ELKTON NURSING AND REHABILITATION CENTER in Elkton, MD has a 1-star overall rating, with 1-star health inspection and staffing ratings, and is a Special Focus Facility candidate/flagged facility. Reported nurse staffing is 3.54 hours per resident per day, below the federal benchmark of 4.1, and it had $26,061 in fines in the last 24 months.
Last inspection: January 29, 2026Penalties, last 24 months: $26,061special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5362.
Staffing detail
Registered nurses
0.44
Licensed practical nurses
1.17
Nurse aides
1.92
Weekend nursing
3.17
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 62%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
20.5%Worsening
Residents with a fall causing major injury
2%Steady
Residents with pressure ulcers (bedsores)
5.5%Improving
Residents with a urinary tract infection
0.9%Steady
Residents who lost too much weight
5.5%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
16.1%Improving
Residents whose ability to walk got worse
17.9%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
19.5%Worsening
Short-stay residents newly given an antipsychotic
1.7%Steady
Residents with a long-term catheter
0.2%Improving
Residents with new or worsening incontinence
29.4%Improving
Residents with depressive symptoms
48.8%Improving
Long-stay residents given the seasonal flu vaccine
99.3%Steady
Long-stay residents given the pneumonia vaccine
92.2%Improving
Short-stay residents given the seasonal flu vaccine
94.8%Steady
Short-stay residents given the pneumonia vaccine
90.8%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2025 — isolated incident, actual harm.
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F-Tag 684 — 42 CFR §483.25 — 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 ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited October 2025 — widespread issue, potential for harm.
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F-Tag 584 — 42 CFR §483.10 — S/S: F
The nursing home failed to make sure a required professional service was provided when it did not have a qualified staff member to do it. Cited October 2025 — widespread issue, potential for harm.
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F-Tag 840 — 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 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: 3 fines · $31,134 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Oct 9, 2025
34 days
Federal fine
Oct 9, 2025
$16,812
Federal fine
Oct 9, 2025
$9,249
Federal fine
Aug 25, 2023
$5,073
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of LIFEWORKS REHAB · 66 homes · 2.1 stars avg
Occupancy
166.9 residents on an average day (92% 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.