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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.
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.
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.
$13.7M*Fiscal year ending 12/2020These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$6.9M*Fiscal year ending 12/2020These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
50.5%*Fiscal year ending 12/2020These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
If you’re looking for a home where you can proudly say that you reside in a top-notch level of care in Silver Spring, then Autumn Lake Healthcare at Arcola is the ideal nursing home to receive good care. It’s composed of a professional care staff who brings not only excellence to the recovery of every senior; residents can truly feel the high-end quality of care in a nurturing environment. Autumn Lake Healthcare at Arcola is the place to rest, recover, and rejuvenate. Expect nothing but quality when it comes to their service: an advanced level of recovery found by the support of a psychiatrist, a wound care specialist, and a physiatrist; stroke recovery, cardio-pulmonary care, joining replacement, and orthopedic care.
Autumn Lake Healthcare at Arcola 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 Autumn Lake Healthcare at Arcola.
A home where robust historical surroundings meet quality senior care, Autumn Lake Healthcare at Birch Manor in Sykesville celebrates each unique individual with respect and professionalism. The premier nursing home combines state-of-the-art technologies with highly-trained care staff, providing residents with a hassle-free and peaceful healing period.
Undoubtedly, Autumn Lake at Birch Manor is where many choose to relax and recover in a good place for a good time. The person-centered services offer comprehensive programs that successfully care for even challenging medical conditions. With an emphasis on short-term and long-term care, seniors receive professional care in therapy (speech, occupational, physical), orthopedic care, wound care, trach management, pain management, stroke recovery, diabetes management, memory care, and podiatry care– among many others.
Autumn Lake Healthcare at Birch Manor 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 Autumn Lake Healthcare at Birch Manor.
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.
Located in Ellicott City, Maryland, Lorien Encore at Turf Valley is a skilled nursing and rehabilitation center set in a suburban, car-dependent location near Maryland Route 29. The community has been operating for 16 years and is owned by Jim Hummer. With 110 beds, it accepts Medicare, Medicaid, and private pay, giving families several ways to cover short-term rehabilitation stays and longer-term skilled nursing care.
The community’s clinical focus is on rehabilitation and skilled nursing. Total nurse staffing averages 3 hours and 44 minutes per resident each day; this level of staffing is robust enough to support hands-on care for post-acute patients. The home’s level of support makes it suitable for patients recovering from surgery or hospitalization, or for those managing a chronic condition requiring skilled oversight. Residents stay an average of 66 days, including a population that skews toward shorter-term rehabilitation and transitional care rather than long-term residence.
Parkinson’s Wellness is a specialized on-site program, so the community is a great option for residents with that diagnosis. The home’s respite care and hospice services can ease both short-term coverage gaps and end-of-life transitions. Rehabilitation services are also available on-site so residents won’t need to go outside for therapy appointments during recovery.
Rooms available range from private to semi-private options. Each has a private bathroom, and assisted living private suites have a kitchenette and bath, offering flexibility for residents at different care levels. Residents’ dining offers a restaurant-style model with attention to specialized diets.
Day-to-day life is supported by amenities such as a salon and spa, a movie theater, an on-site putting green, and a courtyard. Residents can access a wellness program and a seven-day weekly activities calendar to stay engaged. The home offers scheduled daily transportation, which can be helpful for medical appointments and family outings. Free Wi-Fi and cable television are also available.
Lorien Encore’s car-dependent location means family visits will require a car. However, its proximity to Route 29 provides convenient regional access, which may benefit families traveling from surrounding areas.
Autumn Lake Healthcare at Parkville, situated in Baltimore, Maryland, ranks among the area’s premier healthcare providers. Located strategically in Baltimore County’s bustling metro area, it offers residents easy access to nearby hospitals, making it an ideal choice for those seeking exceptional care within a relaxed and convenient setting. Mainly, this facility specializes in a wide range of services, including subacute rehabilitation, long-term care home, and skilled nursing care, all thoughtfully designed to cater to diverse healthcare needs.
Dedicated to residents’ well-being, the facility extends its support to individuals requiring IV therapy, stroke recovery, pain management, and lymphedema management. It also stands out as a non-smoking environment, ensuring a healthy and comfortable atmosphere. Beyond its commitment to healthcare excellence, it offers salon services and provides luxurious private and semi-private rooms. For those seeking nursing home facilities, Autumn Lake Healthcare at Parkville presents a top-tier choice within the Baltimore area.
Autumn Lake Healthcare at Parkville 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 Autumn Lake Healthcare at Parkville.
Overview of Frederick Health & Rehabilitation Center
Frederick Health and Rehabilitation Center is where residents thrive with the support of quality services for skilled nursing and rehabilitation. It offers a warm and welcoming atmosphere where residents and staff are encouraged to create friendships and build a mutual level of trust with each other. Families can rest easy knowing their loved ones are in good hands because of the dedicated team of professionals.
Frederick Health and Rehabilitation Center aims to enhance the quality of life for its residents by ensuring that seniors can satisfy their holistic wellness. They house state-of-the-art technologies that help recover a range of medical conditions– wound care, neurological recovery, lymphedema, and pulmonary programs; as well as physical, occupational, and speech therapy.
Overview of Autumn Lake Healthcare at Perring Parkway
Autumn Lake Healthcare at Perring Parkway, situated in the picturesque Parkville, Maryland, offers a serene retreat for individuals seeking nursing home care. This facility delivers round-the-clock skilled nursing, long-term care, and subacute rehabilitation, all within an inviting and peaceful environment. Strategically located near local hospitals and various attractions, this nursing home not only ensures convenience but also understands the importance of nursing home insurance, making their services accessible to more seniors.
With a team of board-certified specialists, they offer a comprehensive range of services, including pain management, physical, occupational, and speech therapy, stroke recovery, orthopedics, lymphedema management, and more. The facility exudes a vibrant atmosphere, complemented by amenities such as full salon services, Wi-Fi, and cable. Residents have the choice of luxurious living spaces, making Autumn Lake Healthcare at Perring Parkway an engaging and comfortable option for those seeking top-tier nursing home care in Parkville.
Autumn Lake Healthcare at Perring Parkway 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 Autumn Lake Healthcare at Perring Parkway.
Overview of Advanced Rehab at Autumn Lake Healthcare
Advanced Rehab at Autumn Lake Healthcare specializes in various rehabilitation services, specifically long-term care, sub-acute rehabilitation, and skilled nursing care. Its residents deserve exceptional service, which is why the team of committed health staff strives to promote a fast recovery so residents can return with their families as soon as possible. Advanced Rehab prides its top-notch level of care in an oasis-like, serene home.
Advanced Rehab offers comprehensive programs that successfully care for even challenging medical conditions. With an emphasis on short-term and long-term care, seniors receive professional care in therapy (speech, occupational, physical), orthopedic care, wound care, colostomy care; pain management, stroke recovery, diabetes management, bariatric care, and cardio-pulmonary care– among many others.
Advanced Rehab at Autumn Lake Healthcare 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 Advanced Rehab at Autumn Lake Healthcare.
Wicomico Nursing Home is a nursing home in Salisbury, MD, offering rehabilitation and skilled nursing. Promoting a comfortable and supportive environment, the community ensures older adults experience a worry-free lifestyle. Dietitian-approved meals, 24-hour care, and comprehensive therapies are among the exceptional services provided to improve residents’ quality of life. Through individualized care plans, residents receive the utmost attention and care for their unique needs and preferences.
Arts and crafts, food socials, and beauty services help residents maintain holistic wellness and keep them happy. Wheelchair-accessible amenities and cozy rooms also ensure residents’ relaxation and wellness. Residents have a quiet and convenient retirement, as it is nestled in the tree-lined neighborhood of Salisbury. As one of the highly rated options for senior living in Maryland, this nursing home continuously provides exceptional services for older adults’ well-being.
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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