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Why trust this guide?
Our editorial team analyzed 151 nursing homes in MD using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MD
Avg Overall CMS Rating:3.0/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Maryland. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average:3.2/ 5
Avg Staffing Rating:3.0/ 5The average Staffing Rating across all CMS-certified nursing homes in Maryland. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average:3.4/ 5
Avg Health Insp. Rating:2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Maryland. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
Info below is compiled from CMS reports & the MD Dept. of Health (OHCQ), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Maryland average is: 50.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
$8.8M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$2.7M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
30.1%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$13.1M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$4.2M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
31.7%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
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Rank badges are statewide: each community is ranked against every MD community we track that reports that metric, not just the 151 on this page.
Thrive in a nurturing environment with Garrison Estates II Facility, a dependable community in Baltimore, MD designed for assisted living. The community ensures residents’ comfort and peace of mind with 24-hour care, daily living support, and access to Alzheimer’s care should they need it. An array of certified services, such as skilled nursing, therapy services, and medication management are also offered to help residents maintain their well-being.
Dedicated to filling residents’ days with fun and enjoyment, the community also provides a wide range of activities, events, and celebrations. Full meals and replenishing snacks are also served every day to help residents maintain their health and nutrition. Here, every resident is allowed to enjoy the things they love without hassles and worries.
Tucked away in Pikesville, MD, Trusted Home Care 1 is a trusted community designed to offer compassionate assisted living. Residents here are welcomed into warm, comforting accommodations with laundry and housekeeping services for a maintenance-free lifestyle. With 24/7 daily living assistance, skilled nursing, and various therapy services, residents maintain their health and well-being with no worries.
The community ensures residents consistently receive proper care and attention with individualized care plans and regular health monitoring. Various celebrations, events, and activities are regularly held to motivate residents to stay active and engaged. Residents here can achieve their maximum potential through comprehensive care services, healthy meals, and enriching activities.
Experience the best of your golden years at Gwynn Gardens Assisted Living, an esteemed community in Forestville, MD, offering assisted living. Residents can ease their worries with a compassionate and well-trained team helping with their daily living activities around the clock. Cleaning, laundry, and other household chores are also taken care of, ensuring residents have more time to do the things they love.
For residents’ leisure and wellness, a well-thought-out calendar of enriching activities and engaging programs is conducted. Delicious and well-balanced dining options are also served based on residents’ tastes and nutritional needs. The community’s warm and inviting environment creates the ideal setting for residents to experience a worry-free retirement.
Ideally situated in the thriving neighborhood of Frederick, MD, The Lodge at Willow Ponds is an astounding community in Frederick, MD, offering independent living. With its dedication to enhancing older adults’ living experiences, the community provides cozy and thoughtfully furnished accommodations for their comfort. Residents also enjoy a hassle-free living with maintenance services and chores.
Residents can spend their days as they please with wellness opportunities and inviting gathering spaces. Multiple dining venues are also provided, so residents have the finest dining experience that caters to their dietary needs and preferences. The community is a great option for those seeking independence in retirement, especially with its warm and welcoming environment.
The Village at Providence Point is a highly recognized continuing care retirement community in Annapolis, MD, offering independent living, memory care, and skilled nursing. The community’s lively and welcoming environment ensures older adults can live comfortably in retirement. With restaurant-style dining, housekeeping, and transportation services, residents experience worry-free living. Alongside thoughtfully curated amenities, personalized care plans are also provided, so residents can maintain their independence with ease.
Fitness classes, book clubs, and educational programs provide residents with more opportunities to continue learning and gain meaningful experiences. A hair salon, a game room, and a health center are also available, so residents can rest and interact with their surroundings. Residents also have quick access to healthcare and leisure, with Luminis Health Anne Arundel Medical Center, shops, and bus stops nearby. This retirement community continuously provides exceptional care to help older adults age gracefully, making it a great choice for senior living in Maryland.
Overview of Catherine’s House Elderly Assisted Living
Situated in the peaceful neighborhood in Montgomery County, Clarksburg, MD, Catherine’s House Elderly Assisted Living is a well-established senior living community that offers premiere assisted living services. Providing access to an array of medical services such as visiting doctors and nurses, in-house rehabilitation, physical and speech therapy, and other complex services, the community ensures residents will receive the care they need. Offering intimate accommodations for 5 people, the community warrants personalized services, close interactions, and focused attention.
Residents here enjoy the convenience brought by housekeeping, laundry, and transportation services, giving them more time to spend in exciting activities and exercise programs. Gourmet meals are also provided to give residents the nourishment they need without the hassles of cooking and cleaning. With emergency alert and monitoring, residents can comfortably rest knowing that they are in a safe and secure environment.
A one-of-a-kind senior living community settled in the harmonious Curry Drive, Adelphi, MD, Adelphi House II offers assisted living and memory care. With its quaint and cozy setting, the community can accommodate up to five residents. A kind and compassionate team strives to help seniors with their daily living activities to ensure they go about their days without hassles.
To ensure residents are happy and well-engaged, Adelphi House II also conducts a wide array of fun activities and enjoyable programs that highlight their interests and strengths. The community also offers medication management, physical, occupational, and speech therapy, and pharmaceutical services for seniors to ease their minds. Filled with incredible amenities and exceptional services, Adelphi House II strives to provide a safe place for seniors to enjoy a maintenance-free retirement.
Overview of Ring House Independent Living Apartments
Conveniently located in the harmonious residential area of East Jefferson Street, Rockville, MD, Ring House Independent Living Apartments is a blissful retreat that offers independent living. Featuring cozy and specially designed studio to two-bedroom floor plans, residents are guaranteed to find the accommodation that best matches their preferences. The community also offers round-the-clock concierge to assist residents with their day-to-day activities.
With a carefully curated calendar of fun activities and enriching programs, residents gain meaningful experiences and meet new friends. Therapy services, including physical, occupational, and speech therapy, are also available in the community with its rehab suite. Here, residents retain their independence while doing the things they love, surrounded by the community’s welcoming spaces.
Dedicated to improving seniors’ well-being, Sterling Care is a distinct senior living community offering assisted living, independent living, skilled nursing care, and rehabilitation across its convenient locations. The community strives to deliver top-notch care and assistance from a dedicated and highly skilled team. Enjoy your golden years doing what you love within the serene spaces of Sterling Care.
Sterling Care fosters a vibrant and welcoming environment, paving the way for residents to gain meaningful interactions and mingle with friends. Combining medical expertise and exceptional comfort, the community ensures seniors are well-cared for in every aspect of their well-being. Sterling Care is ideal for seniors aiming to spend their golden years doing what they love with its incredible amenities and peaceful setting.
Overview of Ovalstone Comfort Home – Hollins Place
Conveniently located in the harmonious residential street of Hollins Place, Bowie, MD is the distinct senior living community of Ovalstone Comfort Home – Hollins Place offering medical and residential services. With its dedication to enhancing seniors’ well-being, the community provides top-tier care and assistance 24/7. Keep peace of mind and flourish knowing your needs and aspirations are well-cared for.
The community promotes an active and well-connected lifestyle with various activities and enriching programs focusing on residents’ interests and strengths. Enjoy mealtimes with healthy and delicious meals catering to dietary needs and preferences. Ovalstone Comfort Home – Hollins Place is ideal for seniors looking to maximize their independence while receiving the finest care and support in its tranquil campus.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
How we're paid:If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Frequently Asked Questions about Nursing Homes in Maryland
What's the difference between assisted living and a nursing home in Maryland?
Assisted living in Maryland is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.
Does Maryland Medicaid cover nursing home care?
Yes — Maryland Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.
What is nursing home care?
Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.
How many nursing homes are listed on this page?
This page features 151 nursing homes in Maryland. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in Maryland?
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Maryland, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
What should I look for when visiting nursing homes in Maryland?
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
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