Special Focus candidateAbuse citationFor-profitChain member
★★★★★1 of 5 overall
MANOKIN NURSING AND REHAB in Princess Anne, MD has a 1-star overall rating, with 1-star health inspection and quality measures ratings and 2-star staffing. It is an SFF Candidate/special focus facility, had 0 fines in the last 24 months, and reported nurse staffing of 3.32 hours per resident per day versus the 4.1 federal benchmark.
Last inspection: September 26, 2025Penalties, last 24 months: $0special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3239.
Staffing detail
Registered nurses
0.45
Licensed practical nurses
0.63
Nurse aides
2.24
Weekend nursing
3.03
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 44%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
25.1%Improving
Residents with a fall causing major injury
1.9%Worsening
Residents with pressure ulcers (bedsores)
3.8%Improving
Residents with a urinary tract infection
3.3%Worsening
Residents who lost too much weight
15.1%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
34.7%Improving
Residents whose ability to walk got worse
32.7%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
12.5%Worsening
Short-stay residents newly given an antipsychotic
4.5%Worsening
Residents with a long-term catheter
0.6%Worsening
Residents with new or worsening incontinence
34.6%Improving
Residents with depressive symptoms
23.9%Worsening
Long-stay residents given the seasonal flu vaccine
87.9%Steady
Long-stay residents given the pneumonia vaccine
73.4%Worsening
Short-stay residents given the seasonal flu vaccine
31.2%Steady
Short-stay residents given the pneumonia vaccine
37.5%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2023 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: L
The nursing home failed to protect residents from abuse and neglect by others. Cited September 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to hire a qualified full-time social worker in a facility with more than 120 beds. Cited September 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 850 — 42 CFR §483.70 — S/S: F
The home failed to provide effective staff training and communication for direct care workers. Cited September 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 941 — 42 CFR §483.95 — 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 36 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $160,325 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Aug 11, 2023
49 days
Federal fine
Aug 11, 2023
$160,325
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of KEY HEALTH MANAGEMENT · 7 homes · 1.6 stars avg
Occupancy
101.2 residents on an average day (75% of 135 beds)
Resident voice
Resident council
Medicare history
Certified for 37 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.