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.
| Cycle | Inspection date | This facility | Maryland avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-08-13 | 41 | 18.9 | 9.5 | +22.1 worse |
| 2 | 2023-09-28 | 29 | 17.1 | 9.8 | +11.9 worse |
| 3 | 2019-02-15 | 9 | 14.5 | 9.3 | -5.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 4 |
| Quality of life and care | 8 |
| Resident assessment and care planning | 6 |
| Nursing and physician services | 5 |
| Resident rights | 4 |
| Nutrition and dietary | 1 |
| Pharmacy service | 4 |
| Environmental | 2 |
| Administration | 3 |
| Infection control | 4 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.11 | 56.2% |
| RN staffing (reported) | 0.67 | 70.0% |
| 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)
- 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
- 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
- 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
- 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
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2025-08-13 · Health · corrected 2025-10-01
Potential for more than minimal harm
- 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
- DF0641Ensure each resident receives an accurate assessment.2025-08-13 · Health · corrected 2025-10-01
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-08-13 · Health · corrected 2025-10-01
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0732Post nurse staffing information every day.2025-08-13 · Health · corrected 2025-10-01
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- DF0791Provide or obtain dental services for each resident.2025-08-13 · Health · corrected 2025-10-01
Potential for more than minimal harm
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2025-08-13 · Health · corrected 2025-10-01
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- DF0946Provide training in compliance and ethics.2025-08-13 · Health · corrected 2025-10-01
Potential for more than minimal harm
- 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
- 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
- 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
- EF0558Reasonably accommodate the needs and preferences of each resident.2023-09-28 · Health · corrected 2023-12-04
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2023-09-28 · Health · corrected 2023-12-04
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- DF0732Post nurse staffing information every day.2023-09-28 · Health · corrected 2023-12-04
Potential for more than minimal harm
- 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
- 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
- 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
- DF0759Ensure medication error rates are not 5 percent or greater.2023-09-28 · Health · corrected 2023-12-04
Potential for more than minimal harm
- EF0760Ensure that residents are free from significant medication errors.2023-09-28 · Health · corrected 2023-12-04
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2023-09-28 · Health · corrected 2023-12-04
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MD4 HOLDCO, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-04-01 |
| HERSHEY, THERESA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-01 |
| HIRTH, YECHIEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-01 |
| HOWARD, DANIEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-01 |
| HIRTH, YECHIEL | Individual | CORPORATE OFFICER | — | 2023-04-01 |
Other facilities in CHESTERTOWN
| Name | Overall | Beds |
|---|---|---|
| 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.