Elder Care Record

Maryland › Caroline County › Denton

Denton Nursing and Rehab

420 Colonial Drive, Denton, MD 21629

CCN 215149 · For-profit, limited liability company · 100 certified beds · chain Key Health Management

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.

Denton Nursing and Rehab, in Denton, Maryland, is certified for 100 beds under for-profit, limited liability company ownership and belongs to the Key Health Management chain.

CMS gives it 1 of 5 stars overall, below the Maryland median of 3; the health inspection rating is 1, staffing 1 and quality measures 3.

Inspectors recorded 91 health deficiencies across the three most recent survey cycles (26, 29, 36 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 91.0 per 100 beds, more than the state median of 43.7.

CMS lists 2 penalties in the period covered: fines totalling $19K.

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 48.7%.

CMS flags that the facility carries the CMS abuse icon.

91health deficiencies, 3 survey cycles2 at actual harm or worse
$19Kfines listed by CMS2 penalties in period
3.3nurse hours per resident per daystate median 3.6
84%occupancy (residents ÷ beds)84 residents a day

Compared with county, state and nation

MeasureThis facilityCaroline Co. medianMaryland medianUS average
Overall star rating1233.0
Health citations, 3 cycles91914528.7
Citations per 100 beds91.091.043.726.8
Total nurse hours per resident day3.33.33.63.9
RN hours per resident day0.60.60.70.7
Nursing staff turnover48.7%48.7%41.5%45.8%
Fines listed$18,636$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

Cycle 1 (latest)26
Cycle 229
Cycle 336

Dark bar: this facility. Grey bar: Maryland average per facility for the same cycle, as published by CMS. Standard health survey dates: 16 Mar 2026, 1 Nov 2024.

Severity mix: G ×2 D ×63 E ×17 F ×9

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 dateTagWhat the tag requiresSeverityTypeCorrected
16 Mar 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey21 Apr 2026
16 Mar 2026F0908Keep all essential equipment working safely.FStandard survey21 Apr 2026
16 Mar 2026F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.EStandard survey21 Apr 2026
16 Mar 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey21 Apr 2026
16 Mar 2026F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard survey21 Apr 2026
16 Mar 2026F0887Educate 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.EStandard survey21 Apr 2026
16 Mar 2026F0919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard survey21 Apr 2026
16 Mar 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation21 Apr 2026
16 Mar 2026F0610Respond appropriately to all alleged violations.DComplaint investigation21 Apr 2026
16 Mar 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation21 Apr 2026
16 Mar 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation21 Apr 2026
16 Mar 2026F0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.DStandard survey21 Apr 2026
16 Mar 2026F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.DStandard survey21 Apr 2026
16 Mar 2026F0880Provide and implement an infection prevention and control program.DStandard survey21 Apr 2026
16 Mar 2026F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey21 Apr 2026
4 Dec 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint investigation6 Jan 2026
4 Sep 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation6 Oct 2025
4 Sep 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.GComplaint investigation6 Oct 2025
4 Sep 2025F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation6 Oct 2025
4 Sep 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation6 Oct 2025
4 Sep 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation6 Oct 2025
4 Sep 2025F0610Respond appropriately to all alleged violations.DComplaint investigation6 Oct 2025
4 Sep 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation1 Dec 2025
4 Sep 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint investigation6 Oct 2025
4 Sep 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation6 Oct 2025
4 Sep 2025F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DComplaint investigation1 Dec 2025
1 Nov 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard survey16 Dec 2024
1 Nov 2024F0730Observe each nurse aide's job performance and give regular training.FStandard survey16 Dec 2024
1 Nov 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FStandard survey16 Dec 2024
1 Nov 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey16 Dec 2024
1 Nov 2024F0814Dispose of garbage and refuse properly.FStandard survey16 Dec 2024
1 Nov 2024F0880Provide and implement an infection prevention and control program.FStandard survey16 Dec 2024
1 Nov 2024F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FStandard survey16 Dec 2024
1 Nov 2024F0584Honor 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.EComplaint investigation16 Dec 2024
1 Nov 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint investigation16 Dec 2024
1 Nov 2024F0610Respond appropriately to all alleged violations.EComplaint investigation16 Dec 2024
1 Nov 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey16 Dec 2024
1 Nov 2024F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey16 Dec 2024
1 Nov 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation16 Dec 2024
1 Nov 2024F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard survey16 Dec 2024
1 Nov 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation16 Dec 2024
1 Nov 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation16 Dec 2024
1 Nov 2024F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard survey16 Dec 2024
1 Nov 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey16 Dec 2024
1 Nov 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey16 Dec 2024
1 Nov 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey16 Dec 2024
1 Nov 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey16 Dec 2024
1 Nov 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation16 Dec 2024
1 Nov 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey16 Dec 2024
1 Nov 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey16 Dec 2024
1 Nov 2024F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.DComplaint investigation16 Dec 2024
1 Nov 2024F0758Implement 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.DStandard survey16 Dec 2024
1 Nov 2024F0840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.DStandard survey16 Dec 2024
1 Nov 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation16 Dec 2024
1 Nov 2024F0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.DStandard survey16 Dec 2024
31 Aug 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint investigation6 Oct 2023
31 Aug 2023F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint investigation6 Oct 2023
31 Aug 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation6 Oct 2023
31 Aug 2023F0610Respond appropriately to all alleged violations.EComplaint investigation6 Oct 2023
31 Aug 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint investigation6 Oct 2023
31 Aug 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint investigation6 Oct 2023
31 Aug 2023F0692Provide enough food/fluids to maintain a resident's health.EComplaint investigation6 Oct 2023
31 Aug 2023F0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.EComplaint investigation6 Oct 2023
31 Aug 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation6 Oct 2023
31 Aug 2023F0584Honor 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.DComplaint investigation6 Oct 2023
31 Aug 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation6 Oct 2023
31 Aug 2023F0641Ensure each resident receives an accurate assessment.DComplaint investigation6 Oct 2023
31 Aug 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation6 Oct 2023
31 Aug 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation6 Oct 2023
31 Aug 2023F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DComplaint investigation6 Oct 2023
31 Aug 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation6 Oct 2023
31 Aug 2023F0761Ensure 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.DComplaint investigation6 Oct 2023
31 Aug 2023F0839Employ staff that are licensed, certified, or registered in accordance with state laws.DComplaint investigation15 May 2023
31 Aug 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation6 Oct 2023
31 Aug 2023F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.DComplaint investigation6 Oct 2023
26 Jul 2019F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey19 Sep 2019
26 Jul 2019F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard survey19 Sep 2019
26 Jul 2019F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey19 Sep 2019
26 Jul 2019F0584Honor 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.DStandard survey19 Sep 2019
26 Jul 2019F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard survey19 Sep 2019
26 Jul 2019F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey19 Sep 2019
26 Jul 2019F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey19 Sep 2019
26 Jul 2019F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey19 Sep 2019
26 Jul 2019F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey19 Sep 2019
26 Jul 2019F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey19 Sep 2019
26 Jul 2019F0679Provide activities to meet all resident's needs.DStandard survey19 Sep 2019
26 Jul 2019F0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DStandard survey19 Sep 2019
26 Jul 2019F0760Ensure that residents are free from significant medication errors.DStandard survey19 Sep 2019
26 Jul 2019F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey19 Sep 2019
26 Jul 2019F0880Provide and implement an infection prevention and control program.DStandard survey19 Sep 2019
26 Jul 2019F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DStandard survey19 Sep 2019

Penalties

DateTypeAmountDetail
4 Sep 2025Fine$10,358
4 Sep 2025Fine$8,278

Staffing

Total nursing3.28 h
Nurse aides2 h
LPN0.69 h
RN0.59 h
Weekend total3 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Maryland average. Turnover: nursing staff 48.7%, RNs 60.0%; 2 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMaryland medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay16.6%20.0%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.2%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.1%0.9%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.7%2.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.1%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay16.0%20.7%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.9%5.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay34.4%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: Denton Nursing And Rehab, Llc. Chain: Key Health Management (7 facilities).

OrganisationRole in the CMS recordInterestSince
Md4 Holdco, LLC5% or greater direct ownership interest100%04/01/2023
Key Health Management LLCAdp of the snfNOT APPLICABLE04/01/2023

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 Caroline County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Caroline Nursing and RehabDenton872224248.3—13 Mar 2026

All 2 facilities in Caroline County

Questions and answers

How many deficiencies has Denton Nursing and Rehab been cited for?

91 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Maryland median is 45 per facility.

Has Denton Nursing and Rehab been fined?

Yes. CMS lists fines totalling $19K in the period covered.

How does staffing at Denton 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 Denton 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. Individual owners and managers are not listed on this site.

When was Denton Nursing and Rehab last inspected?

The most recent survey or investigation in the CMS record is dated 16 Mar 2026; the most recent standard health survey was 16 Mar 2026.

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.