Pines Nursing and Rehab: 38 Deficiencies Cited - MD
The inspection, conducted September 4, 2025, was triggered by a complaint. Respiratory care failures were among the violations recorded.
Thirty-eight deficiencies is a number worth pausing on. It means inspectors, moving through the building room by room and record by record, found something wrong at nearly every turn. Medication management, care planning, infection control, resident rights, staffing, documentation — the categories that define whether a nursing home is functioning or failing — each represent a potential entry point for a citation. A facility that accumulates 38 of them in a single inspection is not dealing with an isolated lapse. It is dealing with something more systemic.
The respiratory care citation fell under the Quality of Life and Care category, tagged F0695. Inspectors classified it as a scope and severity level D, meaning the problem was isolated to at least one resident and did not result in documented actual harm, but carried the potential for more than minimal harm. In the language of federal nursing home oversight, "potential for more than minimal harm" is the floor, not the ceiling. It is the threshold at which a finding becomes a formal citation rather than an observation. A resident who is not receiving safe respiratory care, whether that means oxygen delivery, suctioning, tracheostomy management, or any other intervention their condition requires, is a resident whose next hour can change quickly.
The facility reported it had corrected the respiratory care deficiency as of November 10, 2025, more than two months after inspectors identified the problem.
Pines Nursing and Rehab is a long-term care and rehabilitation facility in Easton, on Maryland's Eastern Shore. The September inspection was a complaint survey, meaning someone, a resident, a family member, a staff member, or a member of the public, contacted regulators with concerns serious enough to send inspectors to the door. Complaint inspections do not arrive on a schedule. They arrive because something has already gone wrong, or because someone inside the building believed it had.
What the inspection report does not say is as significant as what it does. It does not name the resident whose respiratory care was found deficient. It does not describe what that care was supposed to look like, or what inspectors found instead when they reviewed the resident's records and the equipment and the staff assigned to them. It does not explain what the other 37 deficiencies were, how serious they were, or whether any of them reached a higher severity level than the respiratory finding. The public record, in this form, is a summary. The detail lives in the full inspection report.
What the record does confirm is that 38 problems were found and that correction of at least the respiratory care issue took until mid-November. For the resident at the center of that finding, the gap between September 4 and November 10 was not an abstraction.
Nursing homes that accumulate high deficiency counts in a single inspection are not automatically the most dangerous facilities in a given state. Severity matters, and a facility with 38 level-D citations may, in some narrow technical sense, present a different risk profile than one with two citations at the highest severity levels. But deficiency counts are also a signal. They reflect how consistently a facility's systems are working, how well trained and supervised its staff are, how seriously its leadership takes the obligation to identify and fix problems before an inspector arrives to do it for them.
Thirty-eight findings in a single visit suggests that inspectors were not struggling to find problems. They were cataloguing them.
The facility has a date of correction on record. Whether the corrections hold, whether the same problems resurface at the next inspection, whether the resident who needed respiratory care and did not receive it safely has fared well since September — none of that is answered by a correction date on a federal database. Those answers come later, if they come at all.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Pines Nursing and Rehab from 2025-09-04 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 28, 2026 · Our methodology
PINES NURSING AND REHAB in EASTON, MD was cited for violations during a health inspection on September 4, 2025.
The inspection, conducted September 4, 2025, was triggered by a complaint.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.