Caroline Nursing and Rehab
A nursing home in Denton, Maryland 21629
520 Kerr Avenue, Denton, Maryland 21629. (410) 479-2130.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 18 health citations at the latest inspection cycle Maryland average: 17.0
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean7
- 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.
- 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?
18 health citations at the latest inspection cycle
The Maryland average is 17.0.
Last standard inspection Mar 13, 2026.
Most serious in three years: D: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
37 citations in 4 months of the last 36. Last cited Mar 2026. Most serious: no actual harm, potential for more than minimal harm (D). 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 37 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. 16 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Mar 13, 2026: standard inspection13 citations
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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.
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide safe and appropriate respiratory care for a resident when needed.
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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.
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Observe each nurse aide’s job performance and give regular training.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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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.
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Provide and implement an infection prevention and control program.
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Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
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Post nurse staffing information every day.
Mar 13, 2026: complaint inspection1 citation
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Provide care and assistance to perform activities of daily living for any resident who is unable.
Oct 29, 2025: complaint inspection4 citations
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure that residents are free from significant medication errors.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jun 27, 2025: complaint inspection1 citation
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
Nov 22, 2024: standard inspection8 citations
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide activities to meet all resident’s needs.
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Provide safe and appropriate respiratory care for a resident when needed.
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Observe each nurse aide’s job performance and give regular training.
-
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.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
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Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nov 22, 2024: standard and complaint inspection5 citations
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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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.
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Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nov 22, 2024: complaint inspection5 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
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Provide enough food/fluids to maintain a resident’s health.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Dec 13, 1971.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 87 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- 1 Medicare payment denial in the last three years.
- 16 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | What | Detail |
|---|---|---|
| Apr 8, 2026 | Medicare payment denial |
Who does the caring?
| Measure | This home | Maryland average |
|---|---|---|
| Nurse hours per resident per day | Not given | 3.93 |
| Of which registered nurses | Not given | 0.88 |
| At weekends | Not given | 3.49 |
| Nursing staff turnover | Not given | 40.2% |
| Registered nurse turnover | Not given | 37.8% |
| Administrators who left | Not given | Not given |
Who owns it?
- Caroline Operations Holdco LLC owns 100% directly since Aug 1, 2022.
- 13 owners or officers are people: Yechiel Hirth (corporate officer, 50%); Yechiel Hirth (owns a share through other companies, 50%); Yechiel Hirth (runs it (operational or managerial control)); Yechiel Hirth (additional disclosable party (controls, leases property to, or provides services to the home)); Barry Perlstein (additional disclosable party (controls, leases property to, or provides services to the home)); Daniel Ray Howard (runs it (operational or managerial control)); Daniel Ray Howard (additional disclosable party (controls, leases property to, or provides services to the home)); Yehudis Klein (additional disclosable party (controls, leases property to, or provides services to the home)); Sara Ausch (additional disclosable party (controls, leases property to, or provides services to the home)); Carla Fisher Yohn (runs it (operational or managerial control)); Carla Fisher Yohn (additional disclosable party (controls, leases property to, or provides services to the home)); Menashe Eisen (additional disclosable party (controls, leases property to, or provides services to the home)); Naftali Schlussel (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Key Health Management (7 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 |
|---|---|---|---|
| Caroline Operations Holdco LLC | Owns a share directly | 100% | Aug 1, 2022 |
| Caroline Property Holdco LLC | Holds 5% or more of the mortgage | 100% | Aug 1, 2022 |
| Md2 Investors LLC | Owns a share through other companies | 50% | Aug 1, 2022 |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 10, 2025 | |
| Key Health Management LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 1, 2022 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 10, 2025 | |
| Md2 Investors LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 1, 2022 | |
| Caroline Property Holdco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 1, 2022 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Maryland average 4.1).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 24.7 miles, this one had the 2nd most health citations at the latest inspection cycle (18; the middle value was 9).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Caroline Nursing and Rehab This nursing home | 18 | |
| Denton Nursing and Rehab | 1.4 | 16 |
| Pines Nursing and Rehab | 15.2 | 53 |
| Willowbrooke Ct Skilled Care Ctr at Bayleigh Chase | 15.4 | 8 |
| Complete Care at Corsica Hills LLC | 17.4 | 12 |
| Lofland Park Center | 20.1 | 7 |
| Seaford Center | 20.2 | 10 |
| Willowbrooke Court Skilled Center at Manor House | 20.2 | 1 |
| Delaware Veterans Home | 20.4 | 7 |
| Milford Center | 20.9 | 12 |
| Polaris Healthcare and Rehabilitation Center | 21.2 | 7 |
| Center at Eden Hill, LLC | 24.7 | 6 |
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
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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).
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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).
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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).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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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
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Paid listing
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