Starfile

Starfile / Maryland

DENTON NURSING AND REHAB

420 COLONIAL DRIVE, DENTON, MD 21629 · CCN 215149

Ratings

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

Facility

Ownership type
For profit - Limited Liability company
Certified beds
100
Avg residents/day
78.4
Phone
4104794400

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
12024-11-013618.99.5+17.1 worse
22019-07-262017.19.8+2.9 worse
32018-03-283414.59.3+19.5 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation6
Quality of life and care4
Resident assessment and care planning7
Nursing and physician services3
Resident rights6
Nutrition and dietary3
Pharmacy service2
Environmental2
Administration2
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.2641.0%
RN staffing (reported)0.4854.5%
Total nurse staffing (adjusted)2.77

Fines & penalties

Total fines
$28,670
Number of fines
2
Number of penalties
2
Payment denials
0

Chain

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

Inspection citations (90)2 actual harm

  1. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-12-04 · Health · corrected 2026-01-06

    Potential for more than minimal harm

  2. DF0558Reasonably accommodate the needs and preferences of each resident.2025-09-04 · Health · corrected 2025-10-06

    Potential for more than minimal harm

  3. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-09-04 · Health · corrected 2025-10-06

    Potential for more than minimal harm

  4. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-09-04 · Health · corrected 2025-10-06

    Potential for more than minimal harm

  5. DF0610Respond appropriately to all alleged violations.2025-09-04 · Health · corrected 2025-10-06

    Potential for more than minimal harm

  6. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-09-04 · Health · corrected 2025-12-01

    Potential for more than minimal harm

  7. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-04 · Health · corrected 2025-10-06

    Actual harm

  8. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-09-04 · Health · corrected 2025-10-06

    Potential for more than minimal harm

  9. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-09-04 · Health · corrected 2025-10-06

    Potential for more than minimal harm

  10. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-09-04 · Health · corrected 2025-12-01

    Potential for more than minimal harm

  11. GF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-09-04 · Health · corrected 2025-10-06

    Actual harm

  12. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  13. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  14. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  15. EF0584Honor 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.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  16. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  17. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  18. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  19. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  20. EF0610Respond appropriately to all alleged violations.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  21. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  22. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  23. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  24. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  25. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  26. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  27. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  28. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  29. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  30. DF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  31. FF0730Observe each nurse aide's job performance and give regular training.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  32. 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.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  33. FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  34. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  35. FF0814Dispose of garbage and refuse properly.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  36. DF0840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  37. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  38. FF0880Provide and implement an infection prevention and control program.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  39. DF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  40. FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-11-01 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  41. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-08-31 · Health · corrected 2023-10-06

    Potential for more than minimal harm

  42. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-08-31 · Health · corrected 2023-10-06

    Potential for more than minimal harm

  43. DF0584Honor 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.2023-08-31 · Health · corrected 2023-10-06

    Potential for more than minimal harm

  44. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-08-31 · Health · corrected 2023-10-06

    Potential for more than minimal harm

  45. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-08-31 · Health · corrected 2023-10-06

    Potential for more than minimal harm

  46. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-08-31 · Health · corrected 2023-10-06

    Potential for more than minimal harm

  47. EF0610Respond appropriately to all alleged violations.2023-08-31 · Health · corrected 2023-10-06

    Potential for more than minimal harm

  48. DF0641Ensure each resident receives an accurate assessment.2023-08-31 · Health · corrected 2023-10-06

    Potential for more than minimal harm

  49. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-31 · Health · corrected 2023-10-06

    Potential for more than minimal harm

  50. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-08-31 · Health · corrected 2023-10-06

    Potential for more than minimal harm

  51. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-31 · Health · corrected 2023-10-06

    Potential for more than minimal harm

  52. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-08-31 · Health · corrected 2023-10-06

    Potential for more than minimal harm

  53. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-08-31 · Health · corrected 2023-10-06

    Potential for more than minimal harm

  54. EF0692Provide enough food/fluids to maintain a resident's health.2023-08-31 · Health · corrected 2023-10-06

    Potential for more than minimal harm

  55. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-08-31 · Health · corrected 2023-10-06

    Potential for more than minimal harm

  56. EF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2023-08-31 · Health · corrected 2023-10-06

    Potential for more than minimal harm

  57. 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.2023-08-31 · Health · corrected 2023-10-06

    Potential for more than minimal harm

  58. DF0839Employ staff that are licensed, certified, or registered in accordance with state laws.2023-08-31 · Health · corrected 2023-05-15

    Potential for more than minimal harm

  59. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-08-31 · Health · corrected 2023-10-06

    Potential for more than minimal harm

  60. DF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-08-31 · Health · corrected 2023-10-06

    Potential for more than minimal harm

  61. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-07-26 · Health · corrected 2019-09-19

    Potential for more than minimal harm

  62. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2019-07-26 · Health · corrected 2019-09-19

    Potential for more than minimal harm

  63. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2019-07-26 · Health · corrected 2019-09-19

    Potential for more than minimal harm

  64. DF0584Honor 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.2019-07-26 · Health · corrected 2019-09-19

    Potential for more than minimal harm

  65. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2019-07-26 · Health · corrected 2019-09-19

    Potential for more than minimal harm

  66. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2019-07-26 · Health · corrected 2019-09-19

    Potential for more than minimal harm

  67. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2019-07-26 · Health · corrected 2019-09-19

    Potential for more than minimal harm

  68. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2019-07-26 · Health · corrected 2019-09-19

    Potential for more than minimal harm

  69. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-07-26 · Health · corrected 2019-09-19

    Potential for more than minimal harm

  70. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-07-26 · Health · corrected 2019-09-19

    Potential for more than minimal harm

  71. DF0679Provide activities to meet all resident's needs.2019-07-26 · Health · corrected 2019-09-19

    Potential for more than minimal harm

  72. DF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2019-07-26 · Health · corrected 2019-09-19

    Potential for more than minimal harm

  73. DF0760Ensure that residents are free from significant medication errors.2019-07-26 · Health · corrected 2019-09-19

    Potential for more than minimal harm

  74. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-07-26 · Health · corrected 2019-09-19

    Potential for more than minimal harm

  75. DF0880Provide and implement an infection prevention and control program.2019-07-26 · Health · corrected 2019-09-19

    Potential for more than minimal harm

  76. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2019-07-26 · Health · corrected 2019-09-19

    Potential for more than minimal harm

  77. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2018-03-28 · Health · corrected 2018-05-11

    Potential for more than minimal harm

  78. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2018-03-28 · Health · corrected 2018-05-11

    Potential for more than minimal harm

  79. DF0610Respond appropriately to all alleged violations.2018-03-28 · Health · corrected 2018-05-11

    Potential for more than minimal harm

  80. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2018-03-28 · Health · corrected 2018-05-11

    Potential for more than minimal harm

  81. 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.2018-03-28 · Health · corrected 2018-05-11

    Potential for more than minimal harm

  82. DF0641Ensure each resident receives an accurate assessment.2018-03-28 · Health · corrected 2018-05-11

    Potential for more than minimal harm

  83. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2018-03-28 · Health · corrected 2018-05-11

    Potential for more than minimal harm

  84. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2018-03-28 · Health · corrected 2018-05-11

    Potential for more than minimal harm

  85. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2018-03-28 · Health · corrected 2018-05-11

    Potential for more than minimal harm

  86. DF0660Plan the resident's discharge to meet the resident's goals and needs.2018-03-28 · Health · corrected 2018-05-11

    Potential for more than minimal harm

  87. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2018-03-28 · Health · corrected 2018-05-11

    Potential for more than minimal harm

  88. 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.2018-03-28 · Health · corrected 2018-05-11

    Potential for more than minimal harm

  89. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2018-03-28 · Health · corrected 2018-05-11

    Potential for more than minimal harm

  90. EF0880Provide and implement an infection prevention and control program.2018-03-28 · Health · corrected 2018-05-11

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
MD4 HOLDCO, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-04-01
MD5 INVESTORS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST50%2023-04-01
HIRTH, YECHIELIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST50%2023-04-01
HIRTH, YECHIELIndividualOPERATIONAL/MANAGERIAL CONTROL2023-04-01
HOWARD, DANIELIndividualOPERATIONAL/MANAGERIAL CONTROL2023-04-01
WILLIAMS, VICTORIAIndividualOPERATIONAL/MANAGERIAL CONTROL2023-10-23
HIRTH, YECHIELIndividualCORPORATE OFFICER2023-04-01

Other facilities in DENTON

NameOverallBeds
CAROLINE NURSING AND REHAB★★☆☆☆87

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