2/5
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.
2/5
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.
King David Nursing & Rehabilitation Center, an independently owned healthcare facility in Pikesville, Maryland, excels in providing top-notch nursing home care services. They accept various insurances, including Medicare, Medicaid, and private pay options, helping seniors navigate nursing home costs with ease.
This facility also distinguishes itself with its impeccable cleanliness and elegant ambiance, offering seniors a secure and comfortable environment. With spacious lounges, it fosters socialization among residents, and their dining options cater to different tastes and dietary restrictions. This trusted abode provides a choice between private and semi-private rooms as well, all equipped with amenities like cable and Wi-Fi access. Moreover, it includes an on-site beauty salon and covers daily housekeeping and laundry services, ensuring a hassle-free experience within their nursing home facilities.
King David Nursing & Rehabilitation Center is an independently owned and operated healthcare center that is licensed to use the Autumn Lake Healthcare name and receive non-healthcare related services. All healthcare-related services are provided solely by King David Nursing & Rehabilitation Center.
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.
| 17m per day | ▼ 66% State avg: 50m per day · National avg: 41m 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 2m per day | ▲ 15% State avg: 54m per day · National avg: 52m 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.
| 2h 27m per day | ▲ 13% State avg: 2h 10m per day · National avg: 2h 21m 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 29m per day | ■ Avg State avg: 3h 29m per day · National avg: 3h 26m 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.
| 8m per day | ▲ 60% State avg: 5m per day · National avg: 4m 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.
| 9m per day | ▼ 74% State avg: 37m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
12% fewer staff per resident than Maryland average
0% compared with Maryland average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 5 RN Staff are full-time employees. No contractors work on this role.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursAssists with medical care and medications.
All 24 LPN Staff are full-time employees. No contractors work on this role.
24
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursHelps with daily care and mobility.
All 63 CNA Staff are full-time employees. No contractors work on this role.
63
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
5,205 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 63 | 0 | 63 | 20,602 | 92 | 100% | 8.1 |
| Licensed Practical Nurse | 24 | 0 | 24 | 8,360 | 92 | 100% | 8.5 |
| Physical Therapist | 16 | 0 | 16 | 5,949 | 92 | 100% | 7.6 |
| Medication Aide/Technician | 4 | 0 | 4 | 1,875 | 92 | 100% | 8.7 |
| Registered Nurse | 5 | 0 | 5 | 1,480 | 91 | 99% | 8.6 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,271 | 88 | 96% | 8 |
| Qualified Social Worker | 0 | 8 | 8 | 1,263 | 68 | 74% | 7.4 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 1,220 | 90 | 98% | 8 |
| RN Director of Nursing | 4 | 0 | 4 | 1,103 | 83 | 90% | 8.4 |
| Physical Therapy Aide | 0 | 3 | 3 | 1,007 | 70 | 76% | 7.7 |
| Physical Therapy Assistant | 0 | 3 | 3 | 912 | 69 | 75% | 7.6 |
| Speech Language Pathologist | 0 | 2 | 2 | 804 | 65 | 71% | 7 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 602 | 67 | 73% | 8 |
| Dental Services Staff | 2 | 0 | 2 | 600 | 58 | 63% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 68 | 74% | 7.4 |
| Administrator | 2 | 0 | 2 | 488 | 65 | 71% | 7.5 |
| Dietitian | 2 | 0 | 2 | 458 | 61 | 66% | 7.5 |
| Mental Health Service Worker | 2 | 0 | 2 | 413 | 55 | 60% | 7.5 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
15.7
21% worse than Maryland averageMaryland average: 12.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
30.4
18% worse than Maryland averageMaryland average: 25.7
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
37.1%
57% worse than Maryland averageMaryland average: 23.7%
Percent of long-stay residents whose ability to move independently worsened
23.9%
14% better than Maryland averageMaryland average: 27.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.1%
16% worse than Maryland averageMaryland average: 25.9%
Percent of long-stay residents experiencing one or more falls with major injury
0.4%
85% better than Maryland averageMaryland average: 2.3%
Percent of long-stay high risk residents with pressure ulcers
7.2%
10% worse than Maryland averageMaryland average: 6.5%
Percent of long-stay residents with a urinary tract infection
0.7%
56% better than Maryland averageMaryland average: 1.6%
Percent of long-stay residents who lose too much weight
9.9%
71% worse than Maryland averageMaryland average: 5.8%
Percent of long-stay residents who have depressive symptoms
35.4%
75% worse than Maryland averageMaryland average: 20.2%
Percent of long-stay residents who received an antipsychotic medication
11.0%
15% better than Maryland averageMaryland average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than Maryland averageMaryland average: 92.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Maryland averageMaryland average: 96.6%
Number of hospitalizations per 1,000 long-stay resident days.
2.05
55% worse than Maryland averageMaryland average: 1.32
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.91
58% worse than Maryland averageMaryland average: 1.21
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
26% better than Maryland averageMaryland average: 78.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
22% better than Maryland averageMaryland average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.4%
23% better than Maryland averageMaryland average: 80.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.0%
23% worse than Maryland averageMaryland average: 21.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.3%
36% better than Maryland averageMaryland average: 9.9%
Percentage of SNF residents who experience falls with major injury during their stay.
1.3%
71% worse than Maryland averageMaryland average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
57.1%
6% better than Maryland averageMaryland average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
58.3%
15% better than Maryland averageMaryland average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
56% of new residents, usually for short-term rehab.
34% of new residents, often for short stays.
11% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
96Residents 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 King David Nursing and Rehabilitation Center 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.
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).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (56% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.1 miles from city center
Estimated distance in miles from Pikesville's city center to King David Nursing and Rehabilitation Center's address, calculated via Google Maps.
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The information below is reported by the Maryland Department of Health, Office of Health Care Quality.
| King David Nursing and Rehabilitation Center | NH HC PC RC | Pikesville (Colonial Village) | 100
Facility
100
MD AVG
43
Rank
#117 / 697 | 88.8% | +8% | 3.39 | -77% | -10% | $0 | 60
Facility
60
MD AVG
49.9
Rank
#110 / 149 | 15.0 | - | 100 | - |
72
Facility
72
MD AVG
43
Rank
#160 / 985 | 4260 Group LLC | $16.3M | $2.3M | 14.3% | 215022 | ||||
| Autumn Lake Healthcare at Pikesville | NH HC PC RC | Pikesville (Sudbrook Lane) | 140
Facility
140
MD AVG
43
Rank
#52 / 697 | 81.1% | -2% | 3.56 | -37% | -6% | $0 | 67
Facility
67
MD AVG
49.9
Rank
#120 / 149 | 16.8 | 1 | 114 | - |
79
Facility
79
MD AVG
43
Rank
#99 / 985 | Pikesville Operator, LLC | $15.9M | $2.3M | 14.2% | 215082 |
King David Nursing and Rehabilitation Center is located in Pikesville, Maryland.
Here are the financial assistance programs available to residents in Maryland.
King David Nursing and Rehabilitation Center is in the Colonial Village neighborhood.
King David Nursing and Rehabilitation Center has a walk score of 72. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
King David Nursing and Rehabilitation Center's occupancy is 88.8%.
Yes — there are 14 photos of King David Nursing and Rehabilitation Center in the photo gallery on this page.
King David Nursing and Rehabilitation Center is located at 4204 Old Milford Mill Rd, Pikesville, MD 21208.
(410) 486-1500 will put you in contact with the team at King David Nursing and Rehabilitation Center.
Yes — King David Nursing and Rehabilitation Center is a CMS-certified provider of Medicare and Medicaid.
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