Bay Harbor Post Acute Healthcare Center
A nursing home in Salisbury, Maryland 21804
200 Civic Avenue, Salisbury, Maryland 21804. (410) 749-1466.
- A candidate for CMS’s special focus list
- Cited for abuse (CMS flag)
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 29 health citations at the latest inspection cycle Maryland average: 17.0
- 3.53 nurse hours per resident per day Maryland average: 3.93
- 3 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
29 health citations at the latest inspection cycle
The Maryland average is 17.0.
Last standard inspection Apr 17, 2026.
Most serious in three years: immediate jeopardy to health or safety (K), at a complaint inspection on Oct 17, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
87 citations in 4 months of the last 36. Last cited Apr 2026. Most serious: immediate jeopardy to health or safety (K). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 87 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 48 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Apr 17, 2026: standard inspection14 citations
-
Ensure that residents are free from significant medication errors.
-
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.
-
Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
-
Ensure each resident receives an accurate assessment.
-
Provide care and assistance to perform activities of daily living for any resident who is unable.
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
-
Provide safe, appropriate dialysis care/services for a resident who requires such services.
-
Observe each nurse aide’s job performance and give regular training.
-
Provide or obtain dental services for each resident.
-
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
-
Provide and implement an infection prevention and control program.
-
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Apr 17, 2026: standard and complaint inspection5 citations
-
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
Protect each resident from the wrongful use of the resident’s belongings or money.
-
Ensure services provided by the nursing facility meet professional standards of quality.
-
Ensure each resident’s drug regimen must be free from unnecessary drugs.
-
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.
Oct 17, 2025: complaint inspection10 citations
-
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
Respond appropriately to all alleged violations.
-
Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
-
Honor the resident’s right to organize and participate in resident/family groups in the facility.
-
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.
-
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
-
Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.
-
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
-
Provide and implement an infection prevention and control program.
Jan 17, 2025: standard inspection25 citations
-
Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
-
Reasonably accommodate the needs and preferences of each resident.
-
Honor the resident’s right to organize and participate in resident/family groups in the facility.
-
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.
-
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.
-
Protect each resident from the wrongful use of the resident’s belongings or money.
-
Ensure each resident receives an accurate assessment.
-
Ensure services provided by the nursing facility meet professional standards of quality.
-
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
-
Provide enough food/fluids to maintain a resident’s 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.
-
Ensure the resident’s doctor reviews the resident’s care, writes, signs and dates progress notes and orders, at each required visit.
-
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
-
Post nurse staffing information every day.
-
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
-
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.
-
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.
-
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
-
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
-
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
-
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
-
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
-
Provide and implement an infection prevention and control program.
-
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.
-
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.
Jan 17, 2025: standard and complaint inspection16 citations
-
Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
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.
-
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
Respond appropriately to all alleged violations.
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
-
Provide care and assistance to perform activities of daily living for any resident who is unable.
-
Provide activities to meet all resident’s needs.
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
-
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
-
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.
-
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
-
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Feb 28, 2024: complaint inspection17 citations
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
-
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.
-
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
Respond appropriately to all alleged violations.
-
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
-
Plan the resident’s discharge to meet the resident’s goals and needs.
-
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
-
Provide care and assistance to perform activities of daily living for any resident who is unable.
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Provide safe, appropriate pain management for a resident who requires such services.
-
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
-
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
-
Provide and implement an infection prevention and control program.
-
Keep all essential equipment working safely.
-
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jul 14, 1969.
- A candidate for CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
- CMS marks it with its abuse icon: cited for abuse or neglect that harmed a resident.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 305 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 3 fines in the last three years, $92,663 in all.
- 1 Medicare payment denial in the last three years.
- 48 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Apr 17, 2026 | Fine | $15,727 |
| Oct 17, 2025 | Fine | $63,846 |
| Jan 17, 2025 | Medicare payment denial | Not given |
| Feb 28, 2024 | Fine | $13,090 |
Who does the caring?
3.53 nurse hours per resident per day
The Maryland average is 3.93.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Maryland average |
|---|---|---|
| Nurse hours per resident per day | 3.53 | 3.93 |
| Of which registered nurses | 0.65 | 0.88 |
| At weekends | 3.13 | 3.49 |
| Nursing staff turnover | 46.1% | 40.2% |
| Registered nurse turnover | 40.5% | 37.8% |
| Administrators who left | 1 | Not given |
Who owns it?
- Quinto Nexgen LLC owns 78.6% directly since Jul 1, 2024; Ukr Nexgen LLC owns 20% directly since Jul 1, 2024; Skilled Venture LLC owns an unstated share directly since Jul 1, 2024.
- 18 owners or officers are people: Dina Harman (on the governing body (managing control)); Dina Harman (additional disclosable party (controls, leases property to, or provides services to the home)); Juliet Fountain (corporate director); Juliet Fountain (managing employee (on the payroll)); Juliet Fountain (runs it (operational or managerial control)); Juliet Fountain (on the governing body (managing control)); Juliet Fountain (additional disclosable party (controls, leases property to, or provides services to the home)); Tzvi Levovitz (trustee); Yitzchok Rokowsky (trustee); Mindee Posen (corporate officer); Yogesh V Viroja (on the governing body (managing control)); Yogesh V Viroja (additional disclosable party (controls, leases property to, or provides services to the home)); Yogesh Vohra (additional disclosable party (controls, leases property to, or provides services to the home)); Aviva Kahanow (owns 5% or more through other companies, 0%); Aviva Kahanow (trustee); Jahiri Gunthorpe (runs it (operational or managerial control)); Jahiri Gunthorpe (on the governing body (managing control)); Osher Flagler (trustee).
- Part of Marquis Health Services (90 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Quinto Nexgen LLC | Owns 5% or more directly | 78.6% | Jul 1, 2024 |
| Tryko Nexgen Holdings LLC | Owns 5% or more through other companies | 56.8% | Jul 1, 2024 |
| Yr Nexgen Tr | Owns 5% or more through other companies | 28.4% | Jul 1, 2024 |
| Rsbrmk Holdings LLC | Owns 5% or more through other companies | 21.8% | Jul 1, 2024 |
| Ukr Nexgen LLC | Owns 5% or more directly | 20% | Jul 1, 2024 |
| Nfr 2020 Irrv Tr | Owns 5% or more through other companies | 19.99% | Jul 1, 2024 |
| Uak 2020 Irrv Tr | Owns 5% or more through other companies | 19.99% | Jul 1, 2024 |
| Sk Nexgen Tr | Owns 5% or more through other companies | 14.2% | Jul 1, 2024 |
| Yk Nexgen Tr | Owns 5% or more through other companies | 14.2% | Jul 1, 2024 |
| Tryko Nexgen Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 16, 2024 | |
| Yr Nexgen Tr | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 16, 2024 | |
| Customers Bank | Holds 5% or more security interest | Jul 1, 2024 | |
| Sk Nexgen Tr | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 16, 2024 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 8, 2025 | |
| Rsbrmk Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 16, 2024 | |
| Nfr 2020 Irrv Tr | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 16, 2024 | |
| Yk Nexgen Tr | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 16, 2024 | |
| Ukr Nexgen LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 16, 2024 | |
| Uak 2020 Irrv Tr | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 16, 2024 | |
| Quinto Nexgen LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 16, 2024 | |
| Skilled Venture LLC | Owns 5% or more directly | Jul 1, 2024 | |
| Skilled Venture LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 16, 2024 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (Maryland average 4.1).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 2 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 21.0 miles, this one had the 2nd most health citations at the latest inspection cycle (29; the middle value was 16).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Bay Harbor Post Acute Healthcare Center This nursing home | 29 | |
| Deer’s Head Center | 1.5 | 7 |
| Anchorage Rehabilitation and Wellness Center | 1.5 | 20 |
| Wicomico Nursing Home | 2.3 | 12 |
| Delmar Nursing & Rehabilitation Center | 5.9 | 6 |
| Manokin Nursing and Rehab | 13.1 | 47 |
| Snow Hill Rehabilitation & Healthcare Center | 16.6 | 20 |
| Seaford Center | 18.6 | 10 |
| Willowbrooke Court Skilled Center at Manor House | 18.9 | 1 |
| Lofland Park Center | 18.9 | 7 |
| Berlin Nursing and Rehabilitation Center | 19.8 | 20 |
| Hartley Nursing and Rehab | 21.0 | 21 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.