Elkton Nursing and Rehabilitation Center
1 Price Drive · Elkton, MD · 21921 · 4103986474
182 certified beds For profit - Limited Liability company Chain: Lifeworks Rehab
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $26,061 in fines in the last 24 months.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
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: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.54 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.44 | 0.55–0.75 |
| Weekend hours / resident-day | 3.17 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 3 · $31,134 |
Inspection citations (173 in the current record)
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Potential for harm · D January 29, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 12, 2026 · Quality of Life and Care
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Potential for harm · D January 29, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 12, 2026 · Quality of Life and Care
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Potential for harm · D January 29, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 12, 2026 · Quality of Life and Care
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Potential for harm · E January 29, 2026 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected February 12, 2026 · Pharmacy Service
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Potential for harm · D January 29, 2026 · found via complaint
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected February 12, 2026 · Administration
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Actual harm · G October 9, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 2, 2025 · Quality of Life and Care
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Actual harm · G October 9, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected December 2, 2025 · Quality of Life and Care
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Potential for harm · D October 9, 2025
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected January 6, 2026 · Resident Rights
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Potential for harm · F October 9, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected January 6, 2026 · Resident Rights
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Potential for harm · D October 9, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected December 2, 2025 · Resident Rights
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Potential for harm · F October 9, 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 December 2, 2025 · Resident Rights
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Potential for harm · D October 9, 2025
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 · D October 9, 2025
Ensure each resident receives an accurate assessment.
Corrected December 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D October 9, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D October 9, 2025
Provide appropriate foot care.
Corrected December 2, 2025 · Quality of Life and Care
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Potential for harm · E October 9, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 2, 2025 · Quality of Life and Care
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Potential for harm · D October 9, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected December 2, 2025 · Quality of Life and Care
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Potential for harm · D October 9, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 2, 2025 · Quality of Life and Care
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Potential for harm · D October 9, 2025
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 9, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected December 2, 2025 · Pharmacy Service
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Potential for harm · E October 9, 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 December 2, 2025 · Pharmacy Service
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Potential for harm · F October 9, 2025
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected December 2, 2025 · Nutrition and Dietary
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Potential for harm · D October 9, 2025
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected December 2, 2025 · Nutrition and Dietary
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Potential for harm · F October 9, 2025
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected December 2, 2025 · Nutrition and Dietary
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Potential for harm · F October 9, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 2, 2025 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 9, 2025 | Fine | $9,249 |
| October 9, 2025 | Fine | $16,812 |
| October 9, 2025 | Payment Denial | 34 days |
| August 25, 2023 | Fine | $5,073 |
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 215269 · certified since November 16, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.