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Nursing HomeMedicaid

Resorts at Chester River Manor CORP

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

200 Morgnec Road, Chestertown, MD 2162098 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 60 Google reviews

5
4
3
2
1
Resorts at Chester River Manor CORP Nursing Home in Chestertown, MD — Street View
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What this means for your family

While the facility has a strong reputation for successful physical rehabilitation, the reports of neglect and medication errors in long-term care are concerning. We strongly advise families to conduct unannounced visits, specifically during weekends or evening shifts, to observe the level of staff responsiveness and the quality of care provided firsthand.

Google Reviews

Google Reviews

60 reviews on Google
Reviews for Resorts at Chester River Manor are deeply polarized, with many families praising the facility for successful rehab outcomes and compassionate care, while others report severe neglect and mismanagement. Common criticisms focus on poor responsiveness to basic needs, medication errors, and a significant decline in quality following recent management changes. Prospective families should be aware that experiences appear to vary drastically depending on whether the resident is in short-term rehab or long-term care.

Quality Themes

Tap a score for details
Food2.0Staff5.0Clean8.0ActivitiesN/AMeds2.0MemoryN/AComms4.0Value2.0

Strengths

  • Successful short-term rehab outcomes
  • Clean and well-maintained facility
  • Compassionate and attentive individual staff members
  • Helpful admissions and social services team

Concerns

  • Neglect of basic patient needs (hygiene, call bells, meals) (mentioned by 6 reviewers)
  • Medication management errors and lack of doctor communication (mentioned by 3 reviewers)
  • Understaffing and unprofessional staff behavior (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

2341.02019(1)1.02020(1)5.02022(2)3.02023(4)1.52024(2)4.32025(6)4.12026(34)

Distribution · 50 analyzed

5
34
4
0
3
2
2
1
1
13
21 reviews posted between Mar 16, 2026Mar 25, 2026 · 16 were 5-star
11 reviews posted between Mar 23, 2026Mar 25, 2026 · 8 were 5-star

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1It's great to see how clean and well-maintained the facility is; what specific protocols do you have in place to ensure the dining areas and resident rooms stay this way?
  • 2We noticed the admissions and social services team is very helpful; how will they assist our family with the transition and ongoing communication regarding our loved one's care?
  • 3What specific steps are taken by the nursing team to ensure medication is administered accurately and that doctors are promptly updated on any changes in health?
  • 4How do you ensure that call bells are answered quickly and that all basic personal hygiene needs are met consistently throughout every shift?
  • 5Could you tell us more about the daily activities and social programs available to help residents stay engaged with the community?
  • 6In the event of a medical emergency after hours, what is the specific process for contacting physicians and notifying the family?

Personalized based on this facility's data


Key Review Excerpts

My sister was a resident at Resorts at Chester River Manor for 8 months, and our experience was truly exceptional. She was initially facing the possibility of losing her leg, but through the care and treatment she received, she not only kept her leg, but was discharged walking up and down stairs and living independently on a second floor.

Long-term resident's family · 2026★★★★★

How do you not bring a meal to a woman who is almost 90 years old and claim it’s because she didn’t turn in a meal ticket/request, menu selection?!?! First, she DID! A family member was with her visiting when she turned it in!

Long-term resident's family · 2026☆☆☆☆

My husband did not get the care he needed. He had a bed sore that was absolutely unacceptable. They did not attend to his folly and every night I would say you need to see what is going on. They left him go to the next morning a lot of times which he was in pain.

Long-term resident's family · 2023☆☆☆☆
Source: 60 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.64hrs
86%
Registered nurses for medical care
Total Nursing
3.60hrs
88%
All nurses + aides combined
Staff Turnover
21%
Lower is better (< 30% = good)
RN Turnover
10%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

3

measures

Mixed Results

4

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility29.4%
Worse than Avg
Here
29.4%
US
15.5%
MD
14.1%
Kent
14.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility12.2%
Better than Avg
Here
12.2%
US
15.3%
MD
24.5%
Kent
14.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility22.8%
Worse than Avg
Here
22.8%
US
14.4%
MD
21.5%
Kent
13.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
MD
92.1%
Kent
94.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility15.2%
Mixed vs Avgs
Here
15.2%
US
12.1%
MD
22.2%
Kent
10.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility24.7%
Mixed vs Avgs
Here
24.7%
US
19.4%
MD
25.1%
Kent
22.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.0%
Better than Avg
Here
98.0%
US
81.8%
MD
78.7%
Kent
84.7%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.0%
Better than Avg
Here
98.0%
US
79.8%
MD
80.6%
Kent
79.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.4%
Mixed vs Avgs
Here
1.4%
US
1.6%
MD
1.3%
Kent
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

16deficiencies
Near state avg (18.9)
6 complaint-triggered

This facility has concerning patterns with families filing complaints about care quality, pain management, and resident record-keeping, plus persistent issues with fire safety systems and medication management across multiple years. The most recurring problems involve fire safety equipment maintenance, care planning deficiencies, and building safety compliance that appear repeatedly from 2017 through 2024, suggesting ongoing operational challenges despite reported corrections.

Apr 22, 2026Complaint
2
0690Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Dec 16, 2025Complaint
4
0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Dec 16, 2025Routine
13
0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0341Potential for harm · PatternCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0732Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0223Potential for harm · IsolatedCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0919Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

Mar 8, 2024Routine
29
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0223Potential for harm · PatternCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0711Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0711Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0781Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Apr 29, 2019Routine
19
0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0500Potential for harm · WidespreadCorrected

Services Deficiencies

Meet other general requirements that are deficient.

0700Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0253Potential for harm · PatternCorrected

Egress Deficiencies

Provide two separate exits in rooms of more than 1000 square feet.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0341Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0281Potential for harm · IsolatedCorrected

Egress Deficiencies

Install proper backup exit lighting.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Resorts at Chester River Manor CORP

Organization Type

for profit

Ownership & Management

Owners

Rosenberg, Mindy

Owner

100%

Key personnel

200 Morgnec Rd LLC5% or Greater Mortgage InterestRosenberg, Zvi5% or Greater Mortgage Interest200 Morgnec Rd LLC5% or Greater Security InterestRosenberg, Zvi5% or Greater Security InterestFleurancois, NancyManager
Source: Medicare provider data

Contact

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References & Resources

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