1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Peacefully nestled in Randallstown, MD, A Touch of Joy is a serene community dedicated to assisted living. They feature a team of kind and reliable caregivers to assist residents with their daily activities, including grooming, medication management, and household chores. Residents’ care plans are tailored to their preferences and needs to ensure they receive the proper amount of care to maintain their independence.
Certified services like skilled nursing, physical, speech, and occupational therapy are also offered to make sure residents are well-equipped to maintain their wellness. With no chores to worry about, residents can fully enjoy the community’s daily activities, events, and programs. A Touch of Joy is an ideal place for those looking to enjoy both comfort and enriching experiences.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
|
36m per day | |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
|
1h 8m per day | |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
|
1h 42m per day | |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
|
3h 8m per day | |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
|
5m per day | |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
|
21m per day |
Higher than the Maryland average: 60%
State average N/A
Last Health inspection on Sep 2025
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
83 of 130 citations resulted from standard inspections; 42 of 130 resulted from complaint investigations; and 5 of 130 came from combined inspections (standard and complaint).
In line with State average
State average: N/A
In line with State average
State average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State average
State average ratio: 0 : 0
0% compared with State average
State average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
15 total: 10 full-time employees and 5 contractors.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Assists with medical care and medications.
All 34 LPN Staff are full-time employees. No contractors work on this role.
34
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Helps with daily care and mobility.
All 54 CNA Staff are full-time employees. No contractors work on this role.
54
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,701 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 54 | 0 | 54 | 18,199 | 92 | 100% | 7.5 |
| Licensed Practical Nurse | 34 | 0 | 34 | 12,122 | 92 | 100% | 8.2 |
| Registered Nurse | 10 | 5 | 15 | 3,892 | 92 | 100% | 8.2 |
| Clinical Nurse Specialist | 11 | 0 | 11 | 2,488 | 71 | 77% | 7.4 |
| Other Dietary Services Staff | 6 | 0 | 6 | 2,196 | 92 | 100% | 7.3 |
| Medication Aide/Technician | 5 | 0 | 5 | 1,380 | 90 | 98% | 8.1 |
| Mental Health Service Worker | 4 | 0 | 4 | 954 | 66 | 72% | 7.2 |
| RN Director of Nursing | 2 | 0 | 2 | 909 | 69 | 75% | 9.1 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 901 | 68 | 74% | 7.1 |
| Physical Therapy Aide | 3 | 0 | 3 | 515 | 68 | 74% | 6.1 |
| Administrator | 1 | 0 | 1 | 495 | 66 | 72% | 7.5 |
| Physical Therapy Assistant | 1 | 0 | 1 | 488 | 62 | 67% | 7.9 |
| Nurse Practitioner | 2 | 0 | 2 | 485 | 65 | 71% | 7.3 |
| Dietitian | 1 | 0 | 1 | 462 | 61 | 66% | 7.6 |
| Therapeutic Recreation Specialist | 3 | 0 | 3 | 433 | 63 | 68% | 6.7 |
| Occupational Therapy Aide | 1 | 0 | 1 | 312 | 45 | 49% | 6.9 |
| Medical Director | 1 | 0 | 1 | 65 | 13 | 14% | 5 |
| Qualified Social Worker | 1 | 0 | 1 | 14 | 5 | 5% | 2.7 |
Includes penalties issued in 2023-2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
75% higher than State average
State average: $61K
34% more fines than State average
State average: 1.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than State average
State average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 30, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 4, 2023
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.2
10% worse than State average
State average: 12.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.7
In line with State average
State average: 25.7
Percent of long-stay residents whose need for help with daily activities has increased
28.1%
19% worse than State average
State average: 23.7%
Percent of long-stay residents whose ability to move independently worsened
25.9%
6% better than State average
State average: 27.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.0%
In line with State average
State average: 25.9%
Percent of long-stay residents experiencing one or more falls with major injury
2.2%
6% better than State average
State average: 2.3%
Percent of long-stay high risk residents with pressure ulcers
7.4%
14% worse than State average
State average: 6.5%
Percent of long-stay residents with a urinary tract infection
0.2%
86% better than State average
State average: 1.6%
Percent of long-stay residents who lose too much weight
7.5%
29% worse than State average
State average: 5.8%
Percent of long-stay residents who have depressive symptoms
33.5%
66% worse than State average
State average: 20.2%
Percent of long-stay residents who received an antipsychotic medication
15.2%
17% worse than State average
State average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
53.7%
42% worse than State average
State average: 92.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
67.7%
30% worse than State average
State average: 96.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
19.4%
75% worse than State average
State average: 78.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
38% worse than State average
State average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
27.9%
65% worse than State average
State average: 80.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
34% of new residents, usually for short-term rehab.
35% of new residents, often for short stays.
32% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
134
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for A Touch of Joy from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #120 / 148Payroll % — State benchmarkedThis home is ranked 120th out of 148 homes in Maryland. Shows payroll as a percentage of revenue versus the Maryland average. Well-run Maryland facilities typically land around 49–57% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Maryland that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
Housekeeping Services
Transportation Services
Recreational Activities
Exercise Programs
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under private pay (35% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.3 miles from city center
Estimated distance in miles from Randallstown's city center to A Touch of Joy's address, calculated via Google Maps.
Add your location
A Touch of Joy is in the Fieldstone neighborhood of Randallstown.
A Touch of Joy has a walk score of 62. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
A Touch of Joy's occupancy is 85%.
A Touch of Joy is registered as a for-profit in MD.
A Touch of Joy has 4 beds.
Yes — there are 6 photos of A Touch of Joy in the photo gallery on this page.
A Touch of Joy is located at 8819 Liberty Rd, Randallstown, MD 21133.
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