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Caroline Nursing and Rehab
520 Kerr Avenue, Denton, MD 21629 (opens Google Maps) · Caroline County · (410) 479-2130· 87 certified beds · avg 85 residents/day · certified since Dec 13, 1971 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: KEY HEALTH MANAGEMENT (7 facilities, chain avg rating 1.6★)
2/5
Health inspection rating (on-site)
inspected Nov 22, 2024
0
Serious findings on record
$0
Fines, last 3 years
3.00
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 42 inspection findings. Open the full record below to read every finding.
The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint F-0677
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint F-0755
The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · from a complaint F-0628
View all 42 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 13, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677 |
| Oct 29, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755 |
| Oct 29, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · from a complaint · F-0628 |
| Oct 29, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760 |
| Oct 29, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Jun 27, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint · F-0757 |
| Nov 22, 2024 | F · Potential for more than minimal harm, widespread | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint · F-0726 |
| Nov 22, 2024 | F · Potential for more than minimal harm, widespread | The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs. · from a complaint · F-0800 |
| Nov 22, 2024 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Nov 22, 2024 | F · Potential for more than minimal harm, widespread | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · F-0947 |
| Nov 22, 2024 | E · Potential for more than minimal harm, pattern | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint · F-0657 |
| Nov 22, 2024 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Nov 22, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679 |
| Nov 22, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| Nov 22, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686 |
| Nov 22, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Nov 22, 2024 | D · Potential for more than minimal harm, isolated | The facility did not observe each nurse aide's job performance or provide regular training as required. · F-0730 |
| Nov 22, 2024 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Nov 22, 2024 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Nov 22, 2024 | E · Potential for more than minimal harm, pattern | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610 |
| Nov 22, 2024 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580 |
| Nov 22, 2024 | D · Potential for more than minimal harm, isolated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600 |
| Nov 22, 2024 | D · Potential for more than minimal harm, isolated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609 |
| Nov 22, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint · F-0692 |
| Oct 11, 2019 | E · Potential for more than minimal harm, pattern | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558 |
| Oct 11, 2019 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Oct 11, 2019 | D · Potential for more than minimal harm, isolated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · F-0610 |
| Oct 11, 2019 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Oct 11, 2019 | D · Potential for more than minimal harm, isolated | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655 |
| Oct 11, 2019 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Oct 11, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677 |
| Oct 11, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679 |
| Oct 11, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Oct 11, 2019 | D · Potential for more than minimal harm, isolated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Oct 11, 2019 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| May 18, 2018 | E · Potential for more than minimal harm, pattern | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · F-0726 |
| May 18, 2018 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| May 18, 2018 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| May 18, 2018 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| May 18, 2018 | D · Potential for more than minimal harm, isolated | The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit. · F-0711 |
| May 18, 2018 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · F-0757 |
| May 18, 2018 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (11 → 13).
All citationsSerious citations (G–L)
2018
All citations: 7
Serious citations (G–L): 0
2019
All citations: 11
Serious citations (G–L): 0
2024
All citations: 18
Serious citations (G–L): 0
2025
All citations: 5
Serious citations (G–L): 0
2026
All citations: 1
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 7 | 0 | E |
| 2019 | 11 | 0 | E |
| 2024 | 18 | 0 | F |
| 2025 | 5 | 0 | E |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityMaryland averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.00
Maryland average: 3.83
U.S. average: 3.95
Registered Nurse hours
This facility: 0.52
Maryland average: 0.83
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.75
Maryland average: 3.43
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Maryland avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.00 | 3.83 | 3.95 | bottom 6% in Maryland; bottom 14% in the U.S. |
| Registered Nurse hours | 0.52 | 0.83 | 0.69 | bottom 21% in Maryland; bottom 41% in the U.S. |
| Weekend total nurse staffing | 2.75 | 3.43 | 3.50 | bottom 11% in Maryland; bottom 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.40 | 0.63 | 0.48 | bottom 30% in Maryland; top 47% in the U.S. |
| Total nursing staff turnover (%) | 44.4 | 40.2 | 45.8 | bottom 39% in Maryland; top 49% in the U.S. |
| RN turnover (%) | 40.0 | 38.7 | 42.9 | bottom 46% in Maryland; top 46% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.33, RN 0.58, weekend 3.05.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.33 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 3/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Caroline Nursing and Rehab. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Caroline Operations Holdco LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 08/01/2022 |
| Hirth, Yechiel | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/01/2022 |
| MD2 Investors LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 08/01/2022 |
| Ausch, Sara | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2022 |
| Caroline Property Holdco LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 08/01/2022 |
| Caroline Property Holdco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2022 |
| Eisen, Menashe | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2022 |
| Fisher Yohn, Carla | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/19/2024 |
| Fisher Yohn, Carla | Individual | ADP of the SNF | NOT APPLICABLE | 08/19/2024 |
| Hirth, Yechiel | Individual | Corporate Officer | NOT APPLICABLE | 08/01/2022 |
| Hirth, Yechiel | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2022 |
| Hirth, Yechiel | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2022 |
| Howard, Daniel | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2022 |
| Howard, Daniel | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2022 |
| Key Health Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2022 |
| Klein, Yehudis | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2022 |
| MD2 Investors LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2022 |
| Perlstein, Barry | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2022 |
| Schlussel, Naftali | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2022 |
All 19 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Key Health Management — 7 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Chestertown Nursing and Rehab — Chestertown, MD · overall 1/5abuse
- Denton Nursing and Rehab — Denton, MD · overall 1/5abuse
- Hartley Nursing and Rehab — Pocomoke City, MD · overall 3/5
- Mallard Bay Nursing and Rehab — Cambridge, MD · overall 2/5abuse
- Manokin Nursing and Rehab — Princess Anne, MD · overall 1/5abuseSFF
- Pines Nursing and Rehab — Easton, MD · overall 1/5SFF
Listed by state, then facility name — not a ranking.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "Can I see a sample menu, and how do you handle special diets like low-sodium or diabetic meals?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Maryland midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 44% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 19 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Denton Nursing and Rehab | 1.4 mi | Denton, MD | ★☆☆☆☆ | 1/5 | abuse |
| Pines Nursing and Rehab | 15.2 mi | Easton, MD | ★☆☆☆☆ | 1/5 | SFF |
| Willowbrooke Ct Skilled Care Ctr at Bayleigh Chase | 15.4 mi | Easton, MD | ★★☆☆☆ | 2/5 | abuse |
| Complete Care at Corsica Hills LLC | 17.4 mi | Centreville, MD | ★★★☆☆ | 3/5 |
Facility data as of CMS processing date 2026-08-01. CCN 215083.