Elkton Nursing and Rehabilitation Center

1 Price Drive, Elkton, MD 21921 · (410) 398-6474
For profit - Limited Liability company · 182 certified beds

Elkton Nursing and Rehabilitation Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in October 2025, found 36 citations, 2 for actual harm or immediate jeopardy (the Maryland average is 17). It was fined 4 times in the last three years, $93,551 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on October 9, 2025 found 36 citations. What an inspection citation means

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.October 9, 2025 · F0684 · Level of harm: Actual harm · Residents affected: Few
• Provide safe, appropriate pain management for a resident who requires such services.October 9, 2025 · F0697 · Level of harm: Actual harm · Residents affected: Few
• Honor the resident's right to organize and participate in resident/family groups in the facility.October 9, 2025 · F0565 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Honor the resident's right to manage his or her financial affairs.October 9, 2025 · F0567 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• 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.October 9, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.October 9, 2025 · F0800 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Ensure 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.October 9, 2025 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.October 9, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.October 9, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.October 9, 2025 · F0838 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Employ 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.October 9, 2025 · F0840 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Keep all essential equipment working safely.October 9, 2025 · F0908 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.October 9, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.October 9, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure 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.October 9, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.October 9, 2025 · F0805 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.October 9, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.October 9, 2025 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.October 9, 2025 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.October 9, 2025 · F0563 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor 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.October 9, 2025 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.October 9, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.October 9, 2025 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives an accurate assessment.October 9, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.October 9, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.October 9, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate foot care.October 9, 2025 · F0687 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.October 9, 2025 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.October 9, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide medically-related social services to help each resident achieve the highest possible quality of life.October 9, 2025 · F0745 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.October 9, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure medication error rates are not 5 percent or greater.October 9, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Help the resident with transportation to and from laboratory services outside of the facility.October 9, 2025 · F0774 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.October 9, 2025 · F0801 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.October 9, 2025 · F0806 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.October 9, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 71 citations.

• Honor the resident's right to choose his or her attending physician.July 16, 2026 · F0555 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Honor 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.July 16, 2026 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 16, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.July 16, 2026 · F0691 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.July 16, 2026 · F0838 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop, implement, and/or maintain an effective training program for all new and existing staff members.July 16, 2026 · F0940 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.June 17, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).June 17, 2026 · F0603 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.June 17, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.June 17, 2026 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 17, 2026 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyJune 17, 2026 · F0868 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.January 29, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.January 29, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 29, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident’s drug regimen must be free from unnecessary drugs.January 29, 2026 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide timely, quality laboratory services/tests to meet the needs of residents.January 29, 2026 · F0770 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.October 9, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to manage his or her financial affairs.October 9, 2025 · F0567 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.October 9, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.October 9, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.October 9, 2025 · F0684 · Level of harm: Actual harm · Residents affected: Few
• Provide safe, appropriate pain management for a resident who requires such services.October 9, 2025 · F0697 · Level of harm: Actual harm · Residents affected: Few
• Provide medically-related social services to help each resident achieve the highest possible quality of life.October 9, 2025 · F0745 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Help the resident with transportation to and from laboratory services outside of the facility.October 9, 2025 · F0774 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.October 9, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.October 9, 2025 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.July 2, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.July 2, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Keep residents' personal and medical records private and confidential.July 2, 2025 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.July 2, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Protect each resident from the wrongful use of the resident's belongings or money.July 2, 2025 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.July 2, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.July 2, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives an accurate assessment.July 2, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedJuly 2, 2025 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.July 2, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 2, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Assist a resident in gaining access to vision and hearing services.July 2, 2025 · F0685 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.July 2, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 2, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.July 2, 2025 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough food/fluids to maintain a resident's health.July 2, 2025 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.July 2, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Post nurse staffing information every day.July 2, 2025 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Many
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.July 2, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident’s drug regimen must be free from unnecessary drugs.July 2, 2025 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure 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.July 2, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Keep signed and dated reports of x-rays and other diagnostic services in the residents record.July 2, 2025 · F0779 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Employ 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.July 2, 2025 · F0840 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.July 2, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.July 2, 2025 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Respond appropriately to all alleged violations.November 20, 2023 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.November 20, 2023 · F0622 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.November 20, 2023 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Prepare residents for a safe transfer or discharge from the nursing home.November 20, 2023 · F0624 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Notify 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.November 20, 2023 · F0625 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.November 20, 2023 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.November 20, 2023 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.November 20, 2023 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide enough food/fluids to maintain a resident's health.November 20, 2023 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.November 20, 2023 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide safe, appropriate pain management for a resident who requires such services.November 20, 2023 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.November 20, 2023 · F0710 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.November 20, 2023 · F0711 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.November 20, 2023 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.November 20, 2023 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.November 20, 2023 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.November 20, 2023 · F0849 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Implement a program that monitors antibiotic use.November 20, 2023 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.November 20, 2023 · F0943 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $19,635June 17, 2026
• Fine of $47,855June 17, 2026
• Fine of $9,249October 9, 2025
• Fine of $16,812October 9, 2025
• Medicare payment denial for 34 daysStarting January 9, 2026

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home