Pines Nursing and Rehab, Easton, Maryland

180
Citations from health inspectionsMaryland average: 52 a home: 5
Residents harmed or put in dangerMaryland average: 1.0 a home: $24,088
Fines from the federal governmentMaryland average: $21,934 a home: No rating given
Overall rating in starsMaryland average: 3.2

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

Six inspection visits produced 180 citations. Residents were in immediate danger in two findings. Residents were found hurt in three cases. Federal fines came to $24,088 (one fine).

This home is a Special Focus Facility. Homes that have done poorly on past inspections are put on this list by CMS, and they get extra attention.

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Quick Look at the Record

The home's overall star rating: No rating is given while the home stays on the Special Focus list
Rating for health inspections: No rating is given while the home stays on the Special Focus list
Rating for staffing: No rating is given while the home stays on the Special Focus list
Rating for quality of care: No rating is given while the home stays on the Special Focus list
Nurse time for each resident: 3.31 hours each dayThe Maryland average is 3.87 hours
Time from registered nurses: 0.55 hours each dayThe Maryland average is 0.84 hours
Nursing staff who left during one year: 48%against the Maryland average of 40.2%
Beds that are certified: 195
Ownership: Corporation (for profit)
Chain: Key Health Management, with seven homes
Street address: 610 Dutchman's Lane, Easton, Maryland 21601
County: Talbot

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

One citation dated July 2, 2026

F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.

12 citations dated March 12, 2026

F925 Pest Control Program: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F921 A Safe, Clean Building: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F908 Keep Essential Equipment Working Safely: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F842 Medical Records and Privacy: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

38 citations dated Sept. 4, 2025

F947 Nurse Aide Skills, Dementia, and Abuse Training: risk of harm, no one found hurt, one or a few residents.
F925 Pest Control Program: risk of harm, no one found hurt, widespread.
F921 A Safe, Clean Building: risk of harm, no one found hurt, one or a few residents.
F919 Working Call System in Bathrooms: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F908 Keep Essential Equipment Working Safely: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, one or a few residents.
F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread.
F868 Quality Group Membership and Quarterly Meetings: risk of harm, no one found hurt, one or a few residents.
F842 Medical Records and Privacy: risk of harm, no one found hurt, a pattern, several residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
F807 Drinks to Keep Residents Hydrated: risk of harm, no one found hurt, one or a few residents.
F790 Routine and Emergency Dental Care: risk of harm, no one found hurt, one or a few residents.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, one or a few residents.
F732 Post Daily Nurse Staffing Information: risk of harm, no one found hurt, one or a few residents.
F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
F693 Feeding Tube Care: risk of harm, no one found hurt, one or a few residents.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents.
F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents.
F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
F640 Send Assessment Data to State on Time: risk of harm, no one found hurt, one or a few residents.
F636 Complete Assessments at Admission and Yearly: risk of harm, no one found hurt, one or a few residents.
F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, one or a few residents.
F610 Investigating Abuse Allegations: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F609 Reporting Suspected Abuse: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, one or a few residents.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
F583 Keep Resident Records Private: risk of harm, no one found hurt, one or a few residents.
F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F578 The Right to Refuse Treatment: risk of harm, no one found hurt, a pattern, several residents.
F572 Notice of Rights, Rules, Services, and Charges: risk of harm, no one found hurt, one or a few residents.
F565 Right to Resident and Family Groups: risk of harm, no one found hurt, one or a few residents.
F561 Respect Resident Choices and Self Determination: risk of harm, no one found hurt, one or a few residents.
F553 Resident Involvement in Care Planning: risk of harm, no one found hurt, one or a few residents.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents.

37 citations dated March 19, 2025

F947 Nurse Aide Skills, Dementia, and Abuse Training: risk of harm, no one found hurt, widespread, found on a complaint visit.
F925 Pest Control Program: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F919 Working Call System in Bathrooms: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F908 Keep Essential Equipment Working Safely: risk of harm, no one found hurt, widespread, found on a complaint visit.
F850 Full Time Social Worker in Large Facilities: risk of harm, no one found hurt, widespread, found on a complaint visit.
F842 Medical Records and Privacy: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F840 Outside Professionals When Needed: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F809 Meals and Snacks at Preferred Times: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F757 Unnecessary Drugs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F755 Pharmacy Services: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F732 Post Daily Nurse Staffing Information: minimal risk to residents, widespread, found on a complaint visit.
F730 Review Nurse Aide Performance and Training: risk of harm, no one found hurt, widespread, found on a complaint visit.
F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread, found on a complaint visit.
F692 Enough Food and Fluids: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F684 Quality of Care: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F638 Update Assessments Every Three Months: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F610 Investigating Abuse Allegations: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F609 Reporting Suspected Abuse: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, widespread, found on a complaint visit.
F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

64 citations dated Sept. 28, 2022

F947 Nurse Aide Skills, Dementia, and Abuse Training: risk of harm, no one found hurt, widespread.
F943 Staff Training on Abuse, Neglect, and Dementia: risk of harm, no one found hurt, widespread.
F921 A Safe, Clean Building: risk of harm, no one found hurt, a pattern, several residents.
F919 Working Call System in Bathrooms: risk of harm, no one found hurt, a pattern, several residents.
F909 Regular Safety Checks of Beds and Rails: risk of harm, no one found hurt, a pattern, several residents.
F908 Keep Essential Equipment Working Safely: risk of harm, no one found hurt, a pattern, several residents.
F887 Coronavirus Vaccine Education, Offering, and Records: risk of harm, no one found hurt, a pattern, several residents.
F886 Coronavirus Testing for Residents and Staff: risk of harm, no one found hurt, widespread.
F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, a pattern, several residents.
F881 Antibiotic Use Monitoring Program: risk of harm, no one found hurt, widespread.
F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread.
F867 Ongoing Quality Review Group and Correction Plans: risk of harm, no one found hurt, widespread.
F850 Full Time Social Worker in Large Facilities: risk of harm, no one found hurt, widespread.
F842 Medical Records and Privacy: risk of harm, no one found hurt, a pattern, several residents.
F838 Facility Wide Assessment of Needed Resources: risk of harm, no one found hurt, widespread.
F835 Run the Facility Effectively: risk of harm, no one found hurt, widespread.
F825 Specialized Rehabilitation Services: risk of harm, no one found hurt, one or a few residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
F809 Meals and Snacks at Preferred Times: risk of harm, no one found hurt, a pattern, several residents.
F805 Food Prepared to Meet Individual Needs: risk of harm, no one found hurt, a pattern, several residents.
F804 Food Taste and Temperature: risk of harm, no one found hurt, widespread.
F803 Menus That Meet Nutrition Needs: risk of harm, no one found hurt, a pattern, several residents.
F790 Routine and Emergency Dental Care: risk of harm, no one found hurt, one or a few residents.
F775 Complete Dated Laboratory Records: risk of harm, no one found hurt, one or a few residents.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, widespread.
F760 Significant Medication Errors: risk of harm, no one found hurt, a pattern, several residents.
F757 Unnecessary Drugs: risk of harm, no one found hurt, a pattern, several residents.
F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, a pattern, several residents.
F741 Staff Skilled in Behavioral Health Needs: risk of harm, no one found hurt, widespread.
F732 Post Daily Nurse Staffing Information: minimal risk to residents, widespread.
F730 Review Nurse Aide Performance and Training: risk of harm, no one found hurt, widespread.
F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, widespread.
F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread.
F712 Face to Face Doctor Visits: risk of harm, no one found hurt, a pattern, several residents.
F711 Doctor Reviews Care and Writes Notes Each Visit: risk of harm, no one found hurt, a pattern, several residents.
F710 Doctor's Order to Admit and Ongoing Doctor Care: risk of harm, no one found hurt, one or a few residents.
F700 Safe Use of Bed Rails: risk of harm, no one found hurt, a pattern, several residents.
F697 Pain Management: risk of harm, no one found hurt, one or a few residents.
F695 Breathing and Oxygen Care: risk of harm, no one found hurt, a pattern, several residents.
F692 Enough Food and Fluids: residents were harmed, one or a few residents.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents.
F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, a pattern, several residents.
F684 Quality of Care: risk of harm, no one found hurt, a pattern, several residents.
F680 Qualified Activities Director: risk of harm, no one found hurt, widespread.
F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, widespread.
F678 CPR and Basic Life Support: immediate danger to residents, a pattern, several residents.
F661 Share Information at Planned Discharge: risk of harm, no one found hurt, one or a few residents.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents.
F656 A Complete Care Plan: risk of harm, no one found hurt, widespread.
F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, a pattern, several residents.
F638 Update Assessments Every Three Months: risk of harm, no one found hurt, one or a few residents.
F636 Complete Assessments at Admission and Yearly: risk of harm, no one found hurt, a pattern, several residents.
F625 Written Notice of Bed Hold Policy: minimal risk to residents, widespread.
F624 Prepare Residents for Safe Transfer or Discharge: risk of harm, no one found hurt, a pattern, several residents.
F623 Notice Before Transfer or Discharge: minimal risk to residents, widespread.
F622 Valid Reasons and Paperwork for Transfer or Discharge: risk of harm, no one found hurt, a pattern, several residents.
F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, one or a few residents.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, widespread.
F580 Telling the Family About a Change: risk of harm, no one found hurt, a pattern, several residents.
F578 The Right to Refuse Treatment: risk of harm, no one found hurt, a pattern, several residents.
F577 Access to Inspection Results and Advocates: minimal risk to residents, widespread.
F565 Right to Resident and Family Groups: risk of harm, no one found hurt, widespread.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents.

28 citations dated Oct. 25, 2018

F919 Working Call System in Bathrooms: risk of harm, no one found hurt, one or a few residents.
F908 Keep Essential Equipment Working Safely: risk of harm, no one found hurt, a pattern, several residents.
F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
F842 Medical Records and Privacy: risk of harm, no one found hurt, a pattern, several residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
F809 Meals and Snacks at Preferred Times: risk of harm, no one found hurt, one or a few residents.
F791 Dental Services for Residents: risk of harm, no one found hurt, one or a few residents.
F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, one or a few residents.
F757 Unnecessary Drugs: risk of harm, no one found hurt, one or a few residents.
F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, one or a few residents.
F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents.
F697 Pain Management: risk of harm, no one found hurt, one or a few residents.
F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents.
F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents.
F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents.
F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, one or a few residents.
F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
F625 Written Notice of Bed Hold Policy: risk of harm, no one found hurt, one or a few residents.
F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, a pattern, several residents.
F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents.
F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.
F565 Right to Resident and Family Groups: risk of harm, no one found hurt, a pattern, several residents.
F561 Respect Resident Choices and Self Determination: risk of harm, no one found hurt, one or a few residents.
F559 Right to Choose Roommate and Notice Before Changes: risk of harm, no one found hurt, one or a few residents.

Payment Denials and Fines

Date	Penalty	Amount
March 19, 2025	Fine	$24,088

Ownership and Management of the Home

The direct 100% owner is Md4 Holdco, LLC.
Owns a share through another company: Md5 Investors LLC.

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 215010. Other homes in Maryland.