St. Mary's Nursing Center INC
21585 Peabody Street, Leonardtown, MD 20650 · St. Marys County · 160 certified beds · avg 118 residents/day · certified since Jan 1, 1967
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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 (20)
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 12, 2026 | 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. |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Mar 12, 2026 | 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. |
| Mar 12, 2026 | 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. |
| Nov 22, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Nov 22, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Nov 22, 2024 | D · Potential for harm, one-off | 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. |
| 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 keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Nov 22, 2024 | D · Potential for harm, one-off | 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. |
| Jul 26, 2024 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint |
| Jul 26, 2024 | D · Potential for harm, one-off | The facility did not properly prepare residents for a safe transfer or discharge. Before a resident leaves, the facility must get them ready and make sure the move is safe and orderly. · from a complaint |
| Jul 26, 2024 | D · Potential for harm, one-off | The facility did not let a resident return after a hospital stay or approved leave that lasted longer than the facility's bed-hold policy allowed. Residents generally have the right to come back to the next available bed. · from a complaint |
| Jul 26, 2024 | D · Potential for harm, one-off | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Jul 26, 2024 | 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 |
| Aug 27, 2019 | E · Potential for harm, repeated | 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. |
| Aug 27, 2019 | E · Potential for harm, repeated | 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. |
| Aug 27, 2019 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 27, 2019 | 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. |
| Aug 27, 2019 | C · Minimal risk, facility-wide | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 5 | 0 | E |
| 2024 | 11 | 0 | E |
| 2026 | 4 | 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)
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) | 3.71 | 3.83 | 3.95 | top 40% in Maryland; bottom 47% in the U.S. |
| Registered Nurse hours | 0.56 | 0.83 | 0.69 | bottom 27% in Maryland; bottom 47% in the U.S. |
| Weekend total nurse staffing | 3.25 | 3.43 | 3.50 | top 46% in Maryland; bottom 45% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.37 | 0.63 | 0.48 | bottom 20% in Maryland; bottom 46% in the U.S. |
| Total nursing staff turnover (%) | 46.1 | 40.2 | 45.8 | bottom 35% in Maryland; bottom 47% in the U.S. |
| RN turnover (%) | 35.3 | 38.7 | 42.9 | top 43% in Maryland; top 39% 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 3.52, RN 0.54, weekend 3.09. Staffing rating: 3/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Burton, Charles | Individual | Corporate Director | NOT APPLICABLE | 01/22/2020 |
| Densford, Joseph | Individual | Corporate Director | NOT APPLICABLE | 08/01/2012 |
| Densford, Joseph | Individual | Corporate Officer | NOT APPLICABLE | 06/28/2017 |
| Farrell, James | Individual | Corporate Director | NOT APPLICABLE | 11/25/2019 |
| Hall, Trace | Individual | W-2 Managing Employee | NOT APPLICABLE | 11/20/2019 |
| Hodges, Lois | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2017 |
| Kaur, Kirandeep | Individual | Contracted Managing Employee | NOT APPLICABLE | 06/23/2010 |
| Kubinec, Tracy | Individual | Corporate Director | NOT APPLICABLE | 07/01/2012 |
| Kubinec, Tracy | Individual | Corporate Officer | NOT APPLICABLE | 06/28/2017 |
| Lancaster, Harry | Individual | Corporate Director | NOT APPLICABLE | 04/01/2024 |
| Morgan, Christine | Individual | Corporate Director | NOT APPLICABLE | 04/01/2024 |
| Mortensen, Denise | Individual | Corporate Director | NOT APPLICABLE | 02/01/2016 |
| Prochnow, Terry | Individual | Corporate Director | NOT APPLICABLE | 04/01/2024 |
| Sterling, Judith | Individual | Corporate Officer | NOT APPLICABLE | 06/28/2017 |
| Viar, Willard | Individual | Corporate Director | NOT APPLICABLE | 07/01/2013 |
| Viar, Willard | Individual | Corporate Officer | NOT APPLICABLE | 06/28/2017 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "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 |
|---|---|---|---|---|---|
| Chesapeake Shores Nursing Center | 9.1 mi | Lexington Park, MD | ★★★☆☆ | 3/5 | |
| Asbury Solomons | 9.7 mi | Solomons, MD | ★★★★★ | 5/5 | |
| Solomons Nursing and Rehab Center | 10.4 mi | Solomons, MD | ★☆☆☆☆ | 1/5 | |
| Charlotte Hall Veterans Home | 14.5 mi | Charlotte Hall, MD | ★★★★★ | 4/5 | |
| Calvert County Nursing Ctr. | 18.2 mi | Prince Frederick, MD | ★★☆☆☆ | 2/5 | abuse |
| Westmoreland Rehabilitation & Healthcare Center | 18.9 mi | Colonial Beach, VA | ★★★☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 215013.