Starfile

Starfile / Maryland

CHESTERTOWN NURSING AND REHAB

415 MORGNEC ROAD, CHESTERTOWN, MD 21620 · CCN 215260

Abuse icon

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★★☆☆ 3
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Limited Liability company
Certified beds
92
Avg residents/day
88.4
Phone
4107781900

Inspection history vs Maryland & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityMaryland avgNational avgvs state
12025-08-134118.99.5+22.1 worse
22023-09-282917.19.8+11.9 worse
32019-02-15914.59.3-5.5 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation4
Quality of life and care8
Resident assessment and care planning6
Nursing and physician services5
Resident rights4
Nutrition and dietary1
Pharmacy service4
Environmental2
Administration3
Infection control4

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.1156.2%
RN staffing (reported)0.6770.0%
Total nurse staffing (adjusted)2.75

Fines & penalties

Total fines
$3,418
Number of fines
1
Number of penalties
1
Payment denials
0

Chain

Chain
KEY HEALTH MANAGEMENT
Facilities in chain
7
Chain avg overall
1.60 / 5

Inspection citations (79)

  1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  2. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  3. FF0584Honor 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.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  4. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  5. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  6. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  7. DF0610Respond appropriately to all alleged violations.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  8. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  9. DF0641Ensure each resident receives an accurate assessment.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  10. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  11. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  12. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  13. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-08-13 · Health · corrected 2025-11-18

    Potential for more than minimal harm

  14. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  15. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  16. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  17. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  18. DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  19. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  20. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  21. DF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  22. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  23. DF0730Observe each nurse aide's job performance and give regular training.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  24. DF0732Post nurse staffing information every day.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  25. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  26. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  27. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  28. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  29. DF0791Provide or obtain dental services for each resident.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  30. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  31. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  32. DF0880Provide and implement an infection prevention and control program.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  33. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  34. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  35. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  36. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  37. DF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  38. DF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  39. DF0946Provide training in compliance and ethics.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  40. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  41. DF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2025-08-13 · Health · corrected 2025-10-01

    Potential for more than minimal harm

  42. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  43. EF0558Reasonably accommodate the needs and preferences of each resident.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  44. DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  45. DF0567Honor the resident's right to manage his or her financial affairs.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  46. DF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  47. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  48. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  49. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  50. DF0610Respond appropriately to all alleged violations.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  51. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  52. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  53. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  54. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  55. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  56. DF0732Post nurse staffing information every day.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  57. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  58. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  59. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  60. DF0759Ensure medication error rates are not 5 percent or greater.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  61. EF0760Ensure that residents are free from significant medication errors.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  62. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  63. DF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  64. DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  65. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  66. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  67. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  68. DF0880Provide and implement an infection prevention and control program.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  69. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  70. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-09-28 · Health · corrected 2023-12-04

    Potential for more than minimal harm

  71. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2019-02-15 · Health · corrected 2019-04-15

    Potential for more than minimal harm

  72. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2019-02-15 · Health · corrected 2019-04-15

    Potential for more than minimal harm

  73. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2019-02-15 · Health · corrected 2019-04-15

    Potential for more than minimal harm

  74. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2019-02-15 · Health · corrected 2019-04-15

    Potential for more than minimal harm

  75. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2019-02-15 · Health · corrected 2019-04-15

    Potential for more than minimal harm

  76. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-02-15 · Health · corrected 2019-04-15

    Potential for more than minimal harm

  77. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-02-15 · Health · corrected 2019-04-15

    Potential for more than minimal harm

  78. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-02-15 · Health · corrected 2019-04-15

    Potential for more than minimal harm

  79. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2019-02-15 · Health · corrected 2019-04-15

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
MD4 HOLDCO, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-04-01
HERSHEY, THERESAIndividualOPERATIONAL/MANAGERIAL CONTROL2024-05-01
HIRTH, YECHIELIndividualOPERATIONAL/MANAGERIAL CONTROL2023-04-01
HOWARD, DANIELIndividualOPERATIONAL/MANAGERIAL CONTROL2023-04-01
HIRTH, YECHIELIndividualCORPORATE OFFICER2023-04-01

Other facilities in CHESTERTOWN

NameOverallBeds
WILLOW BROOKE CT SKILLED CARE CTR AT HERON POINT★★★★★38
RESORTS AT CHESTER RIVER MANOR CORP★★★★☆98

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.