Elder Care Record

Maryland › Somerset County › Princess Anne

Manokin Nursing and Rehab

11974 Edgehill Terrace, Princess Anne, MD 21853

CCN 215179 · For-profit, corporation · 135 certified beds · chain Key Health Management

CMS abuse iconSpecial Focus Facility candidate
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.

Manokin Nursing and Rehab, in Princess Anne, Maryland, is certified for 135 beds under for-profit, corporation 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 2 and quality measures 1.

Inspectors recorded 100 health deficiencies across the three most recent survey cycles (47, 22, 31 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 74.1 per 100 beds, more than the state median of 43.7.

CMS lists 1 penalty in the period covered: fines totalling $27K.

Reported nurse staffing is 3.2 hours per resident per day (0.4 RN), close to the Maryland median of 3.6; nursing staff turnover is 34.4%.

CMS flags that the facility carries the CMS abuse icon and is a Special Focus Facility candidate.

100health deficiencies, 3 survey cycles5 at actual harm or worse
$27Kfines listed by CMS1 penalty in period
3.2nurse hours per resident per daystate median 3.6
79%occupancy (residents ÷ beds)107 residents a day

Compared with county, state and nation

MeasureThis facilitySomerset Co. medianMaryland medianUS average
Overall star rating1533.0
Health citations, 3 cycles1001004528.7
Citations per 100 beds74.174.143.726.8
Total nurse hours per resident day3.23.53.63.9
RN hours per resident day0.41.10.70.7
Nursing staff turnover34.4%41.3%41.5%45.8%
Fines listed$26,685$26,685$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)47
Cycle 222
Cycle 331

Dark bar: this facility. Grey bar: Maryland average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 Sep 2025, 11 Aug 2023.

Severity mix: J ×3 L ×1 G ×1 D ×56 E ×31 F ×7 C ×1

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
1 Jul 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint investigationDeficient, Provider has no plan of correction
1 Jul 2026F0584Honor 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 investigationDeficient, Provider has no plan of correction
1 Jul 2026F0880Provide and implement an infection prevention and control program.EComplaint investigationDeficient, Provider has no plan of correction
1 Jul 2026F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint investigationDeficient, Provider has no plan of correction
1 Jul 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigationDeficient, Provider has no plan of correction
1 Jul 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigationDeficient, Provider has no plan of correction
1 Jul 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigationDeficient, Provider has no plan of correction
1 Jul 2026F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigationDeficient, Provider has no plan of correction
1 Jul 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigationDeficient, Provider has no plan of correction
1 Apr 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation24 Feb 2026
1 Apr 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation24 Feb 2026
26 Sep 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JStandard survey11 Nov 2025
26 Sep 2025F0850Hire a qualified full-time social worker in a facility with more than 120 beds.FStandard survey11 Nov 2025
26 Sep 2025F0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.FStandard survey25 Dec 2025
26 Sep 2025F0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.FStandard survey25 Dec 2025
26 Sep 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey25 Dec 2025
26 Sep 2025F0584Honor 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.EStandard survey25 Dec 2025
26 Sep 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey25 Dec 2025
26 Sep 2025F0730Observe each nurse aide's job performance and give regular training.EStandard survey25 Dec 2025
26 Sep 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey11 Nov 2025
26 Sep 2025F0761Ensure 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.EStandard survey25 Dec 2025
26 Sep 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey25 Dec 2025
26 Sep 2025F0880Provide and implement an infection prevention and control program.EStandard survey25 Dec 2025
26 Sep 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard survey25 Dec 2025
26 Sep 2025F0887Educate 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 survey25 Dec 2025
26 Sep 2025F0908Keep all essential equipment working safely.EStandard survey25 Dec 2025
26 Sep 2025F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EStandard survey25 Dec 2025
26 Sep 2025F0946Provide training in compliance and ethics.EStandard survey25 Dec 2025
26 Sep 2025F0551Give the resident's representative the ability to exercise the resident's rights.DStandard survey11 Nov 2025
26 Sep 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey11 Nov 2025
26 Sep 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey25 Dec 2025
26 Sep 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey11 Nov 2025
26 Sep 2025F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DStandard survey11 Nov 2025
26 Sep 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey11 Nov 2025
26 Sep 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey11 Nov 2025
26 Sep 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey11 Nov 2025
26 Sep 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey25 Dec 2025
26 Sep 2025F0679Provide activities to meet all resident's needs.DStandard survey11 Nov 2025
26 Sep 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey11 Nov 2025
26 Sep 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey11 Nov 2025
26 Sep 2025F0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DStandard survey25 Dec 2025
26 Sep 2025F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard survey11 Nov 2025
26 Sep 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey25 Dec 2025
26 Sep 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey25 Dec 2025
26 Sep 2025F0825Provide or get specialized rehabilitative services as required for a resident.DStandard survey11 Nov 2025
26 Sep 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation25 Dec 2025
26 Sep 2025F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard survey11 Nov 2025
20 Jun 2025F0584Honor 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 investigation25 Jul 2025
20 Jun 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation25 Jul 2025
20 Jun 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation25 Jul 2025
17 Aug 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation24 Sep 2023
17 Aug 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation24 Sep 2023
11 Aug 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.LStandard survey19 Dec 2023
11 Aug 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation16 Oct 2023
11 Aug 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation16 Oct 2023
11 Aug 2023F0880Provide and implement an infection prevention and control program.FComplaint investigation19 Dec 2023
11 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.EComplaint investigation19 Dec 2023
11 Aug 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey19 Dec 2023
11 Aug 2023F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EComplaint investigation19 Dec 2023
11 Aug 2023F0759Ensure medication error rates are not 5 percent or greater.EStandard survey19 Dec 2023
11 Aug 2023F0850Hire a qualified full-time social worker in a facility with more than 120 beds.EStandard survey16 Oct 2023
11 Aug 2023F0578Honor 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 survey16 Oct 2023
11 Aug 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey16 Oct 2023
11 Aug 2023F0679Provide activities to meet all resident's needs.DStandard survey16 Oct 2023
11 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.DStandard survey19 Dec 2023
11 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.DStandard survey16 Oct 2023
11 Aug 2023F0791Provide or obtain dental services for each resident.DStandard survey16 Oct 2023
11 Aug 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey19 Dec 2023
11 Aug 2023F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.DStandard survey16 Oct 2023
11 Aug 2023F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey16 Oct 2023
11 Aug 2023F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard survey16 Oct 2023
11 Aug 2023F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FComplaint investigation19 Dec 2023
11 Aug 2023F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint investigation19 Dec 2023
11 Aug 2023F0908Keep all essential equipment working safely.FComplaint investigation19 Dec 2023
11 Aug 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint investigation19 Dec 2023
11 Aug 2023F0638Assure that each resident’s assessment is updated at least once every 3 months.EComplaint investigation19 Dec 2023
11 Aug 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint investigation19 Dec 2023
11 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 investigation19 Dec 2023
11 Aug 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint investigation19 Dec 2023
11 Aug 2023F0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.EComplaint investigation19 Dec 2023
11 Aug 2023F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation16 Oct 2023
11 Aug 2023F0924Put firmly secured handrails on each side of hallways.EComplaint investigation16 Oct 2023
11 Aug 2023F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.EComplaint investigation16 Oct 2023
11 Aug 2023F0552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint investigation16 Oct 2023
11 Aug 2023F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation19 Dec 2023
11 Aug 2023F0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DComplaint investigation16 Oct 2023
11 Aug 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation19 Dec 2023
11 Aug 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation19 Dec 2023
11 Aug 2023F0610Respond appropriately to all alleged violations.DComplaint investigation16 Oct 2023
11 Aug 2023F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DComplaint investigation19 Dec 2023
11 Aug 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation16 Oct 2023
11 Aug 2023F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DComplaint investigation16 Oct 2023
11 Aug 2023F0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DComplaint investigation19 Dec 2023
11 Aug 2023F0742Provide 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.DComplaint investigation19 Dec 2023
15 Feb 2019F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey28 Mar 2019
15 Feb 2019F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey28 Mar 2019
15 Feb 2019F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey28 Mar 2019
15 Feb 2019F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey28 Mar 2019
15 Feb 2019F0758Implement 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 survey28 Mar 2019
15 Feb 2019F0732Post nurse staffing information every day.CStandard survey28 Mar 2019

Penalties

DateTypeAmountDetail
1 Apr 2026Fine$26,685

Staffing

Total nursing3.22 h
Nurse aides2.11 h
LPN0.67 h
RN0.44 h
Weekend total2.87 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Maryland average. Turnover: nursing staff 34.4%, RNs 40.0%; 3 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 Stay30.9%20.0%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.6%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 Stay2.8%2.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay4.6%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay26.8%20.7%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.6%5.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay23.1%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, corporation. Legal business name: 11974 Edgehill Terrace Opco Llc. Chain: Key Health Management (7 facilities).

OrganisationRole in the CMS recordInterestSince
Manokin Operations Holdco LLCDirect ownership interestNOT APPLICABLE08/01/2022
Md2 Investors LLCIndirect ownership interestNOT APPLICABLE08/01/2022
Manokin Property Holdco LLC5% or greater mortgage interestNOT APPLICABLE08/01/2022
Key Health Management LLCAdp of the snfNOT APPLICABLE08/01/2022
Manokin Property Holdco LLCAdp of the snfNOT APPLICABLE08/01/2022
Md2 Investors LLCAdp of the snfNOT APPLICABLE08/01/2022

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 Somerset County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Alice Byrd Tawes Nursing HomeCrisfield765443140.8—20 May 2026

All 2 facilities in Somerset County

Questions and answers

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

100 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Maryland median is 45 per facility.

Has Manokin Nursing and Rehab been fined?

Yes. CMS lists fines totalling $27K in the period covered.

How does staffing at Manokin Nursing and Rehab compare?

Reported total nurse staffing is 3.2 hours per resident per day against a Maryland median of 3.6 and a national average of 3.9.

Who operates Manokin Nursing and Rehab?

It is part of the Key Health Management chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Manokin Operations Holdco LLC and Md2 Investors LLC. Individual owners and managers are not listed on this site.

When was Manokin Nursing and Rehab last inspected?

The most recent survey or investigation in the CMS record is dated 1 Jul 2026; the most recent standard health survey was 26 Sep 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.