Elkton Nursing and Rehabilitation Center

Nursing Home in Newark

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Elkton Nursing and Rehabilitation Center

Nursing Home in Newark

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Overview of Elkton Nursing and Rehabilitation Center

Located in Elkton, Maryland, Elkton Nursing and Rehabilitation Center is a premier senior living provider offering Nursing Home services to residents. This nursing care facility boasts 177 beds and actively participates in Medicare and Medicaid programs. With a strong commitment to top-quality care, Elkton Nursing and Rehabilitation Center prioritizes the well-being and comfort of its residents.
At Elkton Nursing and Rehabilitation Center, residents can expect personalized care plans tailored to their individual needs and preferences. Their staff and skilled medical professionals ensure a safe and supportive environment for each resident. With a focus on promoting physical, emotional, and social well-being, Elkton Nursing and Rehabilitation Center strives to enhance the quality of life for all its residents.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
1/5 ▼ 2.4 Delaware average: 3.4/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
1/5 ▼ 2.2 Delaware average: 3.2/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
1/5 ▼ 2.5 Delaware average: 3.5/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
3/5 ▼ 0.7 Delaware average: 3.7/5

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to Delaware state averages

Total nursing care / resident Info This home is ranked 80th out of 112 homes in Delaware.

Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 11m per day
This facility Delaware avg (4h 17m per day)
vs Delaware avg
-26%

4 of 5 metrics below state avg

Staff typeHours / dayvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 28m per day ▼ 44% State avg: 50m per day · National avg: 41m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 1h 56m per day ▼ 11% State avg: 2h 10m per day · National avg: 2h 21m per day
Total Nursing (Weekend) Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 2h 59m per day ▼ 14% State avg: 3h 29m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 5m per day ■ Avg State avg: 5m per day · National avg: 4m per day
RN (Weekend) Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 20m per day ▼ 46% State avg: 37m per day · National avg: 29m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 177

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Delaware average: 80.7%
Occupancy rate 15.8%
Avg. Length of Stay 69 days
Occupancy rate
15.8%
Avg. Length of Stay
69 days

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

48% of new residents, usually for short-term rehab.

Typical stay 26 days

Private pay

39% of new residents, often for short stays.

Typical stay 25 days

Medicaid

13% of new residents, often for long-term daily care.

Typical stay 12 months

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$30.5M
Profit
$1.4M
Privately-owned community Operated by a business corporation.
Home revenue
$30.5M
Profit
$1.4M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.7M
22.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$22.4M
Total costs $29.1M
Years in operation
8 years in operation
An established community with some operational experience and growing routines.
Walk Score
Walk Score: 43 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating
BBB Rating: B- (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactIsrael Birnbaum, Owner

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Staffing & Medical

2 services
Skilled Nursing
24-Hour Staffing

Additional Services

1 service
Short-Term Rehabilitation

Amenities & Lifestyle

0 amenities
Branded ProgramsLifeWorks Rehab, HeartWorks Recovery
Specific ProgramsServices, Amenities, LifeWorks Rehab, HeartWorks Recovery, Careers, Contact
Operating HoursMon - Sat | 9:00 - 5:00

Types of Care at Elkton Nursing and Rehabilitation Center

Nursing Home

Contact Elkton Nursing and Rehabilitation Center

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicaid Medicare

Inspection History

In Delaware, the Department of Health, Office of Health Care Quality is the state agency that conducts unannounced inspections and issues reports for all assisted living and nursing facilities.

7 visits/inspections Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

Delaware average: 5 visits/inspections

Delaware average: 2 inspections

Latest inspection

Date October 9, 2025
Annual Inspection

133 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Delaware average: 53 deficiencies

Inspection Report Summary for Elkton Nursing and Rehabilitation Center

The most recent inspection on October 9, 2025, identified multiple deficiencies including failures related to residents’ rights, abuse prevention, care planning, safe transfers, pain management, social services, transportation assistance, medical record accuracy, and pest control. Earlier inspections showed a consistent pattern of issues involving resident dignity, medication administration, care planning, abuse investigations, staffing, environmental maintenance, and infection control. Complaint investigations generally found unsubstantiated or partially substantiated concerns, with one notable immediate jeopardy finding in August 2023 related to unsafe indoor smoking that was promptly addressed. Enforcement actions such as fines or license suspensions were not listed in the available reports. The inspection history indicates ongoing challenges with compliance, with deficiencies persisting across multiple areas over time.

Health Inspection History

Inspections
Total health inspections 7

Delaware average 4.4


Last Health inspection on Oct 2025

Total health citations 153

Delaware average 38.9

Citations per inspection
21.86

Delaware average 8.72


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

67 of 153 citations resulted from standard inspections; 68 of 153 resulted from complaint investigations; and 18 of 153 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 1
11% worse than Delaware average

Delaware average: 0.9


Serious Health citations More info 2
67% worse than Delaware average

Delaware average: 1.2

1 critical citation More info Delaware average: 0.9

2 serious citations More info Delaware average: 1.2

146 moderate citations More info Delaware average: 35.7

4 minor citations More info Delaware average: 1
Citations history (last 3 years)
Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Oct 09, 2025
Corrected

Administration moderate citation Info Issues related to how the facility is managed, including policies, procedures, and compliance with regulations. Oct 09, 2025
Corrected

Environmental moderate citation Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. Oct 09, 2025
Corrected

Quality of Care serious citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Oct 09, 2025
Corrected

Compare Nursing Homes around Newark The information below is reported by the Delaware Department of Health and Social Services, Division of Health Care Quality.

5 facilities compared · CMS & DE Dept. of Health data · Updated Apr 2026

Filter by care type
Complete Care at Brackenville
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Hockessin (Saint Claire Drive)104 92.7% +15%3.53 -16%-24%14010.0297- 6 -$15.9M$4.2M26.4%85042
Newark Manor Nursing Home
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Newark (Nottingham Manor)67--4.59 --1%000.0061- 44 ----08A020
Newark Manor Nursing Home
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Newark (Nottingham Manor)67--4.59 --1%000.0061- 44 ----08A020
Elkton Nursing and Rehabilitation Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Elkton (Price Drive)177 94.9% +15%3.19 -27%-15%315321.93169B- 43 Elkton Health Holdco Llc$30.3M$6.7M22.2%215269
ProMedica Skilled Nursing And Rehabilitation -
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Wilmington138--------000.00-- 43 -----

Financial Assistance for
Nursing Home in Delaware

Get Financial aid guidance

Elderly and Disabled Waiver

Delaware Medicaid E&D Waiver

Age 65+ or disabled
General Delaware resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
DE

Small state, faster processing in some areas.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home modifications

Delaware Caregiver Support Program

DE Caregiver Support (NFCSP)

Age Caregiver of someone 60+
General Delaware resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
DE

Limited slots; rural focus.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Program of All-Inclusive Care for the Elderly (PACE)

Delaware Medicaid PACE

Age 55+
General Delaware resident, nursing home-level care need, safe with PACE support.
Income Limits (2025) ~$2,829/month 300% FBR
Asset Limits $2,000 (individual), $3,000 (couple).
DE

Limited to specific areas (e.g., New Castle County); few providers.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Therapy

Medicare Savings Program (MSP)

Delaware Medicare Savings Program

Age 65+ or disabled
General Delaware resident, enrolled in Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual, adjusted annually.
Asset Limits $9,430 (individual), $14,130 (couple).
DE

Three tiers; broader limits than some states.

Benefits
Covers Medicare Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20% of services)

Senior Community Service Employment Program (SCSEP)

Delaware SCSEP (federally funded, state-administered)

Age 55+
General unemployed, low-income, Delaware resident.
Income Limits (2025) ~$1,983/month 125% FPL, individual
Asset Limits Not specified; income-focused.
DE

Priority for veterans, rural residents; ~400 slots/year.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

Places of interest near Elkton Nursing and Rehabilitation Center

Address 9.4 miles from city center Info Estimated distance in miles from Elkton's city center to Elkton Nursing and Rehabilitation Center's address, calculated via Google Maps. — 1.28 miles to nearest hospital (Fresenius Medical Care at Union Hospital Of Cecil County)

Calculate Travel Distance to Elkton Nursing and Rehabilitation Center

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 154
Employees 153
Contractors 1
Staff to resident ratio 0.94:1
42% worse than Delaware average

Delaware average ratio: 1.61:1

Avg staff/day 75
Average shift 9 hours
18% better than Delaware average

Delaware average: 7.6 hours

Total staff hours (quarter) 61,406
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 15
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.7 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 32
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 57
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

0.8%

496 contractor hours this quarter

Physical Therapy Assistant: 1
Staff by category
Certified Nursing Assistant5705728,29591100%9.5
Licensed Practical Nurse3203212,86991100%9.8
Registered Nurse150155,03691100%9.7
RN Director of Nursing6062,3947178%7.9
Speech Language Pathologist7071,7287178%6.4
Other Dietary Services Staff5051,5149099%6.8
Respiratory Therapy Technician4041,3937077%7.7
Physical Therapy Assistant5161,3527886%7.6
Physical Therapy Aide5051,3466875%7.2
Medication Aide/Technician2021,0507886%9.8
Clinical Nurse Specialist6069906167%7.9
Dental Services Staff3035725763%7.6
Dietitian1015046369%8
Other Social Services Staff1015036268%8.1
Mental Health Service Worker1014966268%8
Nurse Practitioner1014725965%8
Qualified Social Worker1014616167%7.6
Administrator1014325459%8
57 Certified Nursing Assistant
% of Days 100%
32 Licensed Practical Nurse
% of Days 100%
15 Registered Nurse
% of Days 100%
6 RN Director of Nursing
% of Days 78%
7 Speech Language Pathologist
% of Days 78%
5 Other Dietary Services Staff
% of Days 99%
4 Respiratory Therapy Technician
% of Days 77%
6 Physical Therapy Assistant
% of Days 86%
5 Physical Therapy Aide
% of Days 75%
2 Medication Aide/Technician
% of Days 86%
6 Clinical Nurse Specialist
% of Days 67%
3 Dental Services Staff
% of Days 63%
1 Dietitian
% of Days 69%
1 Other Social Services Staff
% of Days 68%
1 Mental Health Service Worker
% of Days 68%
1 Nurse Practitioner
% of Days 65%
1 Qualified Social Worker
% of Days 67%
1 Administrator
% of Days 59%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 164
Medicare
28
17.1% of residents
Medicaid
92
56.1% of residents
Private pay or other
44
26.8% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 10.6
18% better than Delaware average

Delaware average: 12.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 24.0
7% better than Delaware average

Delaware average: 25.7

Long-stay resident measures
Average Delaware avg: 3.8 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 19.3%
19% better than Delaware average

Delaware average: 23.7%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 21.4%
23% better than Delaware average

Delaware average: 27.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 31.2%
20% worse than Delaware average

Delaware average: 25.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.1%
10% better than Delaware average

Delaware average: 2.3%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.8%
27% better than Delaware average

Delaware average: 6.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.6%
64% better than Delaware average

Delaware average: 1.6%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.6%
In line with Delaware average

Delaware average: 5.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 47.8%
137% worse than Delaware average

Delaware average: 20.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 19.8%
53% worse than Delaware average

Delaware average: 12.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 88.0%
In line with Delaware average

Delaware average: 92.0%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.3%
In line with Delaware average

Delaware average: 96.6%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.20
67% worse than Delaware average

Delaware average: 1.32

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.01
66% worse than Delaware average

Delaware average: 1.21

Short-stay resident measures
Average Delaware avg: 3.7 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 94.9%
21% better than Delaware average

Delaware average: 78.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.5%
9% worse than Delaware average

Delaware average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 94.8%
18% better than Delaware average

Delaware average: 80.6%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 21.7%
In line with Delaware average

Delaware average: 21.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 10.9%
10% worse than Delaware average

Delaware average: 9.9%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.6%
17% better than Delaware average

Delaware average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 52.2%
In line with Delaware average

Delaware average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 48.8%
In line with Delaware average

Delaware average: 50.6%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $45K
27% lower than Delaware average

Delaware average: $61K

Number of fines 3
101% more fines than Delaware average

Delaware average: 1.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Delaware average

Delaware average: 0.1

Fines amount comparison
Fines amount comparison
This facility $45K
Delaware average $61K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 9, 2025
$14K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 9, 2025
$25K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Aug 25, 2023
$5K

Last updated: Jan 2026

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