Caroline Nursing and Rehab

Name: Caroline Nursing and Rehab
Address: 520 KERR AVENUE, Denton, MD, 21629, US
Telephone: 4104792130

520 Kerr Avenue, Denton, MD 21629 · Caroline County · 87 certified beds · avg 85 residents/day · certified since Dec 13, 1971

Part of chain: KEY HEALTH MANAGEMENT (7 facilities, chain avg rating 1.6★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.00

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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 self-reported quality measures.

All citations in the current public record (42)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 13, 2026	D · Potential for harm, one-off	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
Oct 29, 2025	E · Potential for harm, repeated	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
Oct 29, 2025	D · Potential for harm, one-off	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
Oct 29, 2025	D · Potential for harm, one-off	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
Oct 29, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Jun 27, 2025	D · Potential for harm, one-off	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
Nov 22, 2024	F · Potential for harm, facility-wide	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
Nov 22, 2024	F · Potential for harm, facility-wide	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
Nov 22, 2024	F · Potential for harm, facility-wide	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.
Nov 22, 2024	F · Potential for harm, facility-wide	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.
Nov 22, 2024	E · Potential for harm, repeated	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
Nov 22, 2024	D · Potential for harm, one-off	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.
Nov 22, 2024	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Nov 22, 2024	D · Potential for harm, one-off	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
Nov 22, 2024	D · Potential for harm, one-off	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
Nov 22, 2024	D · Potential for harm, one-off	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.
Nov 22, 2024	D · Potential for harm, one-off	The facility did not observe each nurse aide's job performance or provide regular training as required.
Nov 22, 2024	D · Potential for harm, one-off	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.
Nov 22, 2024	D · Potential for harm, one-off	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.
Nov 22, 2024	E · Potential for harm, repeated	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
Nov 22, 2024	D · Potential for harm, one-off	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
Nov 22, 2024	D · Potential for harm, one-off	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
Nov 22, 2024	D · Potential for harm, one-off	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
Nov 22, 2024	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint
Oct 11, 2019	E · Potential for harm, repeated	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.
Oct 11, 2019	E · Potential for harm, repeated	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.
Oct 11, 2019	D · Potential for harm, one-off	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.
Oct 11, 2019	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Oct 11, 2019	D · Potential for harm, one-off	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.
Oct 11, 2019	D · Potential for harm, one-off	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.
Oct 11, 2019	D · Potential for harm, one-off	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.
Oct 11, 2019	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Oct 11, 2019	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Oct 11, 2019	D · Potential for harm, one-off	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.
Oct 11, 2019	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
May 18, 2018	E · Potential for harm, repeated	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
May 18, 2018	D · Potential for harm, one-off	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.
May 18, 2018	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
May 18, 2018	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
May 18, 2018	D · Potential for harm, one-off	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.
May 18, 2018	D · Potential for harm, one-off	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.
May 18, 2018	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (11 → 13).

Year	Citations	Worst severity that year
2018	7	E
2019	11	E
2024	18	F
2025	5	E
2026	1	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)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

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, 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. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 3/5

Who owns this facility

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

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?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

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

Compare this facility with the 3 closest →

All facilities in Denton →

Facility data as of CMS processing date 2026-08-01. CCN 215083.

The Care File

Visit checklist — Caroline Nursing and Rehab

520 Kerr Avenue, Denton, MD 21629 · 4104792130

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "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?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 215083 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)