Manokin Nursing and Rehab

11974 Edgehill Terrace · Princess Anne, MD · 21853 · 4106510011

135 certified beds For profit - Corporation Chain: Key Health Management

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $26,685 in fines in the last 24 months.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

Get the Safety Report

Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

2 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

3 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 1
Serious harm & abuse 20% 0
Staffing 20% 62
Federal penalties 15% 24
Trend 10% 71
Context 5% 10

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.323.48 min · 4.1 strong
RN hours / resident-day0.450.55–0.75
Weekend hours / resident-day3.03≈ weekday level
Nursing turnover / year40%median 45%
Fines (3-yr window)2 · $187,010

Inspection citations (91 in the current record)

  • Immediate jeopardy · J April 1, 2026 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected February 24, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 1, 2026 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected February 24, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J September 26, 2025

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected November 11, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E September 26, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected December 25, 2025 · Resident Rights

  • Potential for harm · D September 26, 2025

    Give the resident's representative the ability to exercise the resident's rights.

    Corrected November 11, 2025 · Resident Rights

  • Potential for harm · D September 26, 2025

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected November 11, 2025 · Resident Rights

  • Potential for harm · D September 26, 2025

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected December 25, 2025 · Resident Rights

  • Potential for harm · E September 26, 2025

    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 December 25, 2025 · Resident Rights

  • Potential for harm · D September 26, 2025

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected November 11, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 26, 2025

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Corrected November 11, 2025 · Resident Rights

  • Potential for harm · D September 26, 2025

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected November 11, 2025 · Resident Rights

  • Potential for harm · D September 26, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected November 11, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D September 26, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected November 11, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D September 26, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected December 25, 2025 · Quality of Life and Care

  • Potential for harm · D September 26, 2025

    Provide activities to meet all resident's needs.

    Corrected November 11, 2025 · Quality of Life and Care

  • Potential for harm · E September 26, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 25, 2025 · Quality of Life and Care

  • Potential for harm · D September 26, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected November 11, 2025 · Quality of Life and Care

  • Potential for harm · D September 26, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected November 11, 2025 · Quality of Life and Care

  • Potential for harm · D September 26, 2025

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    Corrected December 25, 2025 · Nursing and Physician Services

  • Potential for harm · E September 26, 2025

    Observe each nurse aide's job performance and give regular training.

    Corrected December 25, 2025 · Nursing and Physician Services

  • Potential for harm · D September 26, 2025

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected November 11, 2025 · Quality of Life and Care

  • Potential for harm · E September 26, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected November 11, 2025 · Pharmacy Service

  • Potential for harm · D September 26, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected December 25, 2025 · Pharmacy Service

  • Potential for harm · D September 26, 2025

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected December 25, 2025 · Pharmacy Service

  • Potential for harm · E September 26, 2025

    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 December 25, 2025 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
April 1, 2026Fine$26,685
August 11, 2023Fine$160,325
August 11, 2023Payment Denial49 days

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.

Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 215179 · certified since October 11, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.