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Why trust this guide?
Our editorial team analyzed 164 nursing homes in MD using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MD
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-ranked to lowest-ranked based on our 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.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
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.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
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.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other MD nursing home we track that reports that metric, not just the 164 on this page. See how we rank facilities
Citizens Care Center is a nursing home in Havre de Grace, MD, offering memory care, hospice care, rehabilitation, respite care, and skilled nursing. Promoting a compassionate, home-like environment, the community ensures older adults are treated well throughout their stay. Exceptional services, including 24-hour care, nutritious meals, and social services, are also provided to improve residents’ quality of life. To meet residents’ needs and preferences, personalized care plans are also provided for their recovery and wellness.
Cooking classes, outings, and arts and crafts encourage residents to continue learning and have fun. Residents can also relax without hassles, as accessible amenities are also available. Situated near parks, restaurants, and public transportation in the quiet residential area of Havre de Grace, the community ensures quick access to leisure and necessities. As one of the trusted options for senior living in Maryland, this nursing home continuously provides exceptional care for older adults’ welfare.
Blakehurst (Chestnut Green) offers nursing home, assisted living, independent living, memory care and skilled nursing in Towson, MD. Independent living provides private living with community services and no daily care, while assisted living adds help with daily tasks such as bathing, dressing and medication. Memory care provides a secured setting with supervision, and nursing home and skilled nursing services provide licensed nursing care on site around the clock.
With 35 beds, the community is smaller in scale. Residents live in a setting where staff and residents can get to know each other. Total nurse staffing is 5h 23m per resident per day, representing that amount of daily hands on nurse time for each resident, and rehabilitation services are available for recovery after illness, injury or surgery.
The range of care levels can suit a resident whose needs may grow over time without requiring a move to a different community. Medicare and private pay are accepted, and Life Care Services operates Blakehurst (Chestnut Green).
If you’re looking at Ingleside at King Farm in Rockville, you’re looking at a pretty well-organized facility. It’s located right in the King Farm neighborhood, and with a Walk Score of 73, it’s actually walkable; a rare and appreciated feature for a facility like this. Plus, it’s less than a mile and a half from Adventist HealthCare Shady Grove Medical Center, which is a major comfort factor if health needs shift suddenly.
The facility itself is a 45-bed building managed by the Westminster Ingleside King Farm team. They handle everything from nursing and assisted living to memory care and independent living, which is helpful because you don’t have to move if your care needs change. Their occupancy is at 92.2%, and the average stay is 139 days, suggesting they balance short-term rehab with long-term residents.
Most telling are the care hours: they provide 6 hours and 21 minutes of nursing care per resident every day. That’s a significant amount of attention for a facility this size. Kenya Bryant, the Executive Director, is currently working toward her license as a nursing home administrator, which adds another layer of professional oversight.
Financially, studios start at $3,638 per month, and you can scale up to $5,812 for a two-bedroom unit. They offer one-bedroom and one-bedroom-plus-den options in between, with units reaching up to 1,799 square feet. They accept both Medicare and private pay.
They have a heated indoor pool, a fitness center, and a cultural arts center. There’s an art studio, a library, and a dedicated meditation space. You’ll also find a coffee shop, a wellness center with an on-site doctor, and a courtyard with water features and a fire pit. It’s a pet-friendly community, and they even provide transportation and have a Social Day Program, which makes the whole living experience feel much more connected.
What really stands out, though, are the certifications. They have CARF accreditation, SageCare Platinum, and specific LGBTQ+ Long-Term Care Equality recognition. They’ve also landed on the “Great Place to Work” and “Fortune’s Best Workplaces in Aging Services” lists. If you’re prioritizing a place that has a full care continuum, keeps a dense amenity schedule, and has verified, institutional commitments to inclusive care, Ingleside is one of the more credible options in the Rockville area.
Located on Barker Street in Montgomery County’s urban area, Autumn Lake Healthcare at Oakview is a skilled nursing home dedicated to short-term rehabilitation and ongoing long-term care in Silver Spring, Maryland. Owned by Oakview Holdco LLC, it takes Medicare, Medicaid, and private pay, giving families multiple ways to fund care. The facility serves around 138 residents with a current 84.2 percent occupancy rate.
The home provides 24/7 nursing care averaging 3 hours 44 minutes of nursing support per resident day, delivered by a team of registered nurses, licensed practical nurses, and nurse aides. That level of diligent staffing ensures consistent support all the time. A nurse practitioner works on-site, and the facility brings in consulting specialists: a psychiatrist, a wound care specialist, and a physiatrist (a physician focused on physical medicine and rehabilitation). This clinical depth makes the community well-positioned for occupants convalescing from serious health events or managing complex care needs. Clinically, the home’s programs underscore recovery and restoration. It offers specialized tracks for stroke recovery, cardiopulmonary rehabilitation, joint replacement recovery, and orthopedic care. Physical therapy, speech-language pathology, and respiratory therapy services exist on-site, staffed with licensed therapists and technicians. The facility also delivers palliative care and respite care, broadening its reach to residents and families with different objectives. The typical stay here is about 129 days, reflecting the mix of post-acute rehabilitation residents who remain weeks to a few months and longer-term occupants staying for ongoing nursing care. Private pay residents, about half of new admissions, typically stay around 27 days. Medicare and Medicaid residents represent roughly 29 and 21 percent of admissions apiece, and the home takes three forms of coverage. Daily life is anchored by a dietitian, on-site dental services, mental health services, and a full activities and recreation program. The facility has an active Resident Council and Family Council so that occupants and family members can join discussions about policies, care quality, and community life. The neighborhood around Autumn Lake is somewhat walkable. Some errands and services are then reachable on foot, but most travels need a car. The home sits about 2.3 miles from Silver Spring’s city center in an urban, residential setting convenient to family visitors.
Althea Woodland Nursing Home is a skilled nursing community that has been the center of excellence for nursing homes. They have continuously provided the highest level of support for the speedy recovery of its residents. The results-driven community follows a resident-centered approach to holistic wellness for seniors.
Althea Woodland is the premiere home for skilled nursing and long-term care because of its commitment to maintaining a level of comfort, safety, and security in the community.
A salon and a spa operate inside Lorien Encore at Turf Valley, so grooming does not require a trip to Ellicott City. Meals are served in a dining room. The building holds 110 beds.
Assisted living covers help with daily tasks. Skilled nursing steps up from there for a resident who needs more than help, and a person can shift across the line without leaving the community.
Rehabilitation services are available, and Parkinson’s Wellness runs as a named program. Consider someone living alone after an illness, with nobody to notice a problem that arises in the middle of the afternoon. A recovery stay solves the noticing.
Hospice care changes what gets measured. Improvement stops being the yardstick, and comfort takes its place for a resident with a terminal illness at the end of life.
Respite answers a narrower need: sometimes a person requires somebody in the building rather than therapy or nursing procedures, and a caregiver needs the relief regardless.
Nursing time reaches 4 hours and 11 minutes per resident each day. Medicare, Medicaid, and private pay are accepted. Lorien-Maryland Health Enterprises operates the community.
Sterling Care Rockville Nursing provides nursing home, hospice, palliative, respite, and skilled nursing care in Rockville, Maryland. Nursing home and skilled nursing care offer ongoing support from nursing professionals, while hospice and palliative care center on comfort and symptom management for people with serious illness. Respite care provides short term stays when a usual caregiver needs temporary coverage, so families can arrange support without committing to a permanent change in care.
The combination of nursing, rehabilitation, and respite services may suit someone recovering after a procedure or a family caregiver who needs temporary support. The community opened in 1977 and has 100 beds. Short term rehabilitation includes physical, occupational, and speech therapies, with programs for postoperative recovery, orthopedic rehabilitation, stroke recovery, cardiac care, pulmonary care, wound care, and IV therapy.
A salon is available on site, allowing residents to receive salon services without arranging an outside visit. Medicare, Medicaid, and private pay are accepted, giving families payment paths for covered care or direct payment. Total nurse staffing is 3 hours and 16 minutes per resident per day, representing the daily nursing time allocated per resident across the facility.
Enjoy your best years at Lutheran Village at Miller’s Grant, an idyllic retreat in Ellicott City, MD, offering independent living, assisted living, short- and long-term care. The community strives to provide the utmost comfort and safety with beautifully furnished and cozy accommodations. Here, residents have a worry-free lifestyle with plenty of maintenance services and convenient apartment features.
Residents can spend their days as they please with a thoughtfully curated calendar of engaging activities and enriching programs. With multiple dining venues, residents enjoy delectable and healthy meals that cater to their dietary needs and preferences. Scheduled transportation is also provided for residents’ convenience. This pet-friendly community is a great option for those seeking independence in retirement, especially with its warm and inviting environment.
Nestled in Sandy Spring, Maryland, Friends House Retirement Community stands as a welcoming Life Plan Community, offering a relaxed and laid-back living experience in an exceptional location. This warm-hearted community takes pride in the positive emotional impact it brings to the lives of seniors and their families, cherishing the interactions and contributions they share with residents, teammates, local partners, and the broader community each day. At Friends House, diversity thrives, and long-term care options cater to varied needs, ensuring residents receive the care they require while relishing the vibrant community they call home.
For over half a century, Friends House has been a cherished home for older adults from diverse backgrounds, cultures, skills, and stories, regardless of income level. As a nonprofit entity rooted in community and equality, Friends House is steadfastly committed to serving all senior adults, fostering an inclusive environment that values every individual. Devoted to providing a fulfilling lifestyle within a safe and caring atmosphere, Friends House embraces a campus adorned with abundant gardens, diverse committees, services, and amenities that cater to all residents. The picturesque grounds feature fruit orchards and offer excellent apartment living options for those seeking independent living.
Lorien Mount Airy provides nursing home, assisted living, home care, hospice care, nursing care, respite care, and skilled nursing in Mount Airy, MD. Assisted living helps with daily tasks while supporting continued independence. Skilled nursing and nursing care provide clinical nursing support, while home care brings assistance to a person’s home. Hospice care focuses on comfort and support at the end of life, and respite care offers a short stay when a usual caregiver needs time away.
Subacute rehabilitation and short term rehabilitation provide recovery focused care for a limited stay. Tracheotomy care is available for residents who require specialized support for a tracheotomy. On site wellness and therapy programs let residents participate at the community. Total nurse staffing is 4 hours and 27 minutes per resident each day, representing the daily nursing time allocated to each resident.
The community has 100 beds. Medicare, Medicaid, and private pay are accepted, giving families several confirmed ways to cover care. Suzanne Giangrasso is the director, and Lorien, Maryland Health Enterprises operates the community. A Walk Score of 58 means the area is somewhat walkable, with some errands possible on foot, so a resident who no longer drives may be able to complete certain errands independently. The combination of multiple care types and respite care may suit a resident whose needs change over time or a family caregiver who needs a short term arrangement.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.
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 164 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
Nursing Homes in Maryland at a glance
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.
National Average:3.0/ 5
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