Maryland › Caroline County › Denton
Caroline Nursing and Rehab
520 Kerr Avenue, Denton, MD 21629
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Caroline Nursing and Rehab, in Denton, Maryland, is certified for 87 beds under for-profit, limited liability company ownership and belongs to the Key Health Management chain.
CMS gives it 2 of 5 stars overall, below the Maryland median of 3; the health inspection rating is 2, staffing 2 and quality measures 2.
Inspectors recorded 42 health deficiencies across the three most recent survey cycles (18, 17, 7 by cycle, most recent first), none at the actual-harm level. That is 48.3 per 100 beds, about the same as the state median of 43.7.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.3 hours per resident per day (0.6 RN), close to the Maryland median of 3.6; nursing staff turnover is 44.4%.
Compared with county, state and nation
| Measure | This facility | Caroline Co. median | Maryland median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 42 | 91 | 45 | 28.7 |
| Citations per 100 beds | 48.3 | 91.0 | 43.7 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.3 | 3.6 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.7 | 0.7 |
| Nursing staff turnover | 44.4% | 48.7% | 41.5% | 45.8% |
| Fines listed | $0 | $18,636 | $0 | — |
County and state figures are medians across facilities (2 in the county, 221 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Maryland average per facility for the same cycle, as published by CMS. Standard health survey dates: 22 Nov 2024, 11 Oct 2019.
Severity mix: D ×32 E ×6 F ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 13 Mar 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 15 Apr 2026 |
| 29 Oct 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 2 Dec 2025 |
| 29 Oct 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 2 Dec 2025 |
| 29 Oct 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 2 Dec 2025 |
| 29 Oct 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 2 Dec 2025 |
| 27 Jun 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 29 Jul 2025 |
| 22 Nov 2024 | F0726 | 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. | F | Complaint investigation | 17 Jan 2025 |
| 22 Nov 2024 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | F | Complaint investigation | 17 Jan 2025 |
| 22 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 17 Jan 2025 |
| 22 Nov 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Standard survey | 17 Jan 2025 |
| 22 Nov 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint investigation | 17 Jan 2025 |
| 22 Nov 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 17 Jan 2025 |
| 22 Nov 2024 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 17 Jan 2025 |
| 22 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 17 Jan 2025 |
| 22 Nov 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 17 Jan 2025 |
| 22 Nov 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 17 Jan 2025 |
| 22 Nov 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 17 Jan 2025 |
| 22 Nov 2024 | F0761 | 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. | D | Standard survey | 17 Jan 2025 |
| 22 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 17 Jan 2025 |
| 22 Nov 2024 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 17 Jan 2025 |
| 22 Nov 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 17 Jan 2025 |
| 22 Nov 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 17 Jan 2025 |
| 22 Nov 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 17 Jan 2025 |
| 22 Nov 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 17 Jan 2025 |
| 11 Oct 2019 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 20 Nov 2019 |
| 11 Oct 2019 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 20 Nov 2019 |
| 11 Oct 2019 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 20 Nov 2019 |
| 11 Oct 2019 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 20 Nov 2019 |
| 11 Oct 2019 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 20 Nov 2019 |
| 11 Oct 2019 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 20 Nov 2019 |
| 11 Oct 2019 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 20 Nov 2019 |
| 11 Oct 2019 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 20 Nov 2019 |
| 11 Oct 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 20 Nov 2019 |
| 11 Oct 2019 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 20 Nov 2019 |
| 11 Oct 2019 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 20 Nov 2019 |
| 18 May 2018 | F0726 | 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. | E | Standard survey | 13 Jul 2018 |
| 18 May 2018 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 13 Jul 2018 |
| 18 May 2018 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 13 Jul 2018 |
| 18 May 2018 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 13 Jul 2018 |
| 18 May 2018 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Standard survey | 13 Jul 2018 |
| 18 May 2018 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 13 Jul 2018 |
| 18 May 2018 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 13 Jul 2018 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Maryland average. Turnover: nursing staff 44.4%, RNs 40.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Maryland median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 21.8% | 20.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.9% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.5% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.0% | 2.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 6.7% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 24.7% | 20.7% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.9% | 5.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 38.1% | 11.9% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: 520 Kerr Avenue Opco Llc. Chain: Key Health Management (7 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Caroline Operations Holdco LLC | Direct ownership interest | NOT APPLICABLE | 08/01/2022 |
| Md2 Investors LLC | Indirect ownership interest | NOT APPLICABLE | 08/01/2022 |
| Caroline Property Holdco LLC | 5% or greater mortgage interest | NOT APPLICABLE | 08/01/2022 |
| Caroline Property Holdco LLC | Adp of the snf | NOT APPLICABLE | 08/01/2022 |
| Key Health Management LLC | Adp of the snf | NOT APPLICABLE | 08/01/2022 |
| Md2 Investors LLC | Adp of the snf | NOT APPLICABLE | 08/01/2022 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Caroline County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Denton Nursing and Rehababuse icon | Denton | 100 | 1 | 1 | 1 | 91 | 91.0 | $19K | 16 Mar 2026 |
All 2 facilities in Caroline County
Questions and answers
How many deficiencies has Caroline Nursing and Rehab been cited for?
42 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Maryland median is 45 per facility.
Has Caroline Nursing and Rehab been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Caroline Nursing and Rehab compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Maryland median of 3.6 and a national average of 3.9.
Who operates Caroline Nursing and Rehab?
It is part of the Key Health Management chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Caroline Operations Holdco LLC and Md2 Investors LLC. Individual owners and managers are not listed on this site.
When was Caroline Nursing and Rehab last inspected?
The most recent survey or investigation in the CMS record is dated 13 Mar 2026; the most recent standard health survey was 22 Nov 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.