Federal inspection record · CMS data as of October 1, 2026
Denton Nursing And Rehab
420 Colonial Drive, Denton, MD · (410) 479-4400
- Cited for abuse (CMS abuse icon)
- Certified beds
- 100
- Residents per day
- 80
- Ownership
- For-Profit
- Chain
- Key Health Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1984
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Maryland.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Maryland homes
Denton Nursing And Rehab carries 155 inspection points. That is fewer than 20% of Maryland's 219 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Maryland: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–32 pts
- 4★ 32–72 pts
- 3★ 72–104.75 pts
- 2★ 104.75–158.12 pts
- 1★ over 158.12 pts
Bars show every rated home in Maryland by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
71 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Everything else, by area of care
Resident Rights13E
- E
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.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
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.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Assessment and Care Planning13E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Freedom from Abuse, Neglect, and Exploitation10E
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- E
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care7D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide activities to meet all resident's needs.
Nutrition and Dietary6F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
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.
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Dispose of garbage and refuse properly.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services6F
- E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
Observe each nurse aide's job performance and give regular training.
- F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- D
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- D
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Infection Control5F
- E
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.
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- F
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Environmental4F
- F
Keep all essential equipment working safely.
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
- D
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
- D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Pharmacy Service3D
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- D
Ensure that residents are free from significant medication errors.
Administration2D
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- D
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.
Inspection history
2026-03-16
16 health deficiencies · 13 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
2024-11-01
39 health deficiencies · 25 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (7 deficiencies)
2019-07-26
16 health deficiencies · 12 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
5
Fines and payment denials
$18,955 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-09-04 | Fine | $8,420 |
| 2025-09-04 | Fine | $10,535 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 0.9 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts worse | 1.4 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine32.8 pts worse | 60.3% | 93.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine8.9 pts worse | 87.2% | 96.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts worse | 4.0% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms18.4 pts worse | 42.2% | 23.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.7 pts better | 2.7% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.3 pts worse | 28.1% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication19.2 pts worse | 33.3% | 14.1% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened10 pts better | 9.9% | 19.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.5 pts better | 12.1% | 19.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.2% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts worse | 2.4% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.5 pts worse | 27.7% | 24.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.1 pts better | 4.6% | 5.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine44 pts worse | 35.7% | 79.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.7 pts worse | 14.1% | 9.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts worse | 2.1% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine40.5 pts worse | 40.8% | 81.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.7 pts better | 15.5% | 20.2% | 23.4% |
·
Who owns and runs it
13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Md4 Holdco, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 4 facilities |
| Ausch, Sara | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 7 facilities |
| Eisen, Menashe | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 18 facilities |
| Hirth, Yechiel | Corporate Officer · Individual | 0% | 7 facilities |
| Hirth, Yechiel | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Howard, Daniel | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Howard, Daniel | Adp Of The SNF · Individual | 0% | 6 facilities |
| Key Health Management LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Klein, Yehudis | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 11 facilities |
| Perlstein, Barry | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 9 facilities |
| Schlussel, Naftali | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 7 facilities |
| Williams, Victoria | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Williams, Victoria | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
50 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke25F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly provide smoke detection systems in areas open to corridors.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- D
Properly provide smoke detection systems in areas open to corridors.
- D
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E
Install an approved automatic sprinkler system.
- D
Properly provide smoke detection systems in areas open to corridors.
- D
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- D
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F
Provide properly protected cooking facilities.
- F
Have an alternate power supply for its alarm system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Properly provide smoke detection systems in areas open to corridors.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- D
Install an approved automatic sprinkler system.
Gas, Vacuum, and Electrical Systems9F
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Meet requirements for the use of electrical equipment.
- D
Have proper medical gas storage and administration areas.
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Meet requirements for the use of electrical equipment.
Egress6E
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D
Have properly located and lighted "Exit" signs.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
Have properly located and lighted "Exit" signs.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Miscellaneous5F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Services4F
- F
Meet other general requirements that are deficient.
- E
Have properly installed electrical wiring and gas equipment.
- F
Meet other general requirements that are deficient.
- E
Have properly installed electrical wiring and gas equipment.
Emergency Preparedness1F
- F
Develop and maintain an Emergency Preparedness Program (EP).
·
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- F
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Pines Nursing And Rehab
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-
Willowbrooke Ct Skilled Care Ctr At Bayleigh Chase
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