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Caroline Nursing Home

Nursing Home Facility

520 Kerr Avenue, Denton, MD 21629

Nursing Home Care Continuing Care (CCRC) Senior Living
Caroline Nursing Home

Caroline Nursing Home and Rehabilitation Center is a 98 bed, non-profit, skilled facility located in the heart of Caroline County, on Maryland's Eastern Shore.

Caroline Nursing Home is licensed for 87 beds, about typical for the area, where senior care communities in Denton average about 72 beds.

Federal reporting puts occupancy at about 98% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place.

Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in November 2024 and recorded 18 deficiencies.

Residents receive about 3.3 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Nursing staff turnover over the past year was about 44%.

The community is located in Caroline County, MD.

Medicare five-star ratings

  • Overall ★★★★★ 2/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 2/5
  • Quality measures ★★★★★ 2/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 42 problems at Caroline Nursing Home. None of them caused harm to a resident. 16 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected March 2026, after a complaint. Corrected by April 15, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

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

    Inspected October 2025, after a complaint. Corrected by December 2, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

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

    Inspected October 2025, after a complaint. Corrected by December 2, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure that residents are free from significant medication errors.

    Inspected October 2025, after a complaint. Corrected by December 2, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Inspected October 2025, after a complaint. Corrected by December 2, 2025.

  • Could cause more than minimal harm, widespread Nursing and Physician Services

    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.

    Inspected November 2024, after a complaint. Corrected by January 17, 2025.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Inspected November 2024, after a complaint. Corrected by January 17, 2025.

  • Could cause more than minimal harm, widespread Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected November 2024. Corrected by January 17, 2025.

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  • Could cause more than minimal harm, widespread Nursing and Physician Services

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Inspected November 2024. Corrected by January 17, 2025.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

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

    Inspected November 2024, after a complaint. Corrected by January 17, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected November 2024. Corrected by January 17, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide activities to meet all resident's needs.

    Inspected November 2024. Corrected by January 17, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected November 2024, after a complaint. Corrected by January 17, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Inspected November 2024, after a complaint. Corrected by January 17, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected November 2024. Corrected by January 17, 2025.

  • Could cause more than minimal harm, one or a few residents Nursing and Physician Services

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

    Inspected November 2024. Corrected by January 17, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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.

    Inspected November 2024. Corrected by January 17, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected November 2024. Corrected by January 17, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Caroline Nursing Home offers nursing home care, continuing care (CCRC), and senior living.

Facility details

  • Organization type Non profit - Other
  • Beds / units 87
  • Occupancy 98%
  • Nursing hours per resident/day 3.3
  • Annual staff turnover 44%
  • Last health inspection November 2024

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