Somerset County, Maryland · Nursing home
Manokin Nursing and Rehab
1 of 5 overall from CMS
11974 Edgehill Terrace, Princess Anne, MD 21853
At a glance
- Overall rating 1 of 5 Below the state average of 3.2
- Nurse time per resident, per day 3.22 hours Below the state average of 3.87
- Nursing staff who left in a year 34.4% Below the state average of 40.2%
- Health citations, last 3 inspection cycles 75 5 at the harm level or above
- Fines in 3 years $26,685 1 fine
- Certified beds in use 79.0% of 135 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.
Manokin Nursing and Rehab is a 135-bed nursing home in Princess Anne, Maryland (Somerset County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.22 nurse staffing hours per resident per day, below the Maryland average of 3.87. CMS lists 1 fine totaling $26,685 in the past three years.
- Certified beds
- 135
- Residents per day (average)
- 106.6
- Certified since
- 1988 (38 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Key Health Management (7 homes)CMS Special Focus: SFF CandidateCMS abuse citation icon: Yes
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.
- Special Focus candidate. CMS lists this home as a candidate for its Special Focus Facility program: its inspection record qualifies it for the program, but it has not been selected. What a Special Focus Facility is
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
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 Manokin Nursing and Rehab
Chosen from this home's public data.
- CMS lists this home as a candidate for its Special Focus Facility program, which means it qualifies but has not been selected. What has changed since the inspections behind that listing?Special Focus status in CMS data
- CMS lists 1 fine totaling $26,685 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 47 health deficiencies in the latest inspection cycle (the standard inspection on Sep 26, 2025 plus complaint and infection-control inspections); the Maryland average is 17.0. Which have been corrected?Inspection results in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Maryland average 3.2
- Health inspections 1 of 5 Maryland average 2.9
- Staffing 2 of 5 Maryland average 3.2
- Quality measures 1 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 3.22 h Maryland average 3.87
- Nurse aides 2.11 h Maryland average 2.12
- Licensed practical nurses 0.67 h Maryland average 0.91
- Registered nurses 0.44 h Maryland average 0.84
- All staff, weekends 2.87 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 turnover34.4%
- Maryland average40.2%
- Registered nurse turnover40.0%
- Maryland average38.7%
- Administrators who left3
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 | 30.9% | 20.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 12.1% | 5.4% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% | 0.5% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 3.1% | 1.5% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 33.4% | 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 | 2.8% | 2.4% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 72.2% | 92.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 26.8% | 22.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.2% | 16.7% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 87.9% | 96.6% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.6% | 5.9% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 36.3% | 25.0% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 23.1% | 13.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.90 | 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 | 38.1% | 79.1% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 4.6% | 1.1% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 31.2% | 80.6% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.4% | 21.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 16.0% | 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 75 health deficiencies in the three most recent inspection cycles. Of these, 4 were at the immediate jeopardy level and 1 involved actual harm; the rest were graded as no actual harm. 15 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Apr 1, 2026: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Sep 26, 2025 | 47 | 6 |
| Aug 11, 2023 | 22 | 19 |
| Feb 15, 2019 | 6 | 7 |
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 (75)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Aug 4, 2026)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Aug 4, 2026)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Aug 4, 2026)
-
EPotential for more than minimal harm, pattern
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Aug 4, 2026)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Aug 4, 2026)
Show 25 more
-
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 (Aug 4, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 4, 2026)
-
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 (Aug 4, 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.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 4, 2026)
-
JImmediate jeopardy, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (Feb 24, 2026)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (Feb 24, 2026)
-
JImmediate jeopardy, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Nov 11, 2025)
-
FPotential for more than minimal harm, widespread
Hire a qualified full-time social worker in a facility with more than 120 beds.
Administration · Deficient, Provider has date of correction (Nov 11, 2025)
-
FPotential for more than minimal harm, widespread
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Administration · Deficient, Provider has date of correction (Dec 25, 2025)
-
FPotential for more than minimal harm, widespread
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration · Deficient, Provider has date of correction (Dec 25, 2025)
-
EPotential for more than minimal harm, pattern
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 (Dec 25, 2025)
-
EPotential for more than minimal harm, pattern
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 (Dec 25, 2025)
-
EPotential for more than minimal harm, pattern
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 25, 2025)
-
EPotential for more than minimal harm, pattern
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services · Deficient, Provider has date of correction (Dec 25, 2025)
-
EPotential for more than minimal harm, pattern
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Nov 11, 2025)
-
EPotential for more than minimal harm, pattern
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.
Pharmacy Service · Deficient, Provider has date of correction (Dec 25, 2025)
-
EPotential for more than minimal harm, pattern
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 (Dec 25, 2025)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Dec 25, 2025)
-
EPotential for more than minimal harm, pattern
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Dec 25, 2025)
-
EPotential for more than minimal harm, pattern
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control · Deficient, Provider has date of correction (Dec 25, 2025)
-
EPotential for more than minimal harm, pattern
Keep all essential equipment working safely.
Environmental · Deficient, Provider has date of correction (Dec 25, 2025)
-
EPotential for more than minimal harm, pattern
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · Deficient, Provider has date of correction (Dec 25, 2025)
-
EPotential for more than minimal harm, pattern
Provide training in compliance and ethics.
Administration · Deficient, Provider has date of correction (Dec 25, 2025)
-
DPotential for more than minimal harm, isolated
Give the resident's representative the ability to exercise the resident's rights.
Resident Rights · Deficient, Provider has date of correction (Nov 11, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · Deficient, Provider has date of correction (Nov 11, 2025)
Showing the 30 most recent of 75.
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 |
|---|---|---|
| Apr 1, 2026 | Fine | $26,685 |
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
- Size86 of 220 by certified beds
- Maryland average residents per day105.7
- ChainKey Health Management
- Chain average overall rating1.7 of 5
- Resident or family councilResident
- Homes in Somerset County2
Common questions
What is the CMS star rating for Manokin Nursing and Rehab?
Manokin Nursing and Rehab has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 2 and quality measures is 1.
How many beds does Manokin Nursing and Rehab have?
Manokin Nursing and Rehab has 135 certified beds. It averages 106.6 residents per day, about 79.0% of its certified beds.
How much nursing care do residents get at Manokin Nursing and Rehab?
The home reports 3.22 hours of nurse staffing per resident per day, including 0.44 hours from registered nurses. The Maryland average is 3.87 hours and 0.84 hours from registered nurses.
Has Manokin Nursing and Rehab been fined?
Yes. CMS lists 1 fine totaling $26,685 in the past three years.
Does Manokin Nursing and Rehab 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
- 2 of 5 Anchorage Rehabilitation and Wellness Center 126beds 85.6%in use 3.33nurse hours a day
- 4 of 5 Wicomico Nursing Home 102beds 64.3%in use 3.76nurse hours a day
- 3 of 5 Hartley Nursing and Rehab 73beds 90.0%in use 3.47nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Somerset 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 215179. 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.