ElderGrade
F

29.5/100

Poor

Manokin Nursing And Rehab

11974 Edgehill Terrace, Princess Anne, MD 21853

CMS 1/5 stars #2 of 2 in Somerset County (410) 651-0011
Certified beds
135
Occupancy
79%
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.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • 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.

  • 5 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.

  • $187,010 in federal fines

    CMS has fined this facility across 2 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

1.5/30

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

  • -20 for 2 immediate-jeopardy citation(s) in the last 3 years
  • -8.5 for 41 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.

  • 3.29 total nurse hours per resident per day (national median 3.77)
  • 0.44 RN hours per resident per day
  • Weekend staffing drops 11% against weekdays

Staff stability

13/15

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

  • 34% of nursing staff left in the last year
  • -2 for 3 administrator departures

Resident outcomes

2/15

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

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

Enforcement history

0/10

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

  • $187,010 in federal fines across 2 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) — CMS abuse icon on record
  • 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 3.22 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.44 hrs
National average 0.69 hrs Below average

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

Weekend nurse hours 2.87 hrs
National average 3.42 hrs Below average

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

Nursing staff turnover 34.40%
National average 45.80% Better than average

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

Recent inspection findings

All 91 citations

Last standard health inspection: September 26, 2025 (10 months ago).

J Apr 1, 2026 F0600 From a complaint

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.

Immediate jeopardy to resident health or safety

D Apr 1, 2026 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

No actual harm, potential for more than minimal harm

J Sep 26, 2025 F0600

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.

Immediate jeopardy to resident health or safety

F Sep 26, 2025 F0850

Administration Deficiencies

Hire a qualified full-time social worker in a facility with more than 120 beds.

No actual harm, potential for more than minimal harm

F Sep 26, 2025 F0941

Administration Deficiencies

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

No actual harm, potential for more than minimal harm

F Sep 26, 2025 F0944

Administration Deficiencies

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

No actual harm, potential for more than minimal harm

E Sep 26, 2025 F0550

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

No actual harm, potential for more than minimal harm

E Sep 26, 2025 F0584

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.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of KEY HEALTH MANAGEMENT, which operates 7 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
MANOKIN OPERATIONS HOLDCO LLC Organization DIRECT OWNERSHIP INTEREST
MD2 INVESTORS LLC Organization INDIRECT OWNERSHIP INTEREST
HIRTH, YECHIEL Individual INDIRECT OWNERSHIP INTEREST
MANOKIN PROPERTY HOLDCO LLC Organization 5% OR GREATER MORTGAGE INTEREST
HIRTH, YECHIEL Individual CORPORATE OFFICER
FOSKEY, TINA Individual OPERATIONAL/MANAGERIAL CONTROL
HIRTH, YECHIEL Individual OPERATIONAL/MANAGERIAL CONTROL
HOWARD, DANIEL Individual OPERATIONAL/MANAGERIAL CONTROL
KEY HEALTH MANAGEMENT LLC Organization ADP OF THE SNF
MANOKIN PROPERTY HOLDCO LLC Organization ADP OF THE SNF
MD2 INVESTORS LLC Organization ADP OF THE SNF
AUSCH, SARA Individual ADP OF THE SNF

What families say

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Common questions about Manokin Nursing And Rehab

What is the ElderGrade for Manokin Nursing And Rehab? +

Manokin Nursing And Rehab holds an ElderGrade of F (29.5 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 Manokin Nursing And Rehab? +

Residents receive an average of 3.22 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Manokin Nursing And Rehab been cited for harming residents? +

Yes. 5 of the 91 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 Manokin Nursing And Rehab accept Medicaid? +

Yes, Manokin Nursing And Rehab 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.