Deficiency Index

Chestertown Nursing and Rehab

Chestertown, Maryland · CCN 215260

29 surveys since 2011, 9 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
174
Surveys
29
Harm or worse
9
Immediate jeopardy
4
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy4

Findings at the most serious level CMS records.

Beyond CMS’s monthly file26/29

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
92
Ownership
For profit - Limited Liability company
Chain
KEY HEALTH MANAGEMENT
County
Kent · rural
Medicare-certified since
1994

CMS ratings

Overall
1
Health inspection
1
Staffing
2
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 31 for-profit facilities of 66–99 beds in Maryland.

Last survey on record

Aug 13, 2025

453 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.383.57
Registered-nurse hours per resident day0.70—
Annual nurse turnover53.3%44.4%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$3,418 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD7189.9%E33.8%F56.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 79 of the 174 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6843×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F8423×

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • F5502×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F5822×

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

In the surveyor’s words

From the most serious findings on record at Chestertown Nursing and Rehab, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF584Aug 13, 2025

    Number of residents sampled: Number of residents cited: Based on observation and interview, it was determined that the facility failed to ensure residents had a homelike dining environment. This was evident for the initial dining observation during the annual survey.The findings include:On 08/04/2025 at 9:35 AM, an initial observation of the Chesapeake unit upon facility entrance revealed the dining room was locked and unused for breakfast. The residents were getting their breakfast delivered to their rooms.On 08/11/2025 at 2:35 PM, an interview with the Nursing Home Administrator (NHA) revealed that the dining room was locked for breakfast and dinner. […]

  • No harm, potential for more than minimal, widespreadF725Aug 13, 2025

    Number of residents sampled: Number of residents cited: Based on interview and record reviews, it was determined that facility staff failed to ensure sufficient weekend staffing. This deficient practice was evidenced by the Payroll-Based Journal (PBJ) report review during the annual survey.The findings include:A review of the facility's Payroll-Based Journal (PBJ) report on 07/30/25, revealed that the facility was flagged for excessively low weekend staffing levels during the second quarter of 2025. On 08/12/25 at 8:09 AM, a review of the facility assessment showed that the document was updated in 2025. Further review indicated that, to provide continuity of care for residents, the facility's staffing goal is 3.15 Hours Per Patient per Day (HPPD). […]

  • No harm, potential for more than minimal, widespreadF812Aug 13, 2025

    Based on observation and interview with facility staff, it was determined that the facility 1) failed to maintain kitchen, kitchen equipment and surfaces in a sanitary condition to prevent the potential for food contamination 2) failed to ensure that food items were labeled and dated. This was found to be evident during the observations of the facility's kitchen food service operations during Medicare/Medicaid recertification survey. 1) On 08/04/2025 at 7:43 AM, during the initial facility tour with the Assistant Food Service Director (Staff #1), the surveyor observed five jars of different seasonings on the top shelf, all open, with visible seasoning particles scattered across the shelf. […]

  • No harm, potential for more than minimal, widespreadF867Sep 28, 2023

    Based on record review and staff interview it was determined that the facility staff failed to develop and implement policies and procedures for a Quality Assurance Performance Improvement (QAPI) program to ensure that residents received quality care that was safe and effective. This was evident throughout the survey and has the potential to affect all residents residing in the facility. The findings include: During an interview with the Administrator on 09/28/23 01:43 PM a copy of the facility's QAPI plan was requested to be submitted to the surveyor. At 3:15 PM on 09/28/23 the administrator stated that she had forgotten to have individual attendees sign the QAA Committee attendance sheets since March 2023. […]

  • No harm, potential for more than minimal, widespreadF921Sep 28, 2023

    Based on observation, interviews, records reviews, and staff interviews, the facility failed to provide and maintain a clean, comfortable/homelike environment for all residents of the facility. This was evident throughout the facility impacting all residents. Findings include: On 9/10/23 review of MD00195781 received by the Office of Health Care Quality on 08/21/23 at 1:28 PM revealed residents had been without hot water from 08/17/23 through 08/21/23. The complaint alleged that one shower room had been closed down since May 2023. […]

Read 28 findings in full →The most serious and the most recent: 28 of 174 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 13, 2025Standard and complaint41 findings
  • Sep 28, 2023Standard and complaint29 findings
  • Mar 9, 2022Complaint5 findings
  • Dec 8, 2020Infection control2 findings
  • Sep 30, 2020Complaint10 findings · 4 harm
  • Nov 6, 2019Complaint1 finding
  • Nov 1, 2019Complaint4 findings
  • Feb 15, 2019Standard and complaint9 findings
Show the 21 earlier surveys
  • Oct 19, 2017Standard and complaint11 findings
  • Jun 1, 2017Complaint2 findings
  • Oct 7, 2016Standard9 findings
  • Jan 21, 2016Complaint1 finding
  • Jul 17, 2015Standard15 findings
  • Apr 30, 2015Complaint2 findings
  • Jan 13, 2015Complaint1 finding
  • Dec 11, 2014Complaint1 finding
  • Aug 4, 2014Complaint3 findings
  • Jul 29, 2014Complaint2 findings · 1 harm
  • Jul 8, 2014Complaint1 finding
  • Apr 25, 2014Standard and complaint2 findings
  • Dec 17, 2013—1 finding
  • Apr 19, 2013—3 findings
  • Aug 29, 2012—1 finding
  • Jul 12, 2012—2 findings
  • Mar 1, 2012—5 findings · 2 harm
  • Jan 13, 2012Standard3 findings · 1 harm
  • Oct 26, 2011—1 finding · 1 harm
  • Jun 2, 2011—4 findings
  • Feb 8, 2011—3 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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