Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Shore Health & Rehab Center during CMS and state inspections, most recent first.
A resident with a neurogenic bladder secondary to multiple sclerosis was not provided with a comprehensive care plan addressing their need for an indwelling catheter, despite this being identified in their assessment. The facility's policy mandates the development of such a plan within seven days of completing the MDS, but this requirement was not met. Facility leadership did not comment on the deficiency during a final interview.
Two residents in an LTC facility experienced medication administration errors. One resident received food before Omeprazole due to incorrect transcription of a physician's order, while another missed three doses of Doxepin due to unavailability in the pharmacy system. Both residents were cognitively intact, and the errors were confirmed during a survey.
A resident with a neurogenic bladder and an indwelling catheter experienced recurrent UTIs due to inadequate care. The care plan failed to address catheter management and infection prevention, leading to multiple infections with E. coli and pseudomonas. Despite ongoing staff training on handwashing, proper toileting hygiene was not emphasized. Facility leadership did not express concerns about the deficiency.
A resident with Paranoid Personality Disorder and Bi-Polar Disorder did not receive their prescribed Doxepin medication for three consecutive nights due to unavailability in the facility's pharmacy system. Despite the DON stating the medication was available, it was not administered, leading to a deficiency.
A resident with intellectual disability and paraplegia was upset when her ice cream, brought by her sister, was mishandled by staff and left to thaw, rendering it non-consumable. The staff failed to inform the resident of the mishandling, and the issue was not documented until the resident raised her concern weeks later. The DON acknowledged the lack of reporting by staff.
Two alert residents in a shared room experienced a deficiency in their care when the facility staff failed to ensure the wall clock was functioning, leaving it stuck at 5:57. Despite multiple observations and interactions with staff, the clock remained unfixed, causing the residents to rely on alternative means to know the correct time. Both residents were alert and oriented, with no cognitive impairments, and expressed the need for a working clock for orientation.
The facility failed to schedule and invite two residents to participate in their care plan conferences following their MDS assessments. One resident, with a significant change in condition, and another with a quarterly assessment, both had intact cognitive abilities but were not invited to their care plan meetings. The facility did not adhere to its policy of updating care plans within seven days of a new MDS assessment.
A resident with intellectual disability and glaucoma was not assisted by facility staff in scheduling an appointment and arranging transportation to a vision care center for eyeglasses pickup. Despite informing staff of the need for an appointment, there was no communication or documentation of attempts to schedule it, leading to the resident's frustration.
Facility staff failed to change a resident's oxygen and nebulizer tubing weekly as per physician's orders. An observation showed the tubing was not updated, and the humidification bottle was undated. An LPN admitted the change was missed, and the DON confirmed the policy was not followed.
A resident with multiple diagnoses, including multiple sclerosis, was observed with side rails on her bed without evidence that alternatives were attempted first. The facility lacked documentation of informed consent and did not discuss risks with the resident. The resident's cognitive abilities were intact, and she required assistance for bed mobility.
The facility staff failed to properly manage food storage and labeling, leading to a deficiency in food safety practices. Observations revealed unlabeled bread, milk, and cheese, and improperly refrozen chicken. Interviews confirmed that the facility's policy required labeling with open and discard dates, which was not followed. The Dietary Manager acknowledged the error, and the findings were shared with the administration.
Failure to Develop Comprehensive Care Plan for Resident with Neurogenic Bladder
Penalty
Summary
The facility staff failed to develop a person-centered comprehensive care plan for a resident with a neurogenic bladder secondary to multiple sclerosis. The resident, who was cognitively intact and required partial/moderate assistance for certain activities, was observed with an indwelling catheter. Despite this, the comprehensive care plan did not address the resident's need for the catheter, which was identified in the resident's comprehensive assessment. The facility's policy requires that a comprehensive care plan be developed by the interdisciplinary care planning team within seven days after completing the comprehensive MDS. However, the care plan for this resident did not include the necessary details regarding the indwelling catheter, which was a significant aspect of the resident's care needs. During a final interview, facility leadership did not provide comments or express concerns about this deficiency.
Medication Administration Errors for Two Residents
Penalty
Summary
The facility staff failed to adhere to professional standards of care for two residents, resulting in medication administration errors. For Resident #76, the staff did not transcribe a physician's order correctly, leading to the resident receiving food before the administration of Omeprazole. Omeprazole is a medication used to treat conditions with excessive stomach acid, and it should be administered 30 minutes before food. The physician's order did not specify this timing, and the medication was administered late on several occasions, with the resident consuming breakfast before receiving the medication. For Resident #125, the facility staff failed to administer Doxepin HCL 150 mg capsules for three consecutive nights as per the physician's order. Doxepin is used to treat anxiety, depression, and insomnia. The medication was not available in the facility's pharmacy system, and the resident did not receive the prescribed doses on the specified dates. Despite the medication being available, the staff did not administer it, as confirmed by the Director of Nursing during an interview. Both residents were cognitively intact, as indicated by their scores on the Brief Interview for Mental Status (BIMS). Resident #76 had a history of upper gastrointestinal issues, while Resident #125 had a psychiatric disorder related to bipolar disorder. The deficiencies were identified during a survey, and interviews with facility staff and family members confirmed the lapses in medication administration.
Inadequate Catheter Care Leads to Recurrent UTIs
Penalty
Summary
The facility staff failed to provide appropriate care for a resident with an indwelling catheter, leading to recurrent urinary tract infections (UTIs). The resident, who has a neurogenic bladder secondary to multiple sclerosis, was admitted to the facility and had a history of UTIs with different bacteria, including E. coli and pseudomonas. Despite these infections, the resident's comprehensive care plan did not address the need for an indwelling catheter or provide guidance to caregivers on preventing UTIs. The care plan lacked instructions on catheter management, such as securing the catheter, preventing kinks, and maintaining cleanliness to minimize bacterial migration. Observations revealed that the resident had an indwelling catheter, but the care plan did not prompt staff to adhere to infection control practices. The Infection Preventionist mentioned ongoing in-services on handwashing but did not address proper toileting hygiene after bowel movements when E. coli was identified. During a final interview, facility leadership, including the Administrator and Director of Nursing, did not express concerns or comments about the deficiency, indicating a lack of awareness or acknowledgment of the issue.
Failure to Administer Prescribed Medication
Penalty
Summary
The facility's staff failed to ensure that a significant medication was administered to a resident, leading to a deficiency. Resident #125, who was admitted to the facility after an acute care hospital stay, has diagnoses including Paranoid Personality Disorder and Bi-Polar Disorder. The resident's cognitive abilities for daily decision-making were intact, as indicated by a perfect score on the Brief Interview for Mental Status (BIMS). The care plan for the resident included a focus on maintaining behavioral manifestations to a minimum, with an intervention to refer the resident to psychiatric services per physician orders. The physician's order summary for January included a prescription for Doxepin HCl Capsule 150 mg, to be given as two capsules by mouth at bedtime for bipolar disorder, starting on January 9, 2023. However, a review of the Medication Administration Record (MAR) revealed that the resident missed three consecutive days of receiving the prescribed medication on January 22, 23, and 24, 2023. The medical record noted that the medication was not available from the pharmacy or in the facility's pixis system on these dates. Despite the Director of Nursing (DON) stating that the medication was available and should have been administered, the resident did not receive the medication. This was confirmed by a family member who was informed by the resident about the missed doses. The facility staff, including the Administrator, DON, Regional Nurse Consultants, and the President of Operations, had no additional comments or concerns regarding the incident during a final interview.
Failure to Properly Handle Resident's Personal Possession
Penalty
Summary
The facility staff failed to treat a resident with respect and dignity by not properly handling her personal possession, which was ice cream brought in by her sister. The resident, who has an intellectual disability, paraplegia, and glaucoma, was cognitively intact as per her recent assessment. On the day the ice cream was brought in, the staff accepted it but failed to store it in the freezer, leaving it on top of the freezer where it thawed and became non-consumable. The resident was not informed of this mishandling, which caused her distress as she had anticipated enjoying the ice cream. The Director of Nursing (DON) acknowledged that the staff did not report the mishandling of the ice cream, and the resident did not voice her concern until several weeks later. During an interview, the DON suggested that the resident should have reported the issue sooner. The documentation related to the incident was only recorded after the resident raised her concern, indicating a lack of immediate communication and resolution from the staff involved.
Failure to Maintain Accurate Clocks for Resident Orientation
Penalty
Summary
The facility staff failed to ensure the reasonable accommodation of needs for two alert residents, both of whom shared a room. The deficiency was identified during a survey where it was observed that the large clock on the bedroom wall was not functioning, consistently displaying the incorrect time of 5:57. Despite multiple observations over several days, the clock remained unfixed, and staff members who entered the room for various tasks did not address the issue. Both residents were alert, oriented, and able to converse, with no cognitive impairments as indicated by their BIMS scores of 15 out of 15. Resident #63, who had a history of cerebral vascular infarction and aphasia, expressed that he relied on the clock for orientation but had to use his cell phone or the clock at the nurse's station to know the correct time. Similarly, Resident #64, diagnosed with hypertension, also noted the clock's inaccuracy and had to use his cell phone to check the time. The residents' reliance on the clock for orientation was not met due to the staff's inaction in addressing the malfunctioning clock. Interviews with the Unit Manager and other facility leaders, including the Director of Nursing, revealed an acknowledgment of the importance of accurate clocks for resident orientation. However, despite this understanding, the staff failed to observe and correct the non-working clock, leading to the deficiency in accommodating the residents' needs and preferences.
Failure to Schedule and Invite Residents to Care Plan Conferences
Penalty
Summary
The facility staff failed to schedule and invite two residents, Resident #10 and Resident #7, to participate in their care plan conferences following their respective Minimum Data Set (MDS) assessments. Resident #10, who was admitted to the facility with diagnoses including a heart attack, seizure disorder, and meningioma, had a significant change MDS assessment completed on 6/29/24. Despite having intact cognitive abilities as indicated by a BIMS score of 14 out of 15, Resident #10 was not invited to a care plan conference, nor was her spouse. The last care plan conference for Resident #10 was held on 4/18/24, and by the time of the survey exit on 7/26/24, no new conference had been scheduled. Similarly, Resident #7, diagnosed with multiple sclerosis, had a quarterly MDS assessment completed on 6/30/24, with a BIMS score of 13 out of 15, indicating intact cognitive abilities. However, the facility staff did not schedule or invite Resident #7 or her representative to a care plan conference. The last care plan conference for Resident #7 was held on 3/28/24, and no new conference had been scheduled by the survey exit date. The facility's policy requires care plans to be updated within seven days of a new full MDS in cases of significant change, which was not adhered to in these instances.
Failure to Assist Resident with Vision Care Appointment
Penalty
Summary
The facility staff failed to assist a resident, identified as Resident #84, in scheduling an appointment and arranging transportation to a vision care center. Resident #84, who has an intellectual disability, paraplegia, and glaucoma, was excited to receive new eyeglasses through her insurance. She informed the nursing staff on July 19, 2024, that her eyeglasses were ready for pickup and requested an appointment on a Tuesday or Thursday. However, by July 24, 2024, the staff had not communicated any appointment details to her, leading to her frustration and disinterest in obtaining the glasses. The Director of Nursing (DON) acknowledged that the resident informed the staff about the eyeglasses on July 19, 2024, and stated that two unsuccessful attempts were made to schedule an appointment. However, there was no documentation to support these attempts. A text message from an LPN indicated that the vision care center had called the facility, but no one answered, and a family member was notified instead. The LPN attempted to confirm the information with the vision care center but was unable to reach them, and this was not documented for follow-up by other staff. The facility eventually secured an appointment for the resident on July 30, 2024, but this was not communicated in time to prevent the deficiency.
Failure to Change Oxygen and Nebulizer Tubing Weekly
Penalty
Summary
The facility staff failed to provide respiratory care consistent with professional standards of practice for a resident. Specifically, the staff did not change the oxygen and nebulizer tubing according to the physician's order, which required the tubing to be changed weekly. An observation on 07/23/24 revealed that the resident's oxygen and nebulizer tubing were dated 7/14/24, and the humidification bottle attached to the oxygen concentrator was not dated. The Medication Administration Record indicated that the tubing change was signed off as completed on 7/14/24 and 7/21/24. However, during an interview, an LPN stated that the tubing change was supposed to occur weekly on the night shift but acknowledged that it must have been missed for this resident. The Director of Nursing confirmed that the tubing was not changed as per the facility's policy.
Failure to Attempt Alternatives Before Bed Rail Installation
Penalty
Summary
The facility staff failed to demonstrate that alternatives were attempted before installing side rails on the bed of a resident. The resident, who was admitted to the facility with diagnoses including stroke, malnutrition, depression, and multiple sclerosis, was observed with bilateral quarter side rails in the up position during multiple observations. The resident's cognitive abilities were intact, and she required partial/moderate assistance for bed mobility. The facility had a physician's order for the use of 1/4 bed rails for bed mobility, and the resident's care plan included the use of these rails to promote mobility. However, the facility did not provide evidence that alternatives to side rails were considered or attempted before their installation. Additionally, there was no documentation of informed consent from the resident, nor was there evidence that the risks, including entrapment, were discussed with the resident prior to the installation of the side rails. Interviews with the Director of Nursing and other facility staff confirmed the lack of documentation and discussion regarding the risks and alternatives to side rail use.
Deficiency in Food Storage and Labeling Practices
Penalty
Summary
The facility staff failed to properly manage food storage and labeling, leading to a deficiency in food safety practices. Observations on 7/23/24 revealed that loaves of bread on the bread rack lacked expiration dates, opened milk in the walk-in refrigerator had no 'use by' date, and open sliced cheddar cheese in a plastic bag was not labeled or dated. Additionally, on 7/24/24, chicken legs that were thawed for use by 7/23/24 were found refrozen in the facility's freezer, improperly dated for 8/31/24. Interviews with dietary staff and the Dietary Manager confirmed that the facility's policy required all food items to be labeled with open and discard dates once opened. The Dietary Manager acknowledged the error in refreezing the thawed chicken and was unaware of the issue until it was brought to his attention. The facility's policy on food preparation and handling, revised on 1/5/2023, indicated that foods should be appropriately labeled and dated, which was not adhered to in these instances. These findings were shared with the facility's administration and other relevant parties on 7/26/24, with no additional information provided before the survey concluded.
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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 Parksley
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Alice Byrd Tawes Nursing Home | 20.6 mi | ★★★★★ | 14 | 0 |
| Hartley Nursing And Rehab | 21.7 mi | ★★★★★ | 32 | 0 |
| Nassawadox Rehabilitation And Nursing | 23.6 mi | ★★★★★ | 0 | 0 |
| Snow Hill Rehabilitation & Healthcare Center | 31.2 mi | ★★★★★ | 6 | 0 |
| Manokin Nursing And Rehab | 31.4 mi | ★★★★★ | 44 | 2 |
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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 July 2026) and official state health department websites.