CCN 215260 · Kent County, Maryland

Chestertown Nursing and Rehab

415 Morgnec Road, Chestertown, MD 21620

Chestertown Nursing and Rehab is a 92-bed for-profit nursing home in Chestertown, Maryland, first certified for Medicare or Medicaid in 1994. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 88.1 residents a day, about 96% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).

Facility facts

Certified beds
92
Average residents per day
88.1 (95.8% of beds)
Ownership type
For profit - Limited Liability company
Certification
Medicare and Medicaid
Legal business name
Chestertown Nursing and Rehab, LLC
Certified since
Sep 14, 1994
Chain or affiliated group
Key Health Management (7 facilities, chain average 1.7 stars)
Location
Rural

Ratings and staffing

Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.

MeasureThis facilityMaryland medianUS median
Overall rating1 of 5State spread: 33 at 1, 43 at 2, 46 at 3, 43 at 4, 54 at 5
Health inspections1 of 5
Quality measures4 of 5
Staffing2 of 5
Total nurse hours per resident per day3.383.603.68
RN hours per resident per day0.700.700.58
Weekend nurse hours per resident per day3.25
Nursing staff turnover53.3%41.5%44.9%
Occupancy (residents / beds)95.8%89.0%85.7%
Fines reported by CMS1 totaling $3,418
Health deficiencies, latest standard survey38 (Aug 13, 2025)

HUD 223(f) Express Lane: the CMS part

HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Chestertown Nursing and Rehab does not meet it today: overall rating 1, health inspection rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.

Who owns and operates it

These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.

NameRoleShareSince
Md4 Holdco, LLCOrganizationDirect Ownership Interest100%04/01/2023
Hershey, TheresaIndividualOperational / Managerial Controln/a05/01/2024
Hirth, YechielIndividualOperational / Managerial Controln/a04/01/2023
Howard, DanielIndividualOperational / Managerial Controln/a04/01/2023

Changes of ownership

EffectiveBuyerSeller
Apr 1, 2023Chestertown Nursing and Rehab, LLCChestertown Md Opco LLC

HUD Section 232 loans

No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.

Watch this facility

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Sources and dates

Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.

SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.