Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Manokin Nursing And Rehab during CMS and state inspections, most recent first.
A resident with dementia and PTSD, who had moderate cognitive impairment, was involved in an altercation with the facility Administrator during a smoking break. Witnesses, including staff and cognitively intact residents, reported that the Administrator blocked the door to prevent the resident from re-entering the building due to a cigarette, pushed the resident in the chest multiple times, and used a racial slur. The resident stated the Administrator was hitting them and calling racial slurs while they tried to return inside, leading the resident to choke the Administrator to get past her. These actions constituted physical and verbal abuse by the Administrator, in violation of the facility’s abuse policy and the resident’s right to be free from abuse, and were cited at an Immediate Jeopardy level under 42 CFR 483.12.
A facility failed to report an allegation of abuse to the state survey agency within the required two-hour timeframe after a resident with dementia and moderate cognitive impairment was involved in a physical altercation with the Administrator following a smoking break. The resident reported being pushed and yelled at by the Administrator after refusing to pick up a discarded cigarette and surrender an unlit cigarette, leading the resident to choke the Administrator. Two CNAs stated they saw the Administrator blocking the door, shoving the resident, and slamming the door shut when staff tried to deescalate the situation, which escalated the resident’s behavior. An LPN on duty received reports that the Administrator provoked the resident and that the resident alleged being pushed, and she notified the family, police, DON, and MD, but the required external report to the SSA was not submitted until several days later, contrary to facility policy and regulatory timeframes.
Staff failed to maintain an accurate medical record when a progress note documented a telehealth visit for a resident who was not present in the facility at the time. The entry lacked required annotations for late entry or error, and staff could not explain the discrepancy.
A resident with impaired vision and intact cognition reported a missing ring, but staff failed to maintain an inventory of the resident's belongings and did not document or investigate the loss according to facility policy. Interviews and record reviews confirmed the absence of an inventory list and grievance documentation related to the missing item.
Two residents experienced physical abuse by staff members, including a cognitively impaired resident who was struck in the face by a GNA and another resident who was hit on the head by an intoxicated maintenance assistant. Both incidents were witnessed or reported by staff and other residents, and the facility's policies prohibiting abuse were not upheld.
A resident with severe cognitive and physical impairments, identified as high risk for falls, experienced multiple unwitnessed falls despite an existing care plan with fall prevention measures. After each fall, incident reports were completed, but no new interventions or care plan updates were documented or implemented to address the repeated incidents, as confirmed by record review and staff interviews.
Administrator Physical and Verbal Abuse of Resident During Smoking Break
Penalty
Summary
The deficiency involves the facility’s failure to protect a resident from physical and verbal abuse by the Administrator during a smoking break. The facility’s abuse policy prohibited abuse, including physical abuse such as hitting, slapping, and pushing, and verbal abuse such as the use of disparaging and derogatory terms, including when residents are within hearing distance regardless of their cognitive status. Resident #3, who had dementia, post-traumatic stress disorder, generalized anxiety disorder, and moderate cognitive impairment (BIMS score of 10), was participating in a smoke break when an altercation occurred with the Administrator. The resident reported that the Administrator allowed more residents than usual to go out to smoke and then began calling the resident racial slurs while the resident was smoking and attempting to return inside. According to Resident #3, when they tried to re-enter the building, the Administrator repeatedly hit them and blocked their way, leading the resident to choke the Administrator to get her out of the way. Multiple witnesses, including staff and residents, described the Administrator physically blocking the door and preventing Resident #3 from entering the facility because of a cigarette. CNA #1 stated she saw the Administrator standing in front of the door, screaming "no" at the resident, blocking the door, and pushing Resident #3 in the chest twice while the resident tried to get around her. An activity aide reported seeing the Administrator and the resident shoving each other, and that when she attempted to open the door with the keypad, the Administrator yelled "no" and told her not to open it, after which the resident choked the Administrator. Several cognitively intact residents who witnessed the event provided consistent accounts that the Administrator pushed Resident #3 and used a racial slur before the resident placed hands on the Administrator. One resident witness stated the Administrator pushed the resident back from the door twice and then used the N-word, after which the resident grabbed the Administrator by the throat. Another resident reported that the Administrator shoved the resident in the chest multiple times, causing the resident to rock back, and then called the resident a racial slur, which led to the resident becoming angry and choking the Administrator. Additional witnesses described the Administrator blocking the keypad with her body and hand, shoving the resident in the chest with both hands, and engaging in a verbal argument with the resident. Collectively, these accounts show that the Administrator initiated physical contact and used a racial slur toward Resident #3, constituting physical and verbal abuse in violation of the facility’s abuse policy and the resident’s right to be free from abuse. The surveyors determined that this conduct by the Administrator toward Resident #3 constituted non-compliance with 42 CFR 483.12, Freedom from Abuse, Neglect, and Exploitation, at a scope and severity level J, indicating Immediate Jeopardy that began on 02/05/2026 when the Administrator verbally and physically abused the resident.
Failure to Timely Report Allegation of Staff-to-Resident Abuse to SSA
Penalty
Summary
The deficiency involves the facility’s failure to report an allegation of resident abuse to the state survey agency (SSA) within the required two-hour timeframe, as required by its own abuse, neglect, and exploitation policy. The policy specified that all alleged violations involving abuse or resulting in serious bodily injury must be reported immediately, but not later than two hours after the allegation is made, to the Administrator, state agency, adult protective services, and other required agencies. Despite this requirement, the facility did not submit the initial Facility Reported Incident (FRI) for an abuse allegation involving Resident #3 and the Administrator until several days after the incident. Resident #3, who had dementia, post-traumatic stress disorder, generalized anxiety disorder, and moderate cognitive impairment (BIMS score of 10), was involved in a physical altercation with the Administrator following a smoking break. According to the incident report and resident’s account, the resident stated they were outside smoking, discarded a cigarette in the snow, and refused the Administrator’s instruction to pick it up. The resident further reported that the Administrator pushed them and demanded an unlit cigarette the resident wished to keep, and when the resident again refused, the Administrator continued pushing and saying the resident was not listening, leading the resident to choke the Administrator. The incident report categorized this as physical aggression initiated by the resident toward a staff member. Witness statements from two CNAs described the Administrator blocking the door and preventing the resident from reentering the building, with both the Administrator and the resident shoving each other. One CNA reported that when she opened the door to deescalate the situation, the Administrator slammed it shut with her body and yelled "No," which further triggered the resident, after which the Administrator shoved the resident again and the resident choked the Administrator. The nurse on duty stated that staff were required to report any witnessed or alleged abuse immediately, within two hours, and confirmed she was informed that the Administrator had provoked the resident and that the resident alleged the Administrator yelled at and pushed them. Although the nurse notified the resident’s family, local police, DON, and MD, the initial abuse report to the SSA was not submitted until days later, and facility leadership acknowledged that the incident and witness statements constituted an allegation of abuse that should have been reported immediately.
Inaccurate Medical Record Entry for Absent Resident
Penalty
Summary
Facility staff failed to maintain an accurate medical record for one resident who had been transferred to the hospital for suicidal ideation. During a review of the resident's records, a progress note was found documenting a telehealth visit on a date when the resident was not present in the facility. The unit manager was unable to explain why this note was entered, and the medical record director confirmed that the note did not include any indication of being a late entry or written in error, as required by facility policy. The Director of Nursing also confirmed that the resident was not in the facility on the date the telehealth visit was documented.
Failure to Maintain Resident Property Inventory and Investigate Lost Item
Penalty
Summary
The facility failed to protect a resident's property and provide a safe environment by not maintaining an inventory of the resident's belongings and not investigating a reported lost item. A resident with intact cognition and impaired visual function reported a missing ring to both staff and family. The care plan for this resident directed staff to inform the resident where items were placed due to visual impairment. Documentation showed that staff searched the room and contacted laundry, and the resident's family involved the state police. However, there was no evidence that a formal inventory of the resident's belongings was completed at admission, nor was there documentation of a grievance or investigation into the missing ring. Interviews with current staff, including the Social Services Director and the Nursing Home Administrator, confirmed the absence of an inventory list and a lack of documentation regarding the grievance or its resolution. Staff recalled being notified about the missing ring and informing the previous Social Services Director, but could not confirm if any follow-up or formal grievance process occurred. The facility's policy required completion of an inventory list at admission and a documented grievance process for missing items, but these procedures were not followed in this case.
Failure to Prevent Staff-to-Resident Physical Abuse
Penalty
Summary
The facility failed to protect residents from staff-to-resident abuse, resulting in two separate incidents involving physical abuse by staff members. In one case, a resident with severe cognitive impairment and diagnoses including Alzheimer's disease and major depressive disorder was involved in an altercation where a Geriatric Nurse Aide (GNA) struck the resident in the face after the resident had first smacked the aide. The incident was reported to the administrator, and the resident was assessed for pain and injury, with no physical harm noted at the time. The resident did not recall the event and denied pain, but the event was corroborated by other staff who heard the altercation. In another incident, a cognitively intact resident with diagnoses including spinal stenosis, bipolar disorder, and chronic heart failure reported being physically assaulted by a Maintenance Assistant (MA) who was intoxicated while on duty. The MA used profane language, hit the resident on the back of the head, and poked the resident on the shoulder. Another resident witnessed the event and noted the smell of alcohol on the MA's breath. The MA was observed by staff to be intoxicated, refused to leave the facility when directed, and was later reported to have struck the resident. The resident expressed fear of the MA following the incident. Both incidents were documented in the facility's records and confirmed through interviews with staff and residents. The facility's abuse prevention policy prohibits such actions and requires immediate reporting of abuse allegations. Despite these policies, the facility did not maintain an environment free from staff-to-resident abuse, as evidenced by these two events involving physical harm to residents by staff members.
Failure to Implement Post-Fall Interventions for High-Risk Resident
Penalty
Summary
The facility failed to provide adequate supervision and implement interventions to prevent multiple falls for a resident identified as being at high risk for falls. The resident had severe intellectual disabilities, major depressive disorder, restlessness, agitation, and severely impaired cognitive skills, and was dependent on staff for hygiene and mobility. The care plan identified the resident as at risk for falls and included specific interventions such as placing the bed against the wall, keeping the bed in the lowest position, ensuring proper posture, using floor mats, and applying a perimeter mattress. Despite these measures, the resident experienced multiple unwitnessed falls, each time being found on the floor next to the bed, sometimes with minor injuries. After each fall, incident reports were completed, but no new interventions were documented or implemented to address the repeated falls. Record reviews and staff interviews confirmed that after each fall, there was no evidence of updated interventions or care plan modifications. The Minimum Data Set Coordinator, Nursing Home Administrator, and Director of Nursing—all of whom were not employed at the time of the incidents—were unable to find documentation of any interventions added after the falls. The staff involved in the incidents were no longer employed and did not respond to inquiries. The lack of follow-up interventions after each fall event constituted a failure to ensure the area was free from accident hazards and that adequate supervision was provided to prevent further accidents.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Princess Anne
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Anchorage Rehabilitation And Wellness Center | 12 mi | — | 28 | 0 |
| Wicomico Nursing Home | 12.5 mi | — | 13 | 0 |
| Hartley Nursing And Rehab | 12.5 mi | — | 32 | 0 |
| Bay Harbor Post Acute Healthcare Center | 13.1 mi | — | 15 | 2 |
| Deer's Head Center | 13.2 mi | — | 10 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.