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A nursing facility in Cecil County, Maryland has agreed to pay nearly $1.3 million and submit to three years of state oversight following an investigation by Maryland’s Medicaid Fraud and Vulnerable Victims Unit. The settlement with Elkton SNF, LLC and Elkton Health Holdco, LLC, operating as Elkton Nursing and Rehabilitation Center, resolves claims that the facility provided inadequate care to residents, violating the Maryland False Health Claims Act.

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The investigation began in 2022 after a citizen complaint led authorities to examine the Elkton facility. The probe found numerous care deficiencies, including severe understaffing, poor wound care management, preventable injuries, and regulatory lapses that compromised patient health. The Attorney General’s Office concluded that these failures amounted to fraud against the state Medicaid program, which funds long-term care for vulnerable populations.

As part of the settlement, Elkton will pay $400,679 toward a quality improvement plan. The plan includes oversight by a third-party monitoring company that will conduct regular evaluations over the next three years. An additional $889,000 will be paid as restitution to the State of Maryland. The facility will be subject to ongoing monitoring with unrestricted access to medical files, staff, and internal documents to ensure compliance.

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The investigation was bolstered by a new “strike force” initiative that combines efforts from the Maryland Department of Human Services, Adult Protective Services, and the State Long-Term Care Ombudsman. This team conducted unannounced inspections and helped document systemic problems in long-term care facilities statewide. The Attorney General’s Office indicated that the quality improvement plan is designed to enforce lasting reforms and holds the facility accountable for future violations.

Article by multiple RFHC contributors, based upon information from the Maryland Office of the Attorney General press release.


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