Caroline Nursing and Rehab
520 Kerr Avenue · Denton, MD · 21629 · 4104792130
87 certified beds For profit - Limited Liability company Chain: Key Health Management
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.23 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.62 | 0.55–0.75 |
| Weekend hours / resident-day | 3.01 | ≈ weekday level |
| Nursing turnover / year | 46% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (42 in the current record)
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Potential for harm · D March 13, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 15, 2026 · Quality of Life and Care
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Potential for harm · D October 29, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected December 2, 2025 · Resident Rights
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Potential for harm · E October 29, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 2, 2025 · Pharmacy Service
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Potential for harm · D October 29, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected December 2, 2025 · Pharmacy Service
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Potential for harm · D October 29, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 27, 2025 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected July 29, 2025 · Pharmacy Service
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Potential for harm · D November 22, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 22, 2024
Provide activities to meet all resident's needs.
Corrected January 17, 2025 · Quality of Life and Care
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Potential for harm · D November 22, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 17, 2025 · Quality of Life and Care
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Potential for harm · D November 22, 2024
Observe each nurse aide's job performance and give regular training.
Corrected January 17, 2025 · Nursing and Physician Services
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Potential for harm · D November 22, 2024
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.
Corrected January 17, 2025 · Pharmacy Service
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Potential for harm · F November 22, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 17, 2025 · Nutrition and Dietary
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Potential for harm · D November 22, 2024
Provide and implement an infection prevention and control program.
Corrected January 17, 2025 · Infection Control
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Potential for harm · F November 22, 2024
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected January 17, 2025 · Nursing and Physician Services
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Potential for harm · E November 22, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 22, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 17, 2025 · Quality of Life and Care
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Potential for harm · D November 22, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 17, 2025 · Quality of Life and Care
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Potential for harm · F November 22, 2024 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected January 17, 2025 · Nursing and Physician Services
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Potential for harm · F November 22, 2024 · found via complaint
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected January 17, 2025 · Nutrition and Dietary
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Potential for harm · D November 22, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 17, 2025 · Resident Rights
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Potential for harm · D November 22, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 22, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 22, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 22, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected January 17, 2025 · Quality of Life and Care
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Potential for harm · E October 11, 2019
Reasonably accommodate the needs and preferences of each resident.
Corrected November 20, 2019 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 215083 · certified since December 13, 1971. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.