Special Focus candidateAbuse citationFor-profitChain member
Data as of September 1, 2026·
★★★★★1 of 5 overall
ELKTON NURSING AND REHABILITATION CENTER has an overall 1-star rating, with 1-star health inspections, 2-star staffing, and 3-star quality measures. It is a special focus candidate/facility, had $93,551 in fines in the last 24 months, and reported nurse staffing of 3.55 hours per resident per day versus the 4.1-hour federal benchmark.
Last inspection: July 16, 2026Penalties, last 24 months: $93,551special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5468.
Staffing detail
Registered nurses
0.52
Licensed practical nurses
1.16
Nurse aides
1.86
Weekend nursing
3.19
Hours per resident per day.
Total staff turnover: 46%
Registered nurse turnover: 60%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
23.9%19.4%Improving
Residents with a fall causing major injury
1.5%2.1%Worsening
Residents with pressure ulcers (bedsores)
5.1%5.7%Worsening
Residents with a urinary tract infection
2.3%2.1%No change
Residents who lost too much weight
4.2%4%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
20.3%10.8%Improving
Residents whose ability to walk got worse
23.7%3.9%Improving
Long-stay residents on antianxiety or sleep medication
18.9%17.8%Improving
Short-stay residents newly given an antipsychotic
1.2%0.9%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
31.2%26.1%Improving
Residents with depressive symptoms
47.1%54.5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—99.3%—
Long-stay residents given the pneumonia vaccine
91.9%93%Improving
Short-stay residents given the seasonal flu vaccine
—94.8%—
Short-stay residents given the pneumonia vaccine
92.8%87.7%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2026 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited October 2025 — isolated incident, actual harm.
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F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The home failed to respect residents’ right to choose their own doctor. Cited July 2026 — widespread issue, potential for harm.
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F-Tag 555 — 42 CFR §483.10 — S/S: F
The home failed to conduct and document a full facility assessment to ensure it had the resources needed for daily care and emergencies. Cited October 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 838 — 42 CFR §483.70 — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $47,855 was recorded.
PENALTY
A federal fine of $19,635 was recorded.
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 5 health deficiencies.
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PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $16,812 was recorded.
PENALTY
A federal fine of $9,249 was recorded.
INSPECTION
Health inspection found 36 health deficiencies.
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INSPECTION
Health inspection found 25 health deficiencies.
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Penalties & enforcement
On record with Medicare: 4 fines · $93,551 in total fines · 1 payment denial.
Federal fine
Jun 17, 2026
$47,855
Federal fine
Jun 17, 2026
$19,635
Medicare/Medicaid payment denial
Oct 9, 2025
34 days
Federal fine
Oct 9, 2025
$16,812
Federal fine
Oct 9, 2025
$9,249
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of LIFEWORKS REHAB · 64 homes · 2.1 stars avg
Occupancy
162.9 residents on an average day (90% of 182 beds)
Resident voice
Resident council
Medicare history
Certified for 31 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.