

What is the ElderGrade for Elkton Nursing And Rehabilitation Center? +

Elkton Nursing And Rehabilitation Center holds an ElderGrade of F (36 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Elkton Nursing And Rehabilitation Center? +

Residents receive an average of 3.55 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Elkton Nursing And Rehabilitation Center been cited for harming residents? +

Yes. 3 of the 142 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Elkton Nursing And Rehabilitation Center accept Medicaid? +

Yes, Elkton Nursing And Rehabilitation Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.