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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.
Age gracefully at Charles E. Smith Life Communities-Revitz House, a distinguished community located in the harmonious neighborhood of Rockville, MD, offering independent living. Beautifully designed one-bedroom floor plans are provided in a warm and welcoming environment, ensuring residents are comfortable and safe. A 24-hour concierge and a personal emergency response system are available for residents’ safety.
Residents will not run out of things to do, with plenty of recreational opportunities and engaging programs. Delightful dining options are also available, ensuring residents have the finest dining experience that caters to their dietary needs and preferences. Filled with state-of-the-art amenities and exceptional services, the community ensures residents have the finest retirement experience.
Surrounded by convenient local amenities in Bradhurst Road, Baltimore, MD, Bradhurst Estate Facility is a trusted community that offers assisted living. The community is dedicated to improving residents’ welfare, providing residents with comprehensive care whenever needed including 24-hour care, Alzheimer’s care, skilled nursing, wound care, cardiac, and pulmonary care, alongside its purposely built accommodations. With a specially trained and compassionate team, older adults can rest assured of living their later years comfortably.
Aside from non-medical and healthcare services, the community also conducts fun-filled activities and engaging programs to keep residents active and happy. Here, residents indulge in healthy and delicious meals, carefully planned to meet their dietary needs and preferences. Medication management, therapy services, and 45-day nurse assessments are provided for residents’ healthcare needs. Live your retirement without hassles with the community’s dedicated and top-notch care.
Arcadia Living is an assisted living community throughout Maryland, offering personal care and memory support. Promoting a warm and home-like environment, the community ensures older adults can feel a sense of belonging during their stay. Residents also experience a worry-free lifestyle with 24-hour care, home-cooked meals, housekeeping, and laundry. The community also works closely with residents to provide high-quality care to help them maintain their independence.
Exercises and social events provide residents with more opportunities to learn and gain meaningful experiences. Spacious common areas and thoughtfully designed rooms also ensure residents can rest and interact with friends comfortably. Featuring several homes in Chester, Denton, Crofton, and Easton, the community ensures easy access to high-quality care. This assisted living community is a great choice for senior living in Maryland, especially with its dedicated services and top-notch amenities.
Overview of Arcadia of Crofton I (formerly Autumn Meadows)
Arcadia of Crofton I is a senior living community located on Defense Highway in Gambrills, Maryland, that supports older adults with a wide range of care needs. Services include assisted living, memory care, nursing care, hospice care, and respite care. Featuring private rooms within a single-story building, the community promotes a comfortable, residential atmosphere.
Care is available around the clock through 24-hour staffing, with additional support provided through respite services and short-term rehabilitation. Moreover, transportation, housekeeping, linen service, and laundry are offered, helping reduce routine responsibilities for residents and their families. Personalized care plans are also developed to support each individual’s circumstances and preferences.
Home-cooked meals are served each day, along with snacks available between meals. Common areas and well-lit lounges also provide welcoming spaces for social activities, visits with family, or quiet relaxation.
The area surrounding the community has a walkability score of 38 out of 100, indicating that while a few nearby destinations may be reachable on foot, most errands require a vehicle. Families touring the community may wish to discuss which care options are most appropriate for their loved one’s level of need.
Tucked away in the welcoming neighborhood of Gaithersburg, MD, Rainbow Adult Day Health Care is a dedicated senior living community, offering an array of services, including personal care. Residents here are provided with supervised care daily to ensure they are comfortable and thriving with all the support they need to maintain their well-being and health. Committed to helping its residents continue living full, connected lives, the community offers a range of purposeful and invigorating experiences.
Residents here enjoy access to a full calendar of dynamic activities designed to keep them moving and stimulated. Nourishing meals that are both tasty and healthy are also offered to ensure residents always eat good and right on time. Here, residents can enjoy their peace of mind, knowing that they are cared for within a supportive environment that allows them to flourish and thrive.
Overview of Atlee Hill Skilled Nursing & Rehabilitation Facility
Atlee Hill specializes in skilled nursing and rehabilitation services. Its commitment to aiding individuals in need, whether short-term rehab, long-term care, or post-operative recovery, shines through its round-the-clock availability and a dedicated team equipped with state-of-the-art technology and extensive expertise. Here, quality care and personalized treatments are not just words but a guarantee, reflecting its unwavering dedication to individual well-being.
Atlee Hill excels in providing complex clinical care, addressing various needs such as wound care, IV therapy, therapy (speech, occupational, physical), and surgical recovery care services. It also offers specialized memory care services for its residents in a stimulating environment.
There’s no need to worry about your retirement needs with Cedar Tree Assisted Living Facility, an idyllic retreat nestled in the tree-laden neighborhood of Berry Road, Waldorf, MD, that offers assisted living. The community also provides memory care and cognitive support, hospice, and overnight respite stay, ensuring residents can find the care they need. With a responsible and highly trained team available 24/7, residents ease their worries and enjoy every moment of their golden years.
A jam-packed calendar of fun activities and engaging programs is also conducted to keep residents active and socially connected. Medication management, nursing assistance, and wound care are also available to meet residents’ special needs. Considering residents’ dietary restrictions and preferences, delicious and healthy meals are also served for a delightful dining experience. The community is ideal for those who need additional care to live comfortably in their golden years, with its wide range of care services and state-of-the-art amenities.
Overview of Hyattsville Lies Hands & Heart Assisted Living
Serving the Hyattsville area since 2018, Hands & Heart Assisted Living offers assisted living and memory care services at 6612 24th Avenue in Hyattsville, Maryland. It’s about 2.3 miles from the city center. For seniors experiencing memory loss, its memory care program is specifically designed in a secure environment.
The home is built on personalized living spaces where occupants maintain their own homes while benefiting from support with daily activities. Staff on site include a cooking team, so meals are prepared in-house instead of externally. Housekeeping and linen services are included, freeing residents to focus on relevant activities and connections. Beyond physical care, Hands & Heart Assisted Living spotlights community and spiritual support. The facility offers devotional services on-site and through connections with off-site providers. Its community calendar includes a set of social activities tailored to foster connection among occupants. For relaxation and socializing, the property has outdoor common areas. With a Walk Score of 40, the neighborhood is somewhat walkable, though most errands and appointments require a quick drive. Families visiting from out of town will find the location accessible from major roads. Local services like hospitals, pharmacies, and dining options are also nearby.
Overview of Heritage at Augsburg Independent Living
Heritage at Augsburg, located in Baltimore, Maryland, offers unbeatable senior apartments that allow residents to embrace their authentic selves within a kind, caring, and supportive community. The independent living neighborhoods provide the gift of independence, with private residences featuring abundant natural light, ample storage, and a warm, welcoming design. Residents enjoy the freedom to learn, grow, and enjoy all that life has to offer, with the security of having access to higher levels of care, such as assisted living and the on-site health center, should their needs change.
The community’s promise is to foster a caring environment with exciting activities and a comprehensive suite of services and amenities, including full kitchens, private patios or balconies, 24-hour emergency response, and scheduled transportation. Heritage at Augsburg is committed to helping seniors flourish, providing a comfortable and supportive community where they can live their authentic lives. With a focus on independence, security, and enrichment, the community offers an unbeatable senior living experience in Baltimore.
Howard County Assisted Living at Clarksville is an assisted living community in Clarksville, MD, offering personal care and memory care. Dedicated to those 55+, the community maintains an accessible and clean residential setting for their comfort and safety. Through licensed home health agencies, therapy and skilled nursing services are also provided on-site, along with fall prevention, on-site specialists, and medication management. The community also provides fresh, home-style meals for residents’ nourishment.
Emotional support, fitness programs, and daily events are conducted to help residents maintain holistic well-being and stay active. Reading rooms, gardening spaces, and emergency alerting are also available for residents’ leisure and wellness. Residents also experience a stress-free retirement as it is conveniently located in the tree-lined neighborhood of Clarksville. This assisted living community is a great choice for senior living in Maryland, especially with its 24-hour staffing and individualized care plans.
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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