Cecil County, Maryland · Nursing home
Elkton Nursing and Rehabilitation Center
1 of 5 overall from CMS
1 Price Drive, Elkton, MD 21921
At a glance
- Overall rating 1 of 5 Below the state average of 3.2
- Nurse time per resident, per day 3.55 hours Below the state average of 3.87
- Nursing staff who left in a year 46.2% Above the state average of 40.2%
- Health citations, last 3 inspection cycles 153 4 at the harm level or above
- Fines in 3 years $93,551 4 fines
- Certified beds in use 89.5% of 182 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.
Elkton Nursing and Rehabilitation Center is a 182-bed nursing home in Elkton, Maryland (Cecil County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.55 nurse staffing hours per resident per day, below the Maryland average of 3.87. CMS lists 4 fines totaling $93,551 in the past three years.
- Certified beds
- 182
- Residents per day (average)
- 162.9
- Certified since
- 1994 (32 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Lifeworks Rehab (64 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 Elkton Nursing and Rehabilitation Center
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 4 fines totaling $93,551 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 53 health deficiencies in the latest inspection cycle (the standard inspection on Oct 9, 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 3 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 3.55 h Maryland average 3.87
- Nurse aides 1.86 h Maryland average 2.12
- Licensed practical nurses 1.16 h Maryland average 0.91
- Registered nurses 0.52 h Maryland average 0.84
- All staff, weekends 3.19 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 turnover46.2%
- Maryland average40.2%
- Registered nurse turnover60.0%
- Maryland average38.7%
- Administrators who left1
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 | 14.3% | 20.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.8% | 5.4% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.5% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.5% | 1.5% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 49.5% | 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 | 2.0% | 2.4% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.7% | 92.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 13.6% | 22.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.1% | 16.7% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.3% | 96.6% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 5.3% | 5.9% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.2% | 25.0% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 20.9% | 13.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.14 | 1.33 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.89 | 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 | 89.1% | 79.1% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% | 1.1% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.8% | 80.6% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.0% | 21.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 12.7% | 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 153 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 3 involved actual harm; the rest were graded as no actual harm. 71 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jun 17, 2026: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Oct 9, 2025 | 53 | 7 |
| Nov 20, 2023 | 74 | 19 |
| Aug 13, 2021 | 26 | 10 |
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 (153)
-
FPotential for more than minimal harm, widespread
Honor the resident's right to choose his or her attending physician.
Complaint investigation · Resident Rights · Deficient, Provider has no plan of correction
-
EPotential for more than minimal harm, pattern
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has no plan of correction
-
DPotential for more than minimal harm, isolated
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Complaint investigation · Resident Rights · Deficient, Provider has no plan of correction
-
DPotential for more than minimal harm, isolated
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has no plan of correction
-
DPotential for more than minimal harm, isolated
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Complaint investigation · Administration · Deficient, Provider has no plan of correction
Show 25 more
-
DPotential for more than minimal harm, isolated
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Complaint investigation · Administration · Deficient, Provider has no plan of correction
-
JImmediate jeopardy, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has no plan of correction
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 24, 2026)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has plan of correction
-
DPotential for more than minimal harm, isolated
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 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 · Deficient, Provider has date of correction (Jun 24, 2026)
-
DPotential for more than minimal harm, isolated
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Complaint investigation · Administration · Deficient, Provider has no plan of correction
-
EPotential for more than minimal harm, pattern
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Feb 12, 2026)
-
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 (Feb 12, 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 (Feb 12, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 12, 2026)
-
DPotential for more than minimal harm, isolated
Provide timely, quality laboratory services/tests to meet the needs of residents.
Complaint investigation · Administration · Deficient, Provider has date of correction (Feb 12, 2026)
-
GActual 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 (Dec 2, 2025)
-
GActual harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 2, 2025)
-
FPotential for more than minimal harm, widespread
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights · Deficient, Provider has date of correction (Jan 6, 2026)
-
FPotential for more than minimal harm, widespread
Honor the resident's right to manage his or her financial affairs.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jan 6, 2026)
-
FPotential for more than minimal harm, widespread
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 2, 2025)
-
FPotential for more than minimal harm, widespread
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary · Deficient, Provider has date of correction (Dec 2, 2025)
-
FPotential for more than minimal harm, widespread
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary · Deficient, Provider has date of correction (Dec 2, 2025)
-
FPotential for more than minimal harm, widespread
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (Dec 2, 2025)
-
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 (Dec 2, 2025)
-
FPotential for more than minimal harm, widespread
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Administration · Deficient, Provider has date of correction (Dec 2, 2025)
-
FPotential for more than minimal harm, widespread
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Administration · Deficient, Provider has date of correction (Dec 2, 2025)
-
FPotential for more than minimal harm, widespread
Keep all essential equipment working safely.
Environmental · Deficient, Provider has date of correction (Dec 2, 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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Dec 2, 2025)
Showing the 30 most recent of 153.
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 |
|---|---|---|
| Jun 17, 2026 | Fine | $19,635 |
| Jun 17, 2026 | Fine | $47,855 |
| Oct 9, 2025 | Fine | $9,249 |
| Oct 9, 2025 | Fine | $16,812 |
| Oct 9, 2025 | Payment Denial | 34 days |
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
- Size21 of 220 by certified beds
- Maryland average residents per day105.7
- ChainLifeworks Rehab
- Chain average overall rating2.1 of 5
- Resident or family councilResident
- Homes in Cecil County3
Common questions
What is the CMS star rating for Elkton Nursing and Rehabilitation Center?
Elkton Nursing and Rehabilitation Center 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 3.
How many beds does Elkton Nursing and Rehabilitation Center have?
Elkton Nursing and Rehabilitation Center has 182 certified beds. It averages 162.9 residents per day, about 89.5% of its certified beds.
How much nursing care do residents get at Elkton Nursing and Rehabilitation Center?
The home reports 3.55 hours of nurse staffing per resident per day, including 0.52 hours from registered nurses. The Maryland average is 3.87 hours and 0.84 hours from registered nurses.
Has Elkton Nursing and Rehabilitation Center been fined?
Yes. CMS lists 4 fines totaling $93,551 in the past three years. It also lists 1 payment denial.
Does Elkton Nursing and Rehabilitation 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
- 3 of 5 Laurelwood Healthcare Center 110beds 90.2%in use 3.40nurse hours a day
- 5 of 5 Exceptional Care for Children 46beds 96.1%in use –nurse hours a day
- 3 of 5 Newark Manor Nursing Home 67beds 83.7%in use 4.27nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Cecil County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 215269. 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.