Elkton Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Elkton Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Jun 17, 2026

  Based on record review and interview, it was determined that the facility failed to provide adequate nutrition, hydration, and life-sustaining medications. Consequently, Resident #10 continued to reside in the facility without receiving any nutrition, hydration, or medications from 7/31/2026 to 8/3/2026. This was evident for 1 (Resident #10) of 3 residents reviewed during the revisit survey. This failure resulted in immediate jeopardy.The findings include:According to [NAME] Medicine, a gastrostomy tube (G-tube) placement inserts a tube through the abdominal wall into the stomach to provide an alternative route for feeding, fluids, and medication. […]

• Immediate jeopardy, isolatedF689Aug 25, 2023

  Based on interview and record review, it was determined that the facility failed to ensure that residents only smoked in areas outside of the facility and in a safe manner. This was evident for 1 (Resident #2) of 28 residents who smoked at the facility. As a result of this deficient practice, immediate jeopardy was declared at the facility on 8/24/23 and was abated on 8/25/23. The findings include: On 8/24/23 at 9:54 AM, Staff #8, who worked on Unit 2, stated that she knows staff have caught residents smoking in their rooms on the unit. She stated, you can smell it even if you don't see it. […]

• Immediate jeopardy, isolatedF689Sep 28, 2021

  Based on observation, interview, and medical record review, it was determined that the facility failed to have a process in place to: 1.) Effectively manage and evaluate the process of the 'leave of absence' (LOA) of residents in the facility. This was evident for two dependent residents of seven reviewed (Resident #4 and Resident #15) that were able to leave the facility for an undetermined Amount of time and has the potential to affect all residents assigned a LOA in the facility. 2.) Have an effective way to ensure residents who were assessed as needing supervision and/or assistance or assistive devices with smoking are provided a safe environment to smoke while residing in the facility even when signed out LOA and remaining on the facility property. […]

• Actual harm, isolatedF689Jun 17, 2026

  Based on observation, interviews, review of facility documents, and record reviews, it was determined that the facility failed to provide interventions consistent with the resident's needs and professional standards of practice, causing an accident that led to severe pain and an emergency room (ER) transfer. This was evident for 1 (Resident #1) of 3 residents reviewed for falls during the complaint survey. This resulted in actual harm to Resident #1. The findings include:Activities of Daily Living (ADLs) is a term used collectively to describe fundamental skills required to independently care for oneself, such as eating, bathing, toileting, transferring, and mobility.A pain scale is a 0-10 numerical tool for assessing pain severity, with zero representing no pain and 10 the worst pain… […]

• Actual harm, isolatedF684Oct 9, 2025

  Based on review of medical records, facility investigation and interviews, it was determined that the facility failed to ensure that a resident who required a Hoyer lift for transfer was transferred with a Hoyer lift which resulted in harm to Resident #156 who sustained a fracture of the distal femur. This was evident for 1 (Resident # 156) out of 11 residents reviewed during the annual survey. The findings include: Review of Resident #156's medical record on 09/30/2025 at 3:30 PM revealed Resident #156 had a Brief Interview of Mental Status (BIMS) score of 15/15 on 07/29/2025, and a Care Plan with a focus of Short-Term Care: the resident requires assistance with their activities of daily living due to impaired mobility; dated 07/20/2025 with inventions dated 07/22/2025 for transfers:… […]