Maryland › Kent County › Chestertown
Chestertown Nursing and Rehab
415 Morgnec Road, Chestertown, MD 21620
CMS abuse icon
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★
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.
Chestertown Nursing and Rehab is a For-profit, limited liability company nursing home in Chestertown, Maryland, certified for 92 beds and caring for about 88 residents a day.
CMS gives it 1 of 5 stars overall, below the Maryland median of 3; the health inspection rating is 1, staffing 2 and quality measures 4.
Inspectors recorded 79 health deficiencies across the three most recent survey cycles (41, 29, 9 by cycle, most recent first), none at the actual-harm level. That is 85.9 per 100 beds, more than the state median of 43.7.
CMS lists 1 penalty in the period covered: fines totalling $3K.
Reported nurse staffing is 3.4 hours per resident per day (0.7 RN), close to the Maryland median of 3.6; nursing staff turnover is 53.3%.
CMS flags that the facility carries the CMS abuse icon.
79health deficiencies, 3 survey cyclesnone at actual-harm level
$3Kfines listed by CMS1 penalty in period
3.4nurse hours per resident per daystate median 3.6
96%occupancy (residents ÷ beds)88 residents a day
Compared with county, state and nation
| Measure | This facility | Kent Co. median | Maryland median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 79 | 36 | 45 | 28.7 |
| Citations per 100 beds | 85.9 | 68.4 | 43.7 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.6 | 3.6 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 53.3% | 53.3% | 41.5% | 45.8% |
| Fines listed | $3,418 | $3,418 | $0 | — |
County and state figures are medians across facilities (3 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: 13 Aug 2025, 28 Sep 2023.
Severity mix: D ×71 E ×3 F ×5
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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 13 Aug 2025 | F0584 | 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. | F | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 1 Oct 2025 |
| 13 Aug 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 1 Oct 2025 |
| 13 Aug 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 1 Oct 2025 |
| 13 Aug 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 1 Oct 2025 |
| 13 Aug 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 1 Oct 2025 |
| 13 Aug 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 18 Nov 2025 |
| 13 Aug 2025 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Complaint investigation | 1 Oct 2025 |
| 13 Aug 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | 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 | 1 Oct 2025 |
| 13 Aug 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0732 | Post nurse staffing information every day. | D | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | 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 | 1 Oct 2025 |
| 13 Aug 2025 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0887 | 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. | D | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | D | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0946 | Provide training in compliance and ethics. | D | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 1 Oct 2025 |
| 13 Aug 2025 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | Standard survey | 1 Oct 2025 |
| 28 Sep 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 4 Dec 2023 |
| 28 Sep 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard survey | 4 Dec 2023 |
| 28 Sep 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 4 Dec 2023 |
| 28 Sep 2023 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 4 Dec 2023 |
| 28 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 4 Dec 2023 |
| 28 Sep 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 4 Dec 2023 |
| 28 Sep 2023 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Standard survey | 4 Dec 2023 |
| 28 Sep 2023 | F0567 | Honor the resident's right to manage his or her financial affairs. | D | Standard survey | 4 Dec 2023 |
| 28 Sep 2023 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Standard survey | 4 Dec 2023 |
| 28 Sep 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 4 Dec 2023 |
| 28 Sep 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 4 Dec 2023 |
| 28 Sep 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 4 Dec 2023 |
| 28 Sep 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 4 Dec 2023 |
| 28 Sep 2023 | F0625 | 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. | D | Standard survey | 4 Dec 2023 |
| 28 Sep 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 4 Dec 2023 |
| 28 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 4 Dec 2023 |
| 28 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 4 Dec 2023 |
| 28 Sep 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 4 Dec 2023 |
| 28 Sep 2023 | F0732 | Post nurse staffing information every day. | D | Standard survey | 4 Dec 2023 |
| 28 Sep 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 4 Dec 2023 |
| 28 Sep 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 4 Dec 2023 |
| 28 Sep 2023 | 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 | 4 Dec 2023 |
| 28 Sep 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 4 Dec 2023 |
| 28 Sep 2023 | 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 | 4 Dec 2023 |
| 28 Sep 2023 | F0801 | 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. | D | Standard survey | 4 Dec 2023 |
| 28 Sep 2023 | F0803 | 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. | D | Standard survey | 4 Dec 2023 |
| 28 Sep 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 4 Dec 2023 |
| 28 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 4 Dec 2023 |
| 28 Sep 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 4 Dec 2023 |
| 15 Feb 2019 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 15 Apr 2019 |
| 15 Feb 2019 | F0622 | 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. | D | Standard survey | 15 Apr 2019 |
| 15 Feb 2019 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 15 Apr 2019 |
| 15 Feb 2019 | F0625 | 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. | D | Standard survey | 15 Apr 2019 |
| 15 Feb 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 | 15 Apr 2019 |
| 15 Feb 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 | 15 Apr 2019 |
| 15 Feb 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 15 Apr 2019 |
| 15 Feb 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 15 Apr 2019 |
| 15 Feb 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 | 15 Apr 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 22 Jan 2024 | Fine | $3,418 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Maryland average. Turnover: nursing staff 53.3%, RNs 53.3%; 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 | 12.7% | 20.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.0% | 0.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.3% | 2.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.6% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.6% | 20.7% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.4% | 5.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.2% | 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: Chestertown Nursing And Rehab, Llc. Chain: Key Health Management (7 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Md4 Holdco, LLC | 5% or greater direct ownership interest | 100% | 04/01/2023 |
| Md5 Investors LLC | Indirect ownership interest | NOT APPLICABLE | 04/01/2023 |
| Key Health Management LLC | Adp of the snf | NOT APPLICABLE | 04/01/2023 |
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 Kent County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Willow Brooke Ct Skilled Care Ctr At Heron Point | Chestertown | 38 | 5 | 5 | 5 | 26 | 68.4 | $15K | 11 Dec 2025 |
| Resorts At Chester River Manor Corp | Chestertown | 98 | 3 | 3 | 4 | 36 | 36.7 | — | 22 Apr 2026 |
All 3 facilities in Kent County
Questions and answers
How many deficiencies has Chestertown Nursing and Rehab been cited for?
79 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 Chestertown Nursing and Rehab been fined?
Yes. CMS lists fines totalling $3K in the period covered.
How does staffing at Chestertown Nursing and Rehab compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Maryland median of 3.6 and a national average of 3.9.
Who operates Chestertown 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 Md4 Holdco, LLC and Md5 Investors LLC. Individual owners and managers are not listed on this site.
When was Chestertown Nursing and Rehab last inspected?
The most recent survey or investigation in the CMS record is dated 13 Aug 2025; the most recent standard health survey was 13 Aug 2025.
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.