ELKTON NURSING AND REHABILITATION CENTER, ELKTON

Special Focus Facility candidate · CMS abuse icon · Cecil · MD · For profit - Limited Liability company · LIFEWORKS REHAB chain · 182 certified beds · CCN 215269 · ELKTON SNF LLC


ELKTON NURSING AND REHABILITATION CENTER, ELKTON operates 182 certified beds in ELKTON, Maryland. Its Medicare and Medicaid certification dates to 1994-11-16. It averages 162.9 residents a day.

What harm was found in the violations cited at ELKTON NURSING AND REHABILITATION CENTER, ELKTON?

CMS lists 146 health-inspection deficiencies for ELKTON NURSING AND REHABILITATION CENTER, ELKTON since 2021-08-13, 121 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-17.

Survey dateTagDeficiencySeverity
2026-06-17F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2026-06-17F0580, F0603, F0609Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2026-01-29F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.E
2026-01-29F0684, F0686, F0689, F0770Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide timely, quality laboratory services/tests to meet the needs of residents.D
2025-10-09F0684, F0697Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate pain management for a resident who requires such services.G
2025-10-09F0565, F0567, F0584, F0800, F0803, F0804, F0812, F0838, F0840, F0908Honor the resident's right to organize and participate in resident/family groups in the facility. / Honor the resident's right to manage his or her financial affairs. / 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. / Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. / Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. / Keep all essential equipment working safely.F
2025-10-09F0550, F0689, F0761, F0805, F0880, F0921, F0925Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Provide and implement an infection prevention and control program. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E
2025-10-09F0563, F0578, F0600, F0628, F0641, F0656, F0657, F0687, F0690, F0695, F0745, F0755, F0759, F0774, F0801, F0806, F0842Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. / 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. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate foot care. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / Help the resident with transportation to and from laboratory services outside of the facility. / 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. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-07-02F0584, F0641, F0684, F0757, F0925Honor 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. / Ensure each resident receives an accurate assessment. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E
2025-07-02F0550, F0580, F0583, F0602, F0609, F0610, F0655, F0677, F0685, F0686, F0689, F0690, F0692, F0695, F0755, F0761, F0779, F0840, F0842Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Keep residents' personal and medical records private and confidential. / Protect each resident from the wrongful use of the resident's belongings or money. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide care and assistance to perform activities of daily living for any resident who is unable. / Assist a resident in gaining access to vision and hearing services. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Keep signed and dated reports of x-rays and other diagnostic services in the residents record. / Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-07-02F0732Post nurse staffing information every day.C
2023-11-20F0725, F0741, F0801, F0812, F0835, F0880, F0881, F0882, F0887Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.F
2023-11-20F0565, F0578, F0584, F0585, F0610, F0623, F0625, F0656, F0657, F0684, F0695, F0726, F0745, F0755, F0756, F0759, F0761, F0804, F0842, F0883, F0908Honor the resident's right to organize and participate in resident/family groups in the facility. / 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. / 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. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Respond appropriately to all alleged violations. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure medication error rates are not 5 percent or greater. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Keep all essential equipment working safely.E
2023-11-20F0550, F0609, F0622, F0624, F0686, F0688, F0690, F0692, F0693, F0697, F0699, F0700, F0710, F0727, F0730, F0849, F0867, F0943, F0711Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Prepare residents for a safe transfer or discharge from the nursing home. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Provide safe, appropriate pain management for a resident who requires such services. / Provide care or services that was trauma informed and/or culturally competent. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. / Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. / Observe each nurse aide's job performance and give regular training. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. / Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.D
2023-11-20F0732Post nurse staffing information every day.C
2023-08-25F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2021-08-13F0657, F0684, F0842, F0919Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Make sure that a working call system is available in each resident's bathroom and bathing area.E
2021-08-13F0550, F0580, F0584, F0641, F0655, F0656, F0677, F0686, F0687, F0689, F0690, F0695, F0744, F0761, F0790, F0791, F0803, F0804, F0812, F0840, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate foot care. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / 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. / Provide routine and 24-hour emergency dental care for each resident. / Provide or obtain dental services for each resident. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. / Provide and implement an infection prevention and control program.D

Why was ELKTON NURSING AND REHABILITATION CENTER, ELKTON fined 3 times?

DateTypeAmount
2025-10-09Fine$16,812
2025-10-09Fine$9,249
2023-08-25Fine$5,073

Has ELKTON NURSING AND REHABILITATION CENTER, ELKTON had payment denied by Medicare?

Payment denial startLength in days
2026-01-0934

How is ELKTON NURSING AND REHABILITATION CENTER, ELKTON staffed relative to the MD average?

MeasureThis facilityMD average
Total nurse staffing hours per resident per day3.546773.87381
Total nursing staff turnover (%)46.240.2
Average number of residents per day162.9105.7

Who owns ELKTON NURSING AND REHABILITATION CENTER, ELKTON, and what chain is it in?

ELKTON NURSING AND REHABILITATION CENTER, ELKTON is registered with CMS as For profit - Limited Liability company, operates under the legal business name ELKTON SNF LLC and belongs to the LIFEWORKS REHAB chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTELKTON HEALTH HOLDCO LLCsince 11/01/2018
5% OR GREATER INDIRECT OWNERSHIP INTERESTRMA EQUITY LLC, BIRNBAUM, ISRAEL, KOHN, AVROHOMsince 05/01/2021
W-2 MANAGING EMPLOYEEBIRNBAUM, ISRAELsince 11/01/2018

Were you or a family member harmed at ELKTON NURSING AND REHABILITATION CENTER, ELKTON?