Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
182
165 employees · 17 contractors · 82 on an average day Elkton Nursing and Rehabilitation Center
Nursing Home, Hospice Care, Memory Care, Palliative Care & Skilled Nursing · Elkton, MD
ALM Inspection Grade
D
ALM's inspection grade is 63 / 100, a D — 20 points below the Maryland average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 63 / 100, a D — 20 points below the Maryland average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Elkton Nursing and Rehabilitation Center
Nursing Home, Hospice Care, Memory Care, Palliative Care & Skilled Nursing · Elkton, MD
ALM Inspection Grade
D
ALM's inspection grade is 63 / 100, a D — 20 points below the Maryland average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 63 / 100, a D — 20 points below the Maryland average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Elkton Nursing and Rehabilitation Center accepts Medicaid, Medicare, and private pay.
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
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.
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.
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.
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.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 50th out of 118 nursing homes we track in Maryland for nurse hours. 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 32m
This nursing home is ranked 50th out of 118 nursing homes we track in Maryland for nurse hours. 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 32mStandout metric: LPN / LVN is +23% above Maryland average
4 of 6 metrics below Maryland average
Daily care time per resident, by role
Registered nurse (RN)
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. All 15 are the facility's own employees; no agency contractors work in this role.
15 staff · 8.9-hour shifts
35m
↓ 31% · MD 50mThis facility: 35m per resident per day, 31% below the Maryland average of 50m (among Maryland facilities reporting a recent figure).
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. All 15 are the facility's own employees; no agency contractors work in this role.
15 staff · 8.9-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 56 total: 44 of the facility's own employees and 12 agency contractors.
56 staff · 8.8-hour shifts
1h 6m
↑ 23% · MD 54mThis facility: 1h 6m per resident per day, 23% above the Maryland average of 54m (among Maryland facilities reporting a recent figure).
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 56 total: 44 of the facility's own employees and 12 agency contractors.
56 staff · 8.8-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. 64 total: 59 of the facility's own employees and 5 agency contractors.
64 staff · 8.8-hour shifts
1h 51m
↓ 15% · MD 2h 10mThis facility: 1h 51m per resident per day, 15% below the Maryland average of 2h 10m (among Maryland facilities reporting a recent figure).
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. 64 total: 59 of the facility's own employees and 5 agency contractors.
64 staff · 8.8-hour shiftsUS average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
Physical therapist
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.
6m
↑ 15% · MD 5mThis facility: 6m per resident per day, 15% above the Maryland average of 5m (among Maryland facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
3h 0m
↓ 14% · MD 3h 29mThis facility: 3h 0m per resident per day, 14% below the Maryland average of 3h 29m (among Maryland facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
24m
↓ 36% · MD 37mThis facility: 24m per resident per day, 36% below the Maryland average of 37m (among Maryland facilities reporting a recent figure).
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.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
182
165 employees · 17 contractors · 82 on an average day
182 total staff / 174 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.05 : 1
↓ 41% · MD 1.77This facility: 1.05 staff per resident, 41% below the Maryland average of 1.77 (among Maryland facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
182 staff ÷ 174 residents
See full Maryland ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.4 h
↑ 5% · MD 8 hThis facility: 8.4 h, 5% above the Maryland average of 8 h (among Maryland facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
63,349 staff hours this quarter
See full Maryland ranking →97.2% of staff hours were worked by the facility's own employees
Maryland average: 87.8% · Contractors this quarter: Licensed Practical Nurse (12), Certified Nursing Assistant (5)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.
182
Rank #14 / 139Bed count — State benchmarked This nursing home is ranked 14th out of 139 nursing homes we track in Maryland for bed count. Shows this facility's certified or reported bed count compared to other Maryland facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A mid-sized community that may balance personal attention with shared amenities and social activities.
182
Rank #14 / 139Bed count — State benchmarked This nursing home is ranked 14th out of 139 nursing homes we track in Maryland for bed count. Shows this facility's certified or reported bed count compared to other Maryland facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Years of operating
An established community with some operational experience and growing routines. This is the number of years in operation under current management.
Rank #34 / 41Years in operation — State benchmarked This nursing home is ranked 34th out of 41 nursing homes we track in Maryland for years in operation. Shows how long this facility has been in operation compared to other Maryland facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
An established community with some operational experience and growing routines. This is the number of years in operation under current management.
Rank #34 / 41Years in operation — State benchmarked This nursing home is ranked 34th out of 41 nursing homes we track in Maryland for years in operation. Shows how long this facility has been in operation compared to other Maryland facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
8
years
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #84 / 160Walk Score — State benchmarked This nursing home is ranked 84th out of 160 nursing homes we track in Maryland for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Maryland facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #84 / 160Walk Score — State benchmarked This nursing home is ranked 84th out of 160 nursing homes we track in Maryland for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Maryland facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
43
/ 100
Occupancy rate
Occupancy between 85% and 95% suggests balanced demand.
Rank #41 / 90Occupancy rate — State benchmarked This nursing home is ranked 41st out of 90 nursing homes we track in Maryland for occupancy. Shows this facility's occupancy rate versus the Maryland average, with its Statewide rank out of 90. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy between 85% and 95% suggests balanced demand.
Rank #41 / 90Occupancy rate — State benchmarked This nursing home is ranked 41st out of 90 nursing homes we track in Maryland for occupancy. Shows this facility's occupancy rate versus the Maryland average, with its Statewide rank out of 90. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
91.8%
This home usually has limited availability
Based on residents per day and 182 beds.
Higher than the Maryland average: 83.2%
Residents per day (avg)
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
167
Source: CMS Provider Information, average daily residents
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
81
days
BBB Rating
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
F
Not Accredited
How BBB ratings workAbout This Community
Resident Council
Accept Medicaid
Accept Medicare
Short-Term Rehab
Short-Term Rehabilitation
HeartWorks RecoveryA branded cardiac rehabilitation program for people recovering from heart failure or other cardiac events, combining medical oversight, therapy, education, and coordinated discharge support.
Pets not allowed
Touring HoursMon - Sat | 9:00 - 5:00
CMS Health Inspection History
ALM Inspection Grade
63 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
20 points below the Maryland average for CMS-certified facilities (83/100)
Category breakdown
Citations
Concern
453 severity-weighted points (146 citations) · 4× higher than the typical CMS-certified MD facility (median: 107)
Enforcement
Concern
4 enforcement actions · above the typical CMS-certified MD facility (median: 0) · $31,134 in fines
Persistence
Typical
50 days to fix issues · slower than the typical CMS-certified MD facility (median: 47)
Total health inspections
7
↑ 59% · MD 4.4This facility: 7, 59% above the MD average of 4.4 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
146
Rank #119 / 120Health citations — State benchmarked This nursing home is ranked 119th out of 120 nursing homes we track in Maryland for health citations. Shows this facility's total health deficiency citations benchmarked to the Maryland State average, with a ranking across all 120 MD facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 181% · MD 52This facility: 146, 181% above the MD average of 52 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
20.86
Rank #117 / 120Citations per inspection — State benchmarked This nursing home is ranked 117th out of 120 nursing homes we track in Maryland for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Maryland mean across 120 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 77% · MD 11.76This facility: 20.86, 77% above the MD average of 11.76 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
146 of 146 citations corrected
Critical
J–L
1
↑ 150% · MD 0.4This facility: 1, 150% above the MD average of 0.4 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
3
↑ 500% · MD 0.5This facility: 3, 500% above the MD average of 0.5 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
140
↑ 181% · MD 49.8This facility: 140, 181% above the MD average of 49.8 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
2
↑ 54% · MD 1.3This facility: 2, 54% above the MD average of 1.3 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Jun 17, 2026 · 4 citations, all corrected
Most cited category: Quality of Life & Care, 42 of 146 citations · 10 categories in total
Citations history
Most recent first
Jun 17, 2026
4 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Quality of Care serious citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Jan 29, 2026
5 citations
Administration moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Oct 09, 2025
36 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care serious citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care serious citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Jul 02, 2025
5 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Showing the 50 most recent of 146 citations.
Top deficiency categories
Share of 146 citations
Quality of Life & Care
42 deficiencies (29%)
Resident Rights
24 deficiencies (16%)
Resident Assessment & Care Planning
15 deficiencies (10%)
Nutrition & Dietary
13 deficiencies (9%)
Pharmacy Services
12 deficiencies (8%)
Administration
10 deficiencies (7%)
Abuse, Neglect & Exploitation
9 deficiencies (6%)
Nursing & Physician Services
8 deficiencies (5%)
Infection Control
7 deficiencies (5%)
Environmental
6 deficiencies (4%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
82 of 146 citations resulted from standard inspections; 36 of 146 resulted from complaint investigations; and 28 of 146 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Enforcement
Penalties and fines
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 Aug 2026
4 penalties in the past 3 years
Latest: Oct 9, 2025 · $9,249 civil money penalty
Oct 9, 2025 · $9,249 civil money penalty
Oct 9, 2025 · $16,812 civil money penalty
Aug 25, 2023 · $5,073 civil money penalty
Oct 9, 2025 · 34-day payment denial
Total fines
$31,134
↓ 42% · MD $53KThis facility: $31,134, 42% below the Maryland average of $53,427. Average among the 87 Maryland facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.Rank #100 / 120Federal fines — State benchmarked This nursing home is ranked 100th out of 120 nursing homes we track in Maryland for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Maryland average among facilities with fines, and where it ranks among 120 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
3
↑ 92% · MD 1.56This facility: 3, 92% above the Maryland average of 1.56. Average among the 87 Maryland facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
34 days
MD avg 0.1Maryland average: 0.1. Average among the 87 Maryland facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Penalty history · past 3 years
Oct 9, 2025
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$9,249
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$9,249
Oct 9, 2025
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$16,812
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$16,812
Oct 9, 2025
Payment denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
34 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
34 days
Aug 25, 2023
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$5,073
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$5,073Fine amount comparison
This facility
$31,134
Maryland average
$53,427
US average
$67,417
Totals count every penalty on record; the history lists the past 3 years. Maryland and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Maryland average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
3
/ 5
Average
↓ 19% · MD 3.7This facility: 3.0, 19% below the MD average of 3.7 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
↑ 10% · MD 3.7This facility: 4.0, 10% above the MD average of 3.7 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
8.0
Score · lower is better
↓ 28% · MD 11.0This facility: 8.0, 28% below the MD average of 11.0 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
18.4
Score · lower is better
↓ 18% · MD 22.4This facility: 18.4, 18% below the MD average of 22.4 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 5 better, 5 worse, 3 near MD average
8 short-stay measures: 2 better, 2 worse, 1 near MD average, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
14.3%
↓ 30% · MD 20.4This facility: 14.3, 30% below the MD average of 20.4 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
14.3%
↓ 30% · MD 20.4This facility: 14.3, 30% below the MD average of 20.4 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
13.6%
↓ 39% · MD 22.2This facility: 13.6, 39% below the MD average of 22.2 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
13.6%
↓ 39% · MD 22.2This facility: 13.6, 39% below the MD average of 22.2 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.2%
↑ 9% · MD 25.0This facility: 27.2, 9% above the MD average of 25.0 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.2%
↑ 9% · MD 25.0This facility: 27.2, 9% above the MD average of 25.0 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
1.5%
≈ 0% · MD 1.5This facility: 1.5, level with the MD average of 1.5 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
1.5%
≈ 0% · MD 1.5This facility: 1.5, level with the MD average of 1.5 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
↓ 20% · MD 2.4This facility: 2.0, 20% below the MD average of 2.4 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
↓ 20% · MD 2.4This facility: 2.0, 20% below the MD average of 2.4 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
5.3%
↓ 11% · MD 5.9This facility: 5.3, 11% below the MD average of 5.9 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
5.3%
↓ 11% · MD 5.9This facility: 5.3, 11% below the MD average of 5.9 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
4.8%
↓ 12% · MD 5.4This facility: 4.8, 12% below the MD average of 5.4 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
4.8%
↓ 12% · MD 5.4This facility: 4.8, 12% below the MD average of 5.4 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
49.5%
↑ 117% · MD 22.8This facility: 49.5, 117% above the MD average of 22.8 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
49.5%
↑ 117% · MD 22.8This facility: 49.5, 117% above the MD average of 22.8 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
20.9%
↑ 52% · MD 13.8This facility: 20.9, 52% above the MD average of 13.8 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
20.9%
↑ 52% · MD 13.8This facility: 20.9, 52% above the MD average of 13.8 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.7%
≈ 0% · MD 92.6This facility: 92.7, level with the MD average of 92.6 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.7%
≈ 0% · MD 92.6This facility: 92.7, level with the MD average of 92.6 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.3%
↑ 3% · MD 96.6This facility: 99.3, 3% above the MD average of 96.6 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.3%
↑ 3% · MD 96.6This facility: 99.3, 3% above the MD average of 96.6 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.20
↑ 67% · MD 1.32This facility: 2.20, 67% above the MD average of 1.32 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
2.20
↑ 67% · MD 1.32This facility: 2.20, 67% above the MD average of 1.32 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.01
↑ 66% · MD 1.21This facility: 2.01, 66% above the MD average of 1.21 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.01
↑ 66% · MD 1.21This facility: 2.01, 66% above the MD average of 1.21 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
52.2%
↓ 3% · US 53.7This facility: 52.2, 3% below the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
52.2%
↓ 3% · US 53.7This facility: 52.2, 3% below the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
48.8%
↓ 4% · US 50.6This facility: 48.8, 4% below the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
48.8%
↓ 4% · US 50.6This facility: 48.8, 4% below the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
↓ 17% · US 0.8This facility: 0.6, 17% below the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
↓ 17% · US 0.8This facility: 0.6, 17% below the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
↑ 34% · MD 1.1This facility: 1.5, 34% above the MD average of 1.1 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
↑ 34% · MD 1.1This facility: 1.5, 34% above the MD average of 1.1 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.1%
↑ 13% · MD 79.1This facility: 89.1, 13% above the MD average of 79.1 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.1%
↑ 13% · MD 79.1This facility: 89.1, 13% above the MD average of 79.1 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.8%
↑ 18% · MD 80.6This facility: 94.8, 18% above the MD average of 80.6 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.8%
↑ 18% · MD 80.6This facility: 94.8, 18% above the MD average of 80.6 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.7%
↑ 2% · MD 21.2This facility: 21.7, 2% above the MD average of 21.2 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.7%
↑ 2% · MD 21.2This facility: 21.7, 2% above the MD average of 21.2 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
10.9%
↑ 10% · MD 9.9This facility: 10.9, 10% above the MD average of 9.9 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
10.9%
↑ 10% · MD 9.9This facility: 10.9, 10% above the MD average of 9.9 (among MD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Elkton Nursing and Rehabilitation Center’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 116 Maryland nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Profitable on care
10.5% operating margin
+5.7 pts vs prior year
Positive margin in 7 of the last 8 reported years. Net income $3.0M after other income.
Does it invest in staff?
Spends less on payroll than most Maryland homes
30.3% payroll share of revenue
MD average 47.0%Rank #77 / 116Payroll % of net patient revenue — State benchmarked This nursing home is ranked 77th out of 116 nursing homes we track in Maryland for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Maryland average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.9M while revenue rose $2.8M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Maryland homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2014 → 2024Trend | MD median | Compared with MD homesRank in MD | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $28.1M | +$2.8M | Trend 20142024 | MD median $17.7M | Rank in MD Rank #15 / 116Net patient revenue — State benchmarked This nursing home is ranked 15th out of 116 nursing homes we track in Maryland for net patient revenue. Shows this facility's net patient revenue compared to the Maryland average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 88% of homes | Above MD median Higher net patient revenue than 88% of MD homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $25.1M | +$1.1M | Trend 20142024 | MD median — | Rank in MD Not ranked | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $3.0M | +$1.7M | Trend 20142024 | MD median — | Rank in MD Not ranked | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 10.5% | +5.7 pts | Trend 20142024 | MD median — | Rank in MD Not ranked | Healthy margin More than 5% of revenue is left after operating expenses. |
| Net income The bottom line after other income. | $3.0M | +$1.6M | Trend — | MD median — | Rank in MD Not ranked | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most Maryland homes
| Metric | FY 2024 | vs prior year | Trend 2014 → 2024Trend | MD median | Compared with MD homesRank in MD | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $8.5M | +$0.9M | Trend 20142024 | MD median $6.3M | Rank in MD Rank #39 / 116Payroll costs — State benchmarked This nursing home is ranked 39th out of 116 nursing homes we track in Maryland for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Maryland average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 67% of homes | Above MD median Higher payroll than 67% of MD homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 30.3% | +0.1 pts | Trend 20142024 | MD median 40.5% | Rank in MD Rank #77 / 116Payroll % of net patient revenue — State benchmarked This nursing home is ranked 77th out of 116 nursing homes we track in Maryland for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Maryland average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Maryland that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 34% of homes | 16.7 pts under MD average The MD average is 47.0% of revenue. Within 3 points of it reads as near the average. |
Charts, 2014–2024 2 charts · MD benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Maryland payroll average.
% of net patient revenue
Payroll share Operating margin MD payroll average No report
Year-by-year data, 2014–2024 every reported year · latest first, scroll sideways
| Metric | 2014 | 2015no report | 2016 | 2017 | 2018no report | 2019no report | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $15.3M | $17.0M | $17.7M | $23.1M | $23.5M | $25.0M | $25.3M | $28.1M | |||
| Operating expenses | $15.8M | $17.0M | $17.0M | $19.3M | $20.5M | $21.5M | $24.0M | $25.1M | |||
| Net patient income | −$0.5M | $0.1M | $0.7M | $3.8M | $3.0M | $3.5M | $1.2M | $3.0M | |||
| Operating margin | −3.2% | 0.4% | 3.9% | 16.4% | 12.7% | 14.0% | 4.8% | 10.5% | |||
| Net income | −$0.5M | $0.1M | $0.7M | $4.9M | $3.3M | $3.7M | $1.4M | $3.0M | |||
| Payroll costs | $7.0M | $8.6M | $9.8M | $9.0M | $9.4M | $9.5M | $7.6M | $8.5M | |||
| Payroll share of revenue | 46.1% | 50.6% | 55.6% | 38.8% | 40.2% | 37.9% | 30.2% | 30.3% | |||
| Beds | 166 | 177 | 177 | 177 | 177 | 177 | 177 | 177 | |||
| Gross revenue | $21.5M | $29.9M | $29.0M | $25.7M | $26.4M | $27.6M | $30.3M | $33.6M | |||
| Salaries | $5.9M | $7.2M | $8.0M | $7.9M | $8.2M | $8.4M | $6.7M | $7.6M | |||
| Wage-related costs | $1.1M | $1.5M | $1.9M | $1.1M | $1.2M | $1.1M | $0.9M | $0.9M | |||
| Contract labor | $0.4M | — | — | $1.9M | $2.2M | $3.0M | $5.7M | $5.8M | |||
| Other operating costs | $8.7M | $8.3M | $7.2M | $10.3M | $11.0M | $12.0M | $16.4M | $16.6M | |||
| Net patient revenue per day | $299 | $304 | $306 | $376 | $406 | $411 | $412 | $449 | |||
| Cost per day | $309 | $303 | $294 | $314 | $354 | $353 | $392 | $402 | |||
| Average length of stay | 98.6 days | 74.6 days | 90.2 days | 103.7 days | 71.8 days | 75.5 days | 69.1 days | 80.8 days |
Showing 2024–2022 · scroll sideways for 8 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Arriving
771 admissions · FY2024
Residents admitted during the year.
Medicare
348 · 45%
Medicaid
149 · 19%
Private pay & other
274 · 36%
Resident snapshot
174 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
29 · 17%
Medicaid
110 · 63%
Private pay & other
35 · 20%
Leaving
774 discharges · FY2024
Residents discharged during the year.
Medicare
285 · 37%
Medicaid
213 · 28%
Private pay & other
276 · 36%
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Places of interest near Elkton Nursing and Rehabilitation Center
1.2 miles from city center
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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Compare Nursing Homes around the area
Info below is compiled from CMS reports & the MD Dept. of Health (OHCQ), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Maryland average is: 47.0% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Edenwald Senior Living | NH AL CCRC IL MC SNF | Towson | 94
Facility
94
MD AVG
104
Rank
#85 / 139 | ? | - | - | 5.41
Facility
5.41
MD AVG
3.92
Rank
#9 / 118 | +5% | +38% | $0
Facility
$0
MD AVG
$53.4k
Rank
#1 / 120 | 12
Facility
12
MD AVG
52.0
Rank
#2 / 120 | 4.0
Facility
4.0
MD AVG
11.8
Rank
#3 / 120 | - | 40 | A+ |
83
Facility
83
MD AVG
45
Rank
#6 / 160 | Mark Beggs | $31.4MFiscal year ending 12/2024
Facility
$31.4MFiscal year ending 12/2024
MD AVG
$19.5M
Rank
#11 / 116 | $17.5MFiscal year ending 12/2024
Facility
$17.5MFiscal year ending 12/2024
MD AVG
$8.2M
Rank
#10 / 116 | 55.7%Fiscal year ending 12/2024
Facility
55.7%Fiscal year ending 12/2024
MD AVG
47%
Rank
#21 / 116 | 215372 | ||||
| Lutheran Village at Miller’s Grant | NH AL CCRC IL SNF | Ellicott City | 36
Facility
36
MD AVG
104
Rank
#117 / 139 | ? | - | - | 5.65
Facility
5.65
MD AVG
3.92
Rank
#7 / 118 | -14% | +44% | $0
Facility
$0
MD AVG
$53.4k
Rank
#1 / 120 | 14
Facility
14
MD AVG
52.0
Rank
#5 / 120 | 7.0
Facility
7.0
MD AVG
11.8
Rank
#20 / 120 | - | 13 | - |
19
Facility
19
MD AVG
45
Rank
#130 / 160 | Geary Milliken | $23.6MFiscal year ending 06/2025
Facility
$23.6MFiscal year ending 06/2025
MD AVG
$19.5M
Rank
#28 / 116 | $6.9MFiscal year ending 06/2025
Facility
$6.9MFiscal year ending 06/2025
MD AVG
$8.2M
Rank
#52 / 116 | 29%Fiscal year ending 06/2025
Facility
29%Fiscal year ending 06/2025
MD AVG
47%
Rank
#78 / 116 | 215363 | ||||
| Friends House Retirement Community | NH AL CCRC IL SNF | Sandy Spring | 24
Facility
24
MD AVG
104
Rank
#122 / 139 | ? | - | - | 4.22
Facility
4.22
MD AVG
3.92
Rank
#25 / 118 | -19% | +8% | $23.0k
Facility
$23.0k
MD AVG
$53.4k
Rank
#96 / 120 | 19
Facility
19
MD AVG
52.0
Rank
#9 / 120 | 4.8
Facility
4.8
MD AVG
11.8
Rank
#8 / 120 | - | 64 | - |
6
Facility
6
MD AVG
45
Rank
#155 / 160 | Kendall Anthony | $11.3MFiscal year ending 06/2025
Facility
$11.3MFiscal year ending 06/2025
MD AVG
$19.5M
Rank
#99 / 116 | $9.1MFiscal year ending 06/2025
Facility
$9.1MFiscal year ending 06/2025
MD AVG
$8.2M
Rank
#33 / 116 | 81.2%Fiscal year ending 06/2025
Facility
81.2%Fiscal year ending 06/2025
MD AVG
47%
Rank
#8 / 116 | 215211 | ||||
| Oak Crest Village | NH AL IL MC | Parkville | 183
Facility
183
MD AVG
104
Rank
#13 / 139 | ? | - | - | 5.01
Facility
5.01
MD AVG
3.92
Rank
#18 / 118 | -20% | +28% | $49.7k
Facility
$49.7k
MD AVG
$53.4k
Rank
#106 / 120 | 26
Facility
26
MD AVG
52.0
Rank
#18 / 120 | 8.7
Facility
8.7
MD AVG
11.8
Rank
#35 / 120 | 3 | 72 | A+ |
86
Facility
86
MD AVG
45
Rank
#3 / 160 | Vernon Strawhand | $21.3MFiscal year ending 12/2024
Facility
$21.3MFiscal year ending 12/2024
MD AVG
$19.5M
Rank
#41 / 116 | $49.3MFiscal year ending 12/2024
Facility
$49.3MFiscal year ending 12/2024
MD AVG
$8.2M
Rank
#2 / 116 | 231%Fiscal year ending 12/2024
Facility
231%Fiscal year ending 12/2024
MD AVG
47%
Rank
#5 / 116 | 215308 | ||||
| Elkton Nursing and Rehabilitation Center | NH HOS MC PC SNF | Elkton | 182
Facility
182
MD AVG
104
Rank
#14 / 139 | D |
91.8%
Facility
91.8%
MD AVG
83.2%
Rank
#41 / 90 | +10% | 3.53
Facility
3.53
MD AVG
3.92
Rank
#50 / 118 | -40% | -10% | $31.1k
Facility
$31.1k
MD AVG
$53.4k
Rank
#100 / 120 | 146
Facility
146
MD AVG
52.0
Rank
#119 / 120 | 20.9
Facility
20.9
MD AVG
11.8
Rank
#117 / 120 | 4 | 167 | F |
43
Facility
43
MD AVG
45
Rank
#84 / 160 | Elkton Health Holdco LLC | $28.1MFiscal year ending 12/2024
Facility
$28.1MFiscal year ending 12/2024
MD AVG
$19.5M
Rank
#15 / 116 | $8.5MFiscal year ending 12/2024
Facility
$8.5MFiscal year ending 12/2024
MD AVG
$8.2M
Rank
#39 / 116 | 30.3%Fiscal year ending 12/2024
Facility
30.3%Fiscal year ending 12/2024
MD AVG
47%
Rank
#77 / 116 | 215269 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other MD nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Frequently Asked Questions about Elkton Nursing and Rehabilitation Center
Is Elkton Nursing and Rehabilitation Center in a walkable area?
Elkton Nursing and Rehabilitation Center has a walk score of 43. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
What is the occupancy rate at Elkton Nursing and Rehabilitation Center?
Elkton Nursing and Rehabilitation Center's occupancy is 91.8%.
How long has Elkton Nursing and Rehabilitation Center been in business?
Elkton Nursing and Rehabilitation Center has been operating for approximately 8 years, based on available licensing and registration records.
Are pets allowed at Elkton Nursing and Rehabilitation Center?
No, Elkton Nursing and Rehabilitation Center has a no-pet policy.
What is the best email address for Elkton Nursing and Rehabilitation Center?
The team at Elkton Nursing and Rehabilitation Center can be reached at admissions@elktonhc.com.
Does Elkton Nursing and Rehabilitation Center operate as a for-profit or non-profit?
Elkton Nursing and Rehabilitation Center is registered as a for-profit in MD.
What is the overall rating for Elkton Nursing and Rehabilitation Center?
Elkton Nursing and Rehabilitation Center received a 1-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
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