Home / Owners / MD4 Holdco, LLC
Nursing homes owned by MD4 Holdco, LLC
The CMS ownership file lists MD4 Holdco, LLC with an ownership interest in 4 certified nursing homes with 460 beds in Maryland (4).
CMS ownership and Care Compare data as of September 1, 2026
What the ownership file says
CMS lists MD4 Holdco, LLC as a direct owner of 4 homes. Its earliest ownership association date on file is April 1, 2023, the latest April 1, 2023.
Owners are listed by the homes themselves when they enroll in Medicare and Medicaid; the file names owners with a 5% or greater stake and the companies with control over operations.
CMS also groups these homes into the chain Key Health Management (4).
The homes' record in brief
3 of the 4 homes have a CMS overall rating, averaging 1.7 stars against a national average of 3. 4 are for profit, 0 nonprofit; 4 are certified for Medicaid.
Across the inspections on file the homes carry 367 health citations; 8 citations were rated actual harm or immediate jeopardy, 3 immediate jeopardy. At their latest standard inspections they averaged 27.5 health deficiencies (national 9.2).
3 homes were fined in the last three years, $46,142 across 4 fines. Average nursing staff turnover was 47.8% (national 45.8%).
Staffing at these homes, January to March 2026
| Hours per resident per day | These homes | United States |
|---|---|---|
| All nursing staff | 3.35 | 3.75 |
| Registered nurses | 0.62 | 0.62 |
| Weekdays | 3.45 | 3.92 |
| Weekends | 3.10 | 3.33 |
| Share of nursing hours by contract staff | 0.0% | 5.3% |
Daily payroll records of 4 homes, summed. Weekends ran 10% below weekdays. Source: CMS Payroll Based Journal Daily Nurse Staffing.
Every home it owns
| Home | City | State | Role in the CMS file | Share | Overall | Citations | Fines |
|---|---|---|---|---|---|---|---|
| Chestertown Nursing and Rehab | Chestertown | MD | Direct owner (5% or more), since April 2023 | 100% | 1 | 79 | $3,418 |
| Denton Nursing and Rehab | Denton | MD | Direct owner (5% or more), since April 2023 | 100% | 1 | 71 | $18,636 |
| Pines Nursing and Rehab (Special Focus Facility) | Easton | MD | Direct owner (5% or more), since April 2023 | 100% | n/a | 180 | $24,088 |
| Hartley Nursing and Rehab | Pocomoke City | MD | Direct owner (5% or more), since April 2023 | 100% | 3 | 37 |
Source: CMS Ownership, data as of September 1, 2026, as the homes reported it. Name spelling follows the file; spellings that differ only in punctuation are combined. Being listed as an owner is a fact of record, not a finding about care. Something wrong? Ask for a correction.