St. Marys County, Maryland · Nursing home
Chesapeake Shores Nursing Center
3 of 5 overall from CMS
21412 Great Mills Road, Lexington Park, MD 20653
At a glance
- Overall rating 3 of 5 Below the state average of 3.2
- Nurse time per resident, per day 3.57 hours Below the state average of 3.87
- Nursing staff who left in a year 48.9% Above the state average of 40.2%
- Health citations, last 3 inspection cycles 40 None at the harm level or above
- Fines in 3 years $47,254 1 fine
- Certified beds in use 74.0% of 125 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Chesapeake Shores Nursing Center is a 125-bed nursing home in Lexington Park, Maryland (St. Marys County). CMS rates it 3 of 5 stars overall as of Sep 2026. It reports 3.57 nurse staffing hours per resident per day, below the Maryland average of 3.87. CMS lists 1 fine totaling $47,254 in the past three years.
- Certified beds
- 125
- Residents per day (average)
- 92.5
- Certified since
- 1982 (44 yrs)
For profit - Limited Liability company Participates in Medicare and Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Chesapeake Shores Nursing Center
Chosen from this home's public data.
- CMS lists 1 fine totaling $47,254 in the past three years. What changed after the most recent one?Penalties in CMS data
- Nursing staff turnover is 48.9%, above the Maryland average of 40.2%. How often would the same aides care for my relative?Turnover in CMS data
- About 74.0% of certified beds are in use on an average day. Are any units closed, or are admissions limited?Certified beds and average residents in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 3 of 5 Maryland average 3.2
- Health inspections 3 of 5 Maryland average 2.9
- Staffing 3 of 5 Maryland average 3.2
- Quality measures 2 of 5 Maryland average 3.9
The vertical line marks the Maryland average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.57 h Maryland average 3.87
- Nurse aides 2.17 h Maryland average 2.12
- Licensed practical nurses 0.71 h Maryland average 0.91
- Registered nurses 0.69 h Maryland average 0.84
- All staff, weekends 3.22 h Maryland average 3.47
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Maryland average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover48.9%
- Maryland average40.2%
- Registered nurse turnover23.1%
- Maryland average38.7%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Maryland and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Maryland | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 12.7% | 20.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 9.0% | 5.4% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% | 0.5% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 3.7% | 1.5% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 15.6% | 22.8% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 5.7% | 2.4% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% | 92.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 31.7% | 22.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.5% | 16.7% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 96.6% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 9.9% | 5.9% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.8% | 25.0% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 8.5% | 13.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.06 | 1.33 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.03 | 1.20 | 1.78 |
Short-stay residents
| Measure | This home | Maryland | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.9% | 79.1% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.6% | 1.1% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% | 80.6% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.6% | 21.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 18.7% | 9.8% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 40 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 9 were cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jan 9, 2026 | 9 | 4 |
| May 15, 2024 | 25 | 8 |
| May 17, 2019 | 6 | 5 |
Maryland homes averaged 17.0 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (40)
-
FPotential for more than minimal harm, widespread
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights · Deficient, Provider has date of correction (Feb 13, 2026)
-
EPotential for more than minimal harm, pattern
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · Deficient, Provider has date of correction (Feb 13, 2026)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 13, 2026)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 13, 2026)
-
DPotential for more than minimal harm, isolated
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 13, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 13, 2026)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 13, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Feb 13, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Feb 13, 2026)
-
FPotential for more than minimal harm, widespread
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary · Deficient, Provider has date of correction (Jun 18, 2024)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Jun 18, 2024)
-
FPotential for more than minimal harm, widespread
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental · Deficient, Provider has date of correction (Jun 18, 2024)
-
EPotential for more than minimal harm, pattern
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 18, 2024)
-
EPotential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (Jun 18, 2024)
-
EPotential for more than minimal harm, pattern
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 18, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Jun 18, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights · Deficient, Provider has date of correction (Jun 18, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights · Deficient, Provider has date of correction (Jun 18, 2024)
-
DPotential for more than minimal harm, isolated
Prepare residents for a safe transfer or discharge from the nursing home.
Resident Rights · Deficient, Provider has date of correction (Jun 18, 2024)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 18, 2024)
-
DPotential for more than minimal harm, isolated
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 18, 2024)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 18, 2024)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 18, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 18, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 18, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 18, 2024)
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DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 18, 2024)
-
DPotential for more than minimal harm, isolated
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services · Deficient, Provider has date of correction (Jun 18, 2024)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jun 18, 2024)
-
DPotential for more than minimal harm, isolated
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jun 18, 2024)
Showing the 30 most recent of 40.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| May 15, 2024 | Fine | $47,254 |
Maryland homes averaged 0.6 fines and $21,934 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Maryland
- Size103 of 220 by certified beds
- Maryland average residents per day105.7
- ChainNone listed
- Resident or family councilResident
- Homes in St. Marys County3
Common questions
What is the CMS star rating for Chesapeake Shores Nursing Center?
Chesapeake Shores Nursing Center has an overall rating of 3 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 3 and quality measures is 2.
How many beds does Chesapeake Shores Nursing Center have?
Chesapeake Shores Nursing Center has 125 certified beds. It averages 92.5 residents per day, about 74.0% of its certified beds.
How much nursing care do residents get at Chesapeake Shores Nursing Center?
The home reports 3.57 hours of nurse staffing per resident per day, including 0.69 hours from registered nurses. The Maryland average is 3.87 hours and 0.84 hours from registered nurses.
Has Chesapeake Shores Nursing Center been fined?
Yes. CMS lists 1 fine totaling $47,254 in the past three years.
Does Chesapeake Shores Nursing Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Asbury Solomons 48beds 86.5%in use 3.83nurse hours a day
- 1 of 5 Solomons Nursing and Rehab Center 95beds 99.6%in use 3.58nurse hours a day
- 5 of 5 St. Mary's Nursing Center Inc 160beds 73.6%in use 3.52nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in St. Marys County
Who to call in Maryland
These offices serve residents of every nursing home in Maryland.
- Long-term care ombudsman Maryland Long-Term Care Ombudsman Program 800-243-3425 (Maryland Department of Aging toll-free line. The program page lists a local ombudsman office phone for each county and Baltimore City.) An advocate for residents and their families.
- File a complaint about a nursing home Office of Health Care Quality (OHCQ), Long Term Care 877-402-8219 (Also (410) 402-8201. OHCQ says the best way to file is its Online Complaint Form.) The state agency that inspects nursing homes.
Maryland staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 215142. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.