39 health deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Princess Anne, MD
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $160,325 in total fines with 39 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
11974 Edgehill Terrace, Princess Anne, MD
(410) 651-0011
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
135
Certified beds
Average residents
103
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Key Health Management
Operator or chain grouping
Approved since
1988-10-11
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.45
Registered nurse staffing
LPN hours / resident day
0.66
Licensed practical nurse staffing
Aide hours / resident day
2.32
Nurse aide staffing
Weekend hours
3.06
Weekend nurse staffing
RN turnover
44%
Annual RN turnover
Total nurse turnover
44%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.3
0.5 pts worse
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
1.2
1.2 pts worse
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 75.6% |
91.9%
16.3 pts worse
|
93.4%
17.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 87.9% |
96.6%
8.7 pts worse
|
95.5%
7.6 pts worse
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.6% |
2.3%
0.7 pts better
|
3.3%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 14.8% |
21.4%
6.6 pts better
|
11.4%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 14.4% |
5.7%
8.7 pts worse
|
5.4%
9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.9% |
16.1%
4.2 pts better
|
19.6%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 27.8% |
15.3%
12.5 pts worse
|
16.7%
11.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose ability to walk independently worsened | 34.1% |
26.6%
7.5 pts worse
|
16.3%
17.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 35.5% |
22.9%
12.6 pts worse
|
14.9%
20.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
0.7%
0.3 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 3.0% |
1.5%
1.5 pts worse
|
1.7%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 35.8% |
25.4%
10.4 pts worse
|
19.8%
16 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 5.1% |
6.3%
1.2 pts better
|
5.1%
About the same
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 37.8% |
78.4%
40.6 pts worse
|
81.7%
43.9 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.2% |
9.9%
7.3 pts worse
|
12.0%
5.2 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.0% |
1.3%
0.7 pts worse
|
1.6%
0.4 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 31.2% |
80.6%
49.4 pts worse
|
79.7%
48.5 pts worse
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.2% |
21.2%
5 pts worse
|
23.9%
2.3 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Quality of Life and Care (8 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Pharmacy Service (4 deficiencies)
19 fire-safety deficiencies
Top issue: Egress (4 deficiencies)
Top issue: Resident Rights (8 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2026-01-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-01-17
Fire Safety
Install proper backup exit lighting.
Corrected 2026-01-17
Fire Safety
Provide properly protected cooking facilities.
Corrected 2026-01-17
Fire Safety
Meet other general requirements that are deficient.
Corrected 2026-01-17
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2026-01-17
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-01-04
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-10-16
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-16
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-01-04
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-10-16
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-01-04
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-10-16
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-01-04
Fire Safety
Have a combustible roofing system that meets safety standards.
Corrected 2023-10-16
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-10-16
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-10-16
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-10-16
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-10-16
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-10-16
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2023-10-16
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-10-16
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-10-16
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2023-10-16
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-10-16
Fire Safety
List the names and contact information of those in the facility.
Corrected 2023-08-15
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-08-15
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-08-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-08-15
Fire Safety
Meet other general requirements that are deficient.
Corrected 2019-06-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-06-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-06-30
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-06-30
Fire Safety
Meet other general requirements.
Corrected 2019-06-30
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2019-06-30
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-06-30
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-11-11
Health
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected 2025-11-11
Health
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected 2025-12-25
Health
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected 2025-12-25
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-12-25
Health
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.
Corrected 2025-12-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-25
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2025-12-25
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-11-11
Health
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.
Corrected 2025-12-25
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-12-25
Health
Provide and implement an infection prevention and control program.
Corrected 2025-12-25
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-12-25
Health
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.
Corrected 2025-12-25
Health
Keep all essential equipment working safely.
Corrected 2025-12-25
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-12-25
Health
Provide training in compliance and ethics.
Corrected 2025-12-25
Health
Give the resident's representative the ability to exercise the resident's rights.
Corrected 2025-11-11
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-11-11
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-12-25
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-11-11
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-11-11
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-11-11
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-11-11
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-11-11
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-12-25
Health
Provide activities to meet all resident's needs.
Corrected 2025-11-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-11-11
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-11-11
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2025-12-25
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-11-11
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-12-25
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-12-25
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2025-11-11
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-12-25
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2025-11-11
Health
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.
Corrected 2025-07-25
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-07-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-25
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-09-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-09-24
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-12-19
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-10-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-16
Health
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.
Corrected 2023-12-19
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-12-19
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-19
Health
Keep all essential equipment working safely.
Corrected 2023-12-19
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-12-19
Health
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.
Corrected 2023-12-19
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2023-12-19
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-19
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-12-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-12-19
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2023-12-19
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-10-16
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-12-19
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-12-19
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-12-19
Health
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected 2023-10-16
Health
Put firmly secured handrails on each side of hallways.
Corrected 2023-10-16
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2023-10-16
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-10-16
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-12-19
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2023-10-16
Health
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.
Corrected 2023-10-16
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-12-19
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-12-19
Health
Respond appropriately to all alleged violations.
Corrected 2023-10-16
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-12-19
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-10-16
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-10-16
Health
Provide activities to meet all resident's needs.
Corrected 2023-10-16
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-12-19
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2023-10-16
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2023-12-19
Health
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.
Corrected 2023-12-19
Health
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.
Corrected 2023-10-16
Health
Provide or obtain dental services for each resident.
Corrected 2023-10-16
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-12-19
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2023-10-16
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-10-16
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2023-10-16
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-03-28
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-03-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-03-28
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-03-28
Health
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.
Corrected 2019-03-28
Health
Post nurse staffing information every day.
Corrected 2019-03-28
Penalties and ownership
Fine · fine $160,325
Fine
Payment Denial · denial start 2023-11-16 · 49 days
49 day denial
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
5% Or Greater Mortgage Interest · Organization
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