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KEY HEALTH MANAGEMENT

Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency across a group says more about an operator than any single building.

Homes

7

States

1

Beds

842

Avg score

62.9

Avg turnover

45%

Federal fines

$72,827

Flags across this group

3 of the group's homes carry a CMS abuse icon. 2 homes are in or a candidate for the Special Focus Facility programme.

All 7 homes

B

70/100

Chestertown Nursing And Rehab

Chestertown, MD · Kent County

CMS 1/592 bedsFor-profitMedicaid
Nurse hours
3.38 /day
Staff turnover
53%
Serious cites
0

Chestertown Nursing and Rehab runs 92 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.38 hours per resident day, roughly 13% under the national average of 3.86. Weekend coverage drops about 4% below the home's own weekday level, and annual turnover is 53.3%, well above the 45.8% national figure. The inspection history is the bigger concern: a 1-out-of-5 health inspection rating, 79 deficiencies on the current record, seven of them abuse-related, with a single fine of $3,418. The quality measure rating of 4 out of 5 shows clinical care can look fine on paper even when the staffing and inspection side doesn't, worth asking about directly on a visit.

C

69/100

Hartley Nursing And Rehab

Pocomoke City, MD · Worcester County

CMS 3/573 bedsFor-profitMedicaid
Nurse hours
3.47 /day
Staff turnover
41%
Serious cites
0

Hartley Nursing and Rehab is a 73-bed for-profit in Pocomoke City, and its staffing is the number that matters most: 3.47 nurse hours per resident day, roughly 10% under the national average, with weekends running about 13% below its own weekday level. That thin weekend coverage is worth asking about directly, since care needs don't take Saturdays off. The inspection record shows 37 deficiencies, including one at the harm level and two tied to abuse. Turnover at 41.3% is slightly better than the national 45.8%, which helps, but a recent January 2026 inspection means the record is current. Ask how the abuse deficiencies were resolved and who covers weekends.

C

65/100

Caroline Nursing And Rehab

Denton, MD · Caroline County

CMS 2/587 bedsFor-profitMedicaid
Nurse hours
3.33 /day
Staff turnover
44%
Serious cites
0

Caroline Nursing and Rehab runs below the national average on nurse staffing, 3.33 hours per resident day against 3.86 nationally, about 14% less. Weekends are thinner still, roughly 8% below the home's own weekday level, which matters because that's when families often visit and when problems tend to surface. The inspection record shows 42 deficiencies, none at the harm or jeopardy level but four tied to abuse, and the last full inspection was in November 2024. Staff turnover sits at 44.4%, essentially in line with the national figure, so retention isn't the outlier here, the thin staffing and the inspection history are. For-profit, limited liability ownership.

C

64/100

Denton Nursing And Rehab

Denton, MD · Caroline County

CMS 1/5100 bedsFor-profitMedicaid
Nurse hours
3.28 /day
Staff turnover
49%
Serious cites
0

Abuse icon on record

Denton Nursing and Rehab is a 100-bed for-profit home in Caroline County, and the numbers that stand out most are on the staffing and inspection side. Nurses provide about 3.28 hours of care per resident per day, roughly 15% under the national average, weekend coverage dips further, and nearly half the staff turns over each year. That thinness shows up in the inspection record: 91 deficiencies, 2 serious enough to involve harm or jeopardy, and 14 tied to abuse. Two fines totaling $28,670 are on file, with the most recent inspection in March 2026. Ownership is a limited liability company, so accountability runs through a corporate structure rather than a local operator.

C

64/100

Mallard Bay Nursing And Rehab

Cambridge, MD · Dorchester County

CMS 2/5160 bedsFor-profitMedicaid
Nurse hours
3.27 /day
Staff turnover
45%
Serious cites
0

Abuse icon on record

Mallard Bay runs 160 beds in Cambridge under corporate ownership, and its nurse staffing sits at 3.27 hours per resident day, roughly 15% under the national average of 3.86. Weekends dip about 4% below the home's own weekday coverage, so the thinnest shifts are the ones families visit. Turnover is 45.2%, essentially matching the national rate, so that's not the problem here. The inspection record is: 83 deficiencies, nine of them abuse-related, and a one-star health inspection rating despite a five-star quality measure score. The last inspection was September 5, 2025. Low staffing and a heavy deficiency history are what pull the numbers down; the quality measures are doing the lifting.

D

54/100

Pines Nursing And Rehab

Easton, MD · Talbot County

195 bedsFor-profitMedicaid
Nurse hours
3.31 /day
Staff turnover
48%
Serious cites
0

Special Focus Facility

Pines Nursing and Rehab is a 195-bed for-profit home in Easton, and the inspection record is the first thing you need to know about. CMS has it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems, 179 deficiencies on the current record, including four at the harm or jeopardy level and nine tied to abuse. The health inspection star rating sits at 1 out of 5. Staffing runs about 14% below the national average at 3.31 nurse hours per resident day, weekends dip further, and turnover is 48%, above the national figure. One fine of $24,088 is small next to the deficiency count; the September 2025 inspection is recent, at least.

D

54/100

Manokin Nursing And Rehab

Princess Anne, MD · Somerset County

CMS 1/5135 bedsFor-profitMedicaid
Nurse hours
3.22 /day
Staff turnover
34%
Serious cites
0

Abuse icon on record

Manokin Nursing and Rehab runs 135 certified beds in Princess Anne under corporate ownership, and the numbers here deserve a careful look. Nurse staffing sits at 3.22 hours per resident day, roughly 17 percent under the national average, and weekends dip about 11 percent below the home's own weekday coverage. Turnover at 34.4 percent is actually better than the national 45.8 percent, so the problem isn't retention; it's how many hands are on deck each shift. The inspection record is where things get serious. Ninety-one deficiencies, including five at the harm or jeopardy level and nine tied to abuse. Two fines total $187,010, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the most persistently troubled homes. Given a September 2025 inspection, ask directly what's changed since.