Chestertown Nursing and Rehab

415 Morgnec Road · Chestertown, MD · 21620 · 4107781900

92 certified beds For profit - Limited Liability company Chain: Key Health Management

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.

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.

Get the Safety Report

Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

Cited under the freedom-from-abuse rule

Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 19
Serious harm & abuse 20% 80
Staffing 20% 63
Federal penalties 15% 81
Trend 10% 34
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.163.48 min · 4.1 strong
RN hours / resident-day0.750.55–0.75
Weekend hours / resident-day3.05≈ weekday level
Nursing turnover / year57%median 45%
Fines (3-yr window)1 · $3,418

Inspection citations (79 in the current record)

  • Potential for harm · D August 13, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected October 1, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 13, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected October 1, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 13, 2025 · found via complaint

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    Corrected October 1, 2025 · Quality of Life and Care

  • Potential for harm · D August 13, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected October 1, 2025 · Resident Rights

  • Potential for harm · D August 13, 2025

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected October 1, 2025 · Resident Rights

  • Potential for harm · F August 13, 2025

    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.

    Corrected October 1, 2025 · Resident Rights

  • Potential for harm · D August 13, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected October 1, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 13, 2025

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected October 1, 2025 · Resident Rights

  • Potential for harm · D August 13, 2025

    Ensure each resident receives an accurate assessment.

    Corrected October 1, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 13, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected October 1, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 13, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected November 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 13, 2025

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected October 1, 2025 · Quality of Life and Care

  • Potential for harm · D August 13, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected October 1, 2025 · Quality of Life and Care

  • Potential for harm · D August 13, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected October 1, 2025 · Quality of Life and Care

  • Potential for harm · D August 13, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected October 1, 2025 · Quality of Life and Care

  • Potential for harm · D August 13, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected October 1, 2025 · Quality of Life and Care

  • Potential for harm · D August 13, 2025

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected October 1, 2025 · Quality of Life and Care

  • Potential for harm · D August 13, 2025

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    Corrected October 1, 2025 · Nursing and Physician Services

  • Potential for harm · F August 13, 2025

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected October 1, 2025 · Nursing and Physician Services

  • Potential for harm · D August 13, 2025

    Observe each nurse aide's job performance and give regular training.

    Corrected October 1, 2025 · Nursing and Physician Services

  • Potential for harm · D August 13, 2025

    Post nurse staffing information every day.

    Corrected October 1, 2025 · Nursing and Physician Services

  • Potential for harm · D August 13, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected October 1, 2025 · Pharmacy Service

  • Potential for harm · D August 13, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected October 1, 2025 · Pharmacy Service

  • Potential for harm · D August 13, 2025

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected October 1, 2025 · Pharmacy Service

  • Potential for harm · D August 13, 2025

    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 October 1, 2025 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
January 22, 2024Fine$3,418

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.

Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 215260 · certified since September 14, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.