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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.
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.
$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.
$6.6M*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.
$2.6M*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.
39.8%*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.
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
Charlestown Community combines nursing home care and independent living in Baltimore, MD. Nursing home residents have licensed nursing care on site around the clock for ongoing clinical support, while independent living offers private living with community services and no daily care, making the community a possible fit for someone comparing these two levels of support in one setting.
The community has 238 beds. Total nurse staffing is 4 hours and 59 minutes per resident each day, representing the amount of nurse staffing time counted for each resident across a day. Medicare, Medicaid, and private pay are accepted, giving families listed options for covering care.
A Walk Score of 36 places the area in a car-dependent setting, so most errands require a car or a ride. Exercise is supported by the Fitness Center and Aquatic Center, while the Medical Center, Dental Office, and CVS Pharmacy provide health, dental, and prescription services within the community. Outpatient rehabilitation, resident activities, clubs and groups, education, and transportation are also available, and residents may keep a pet while living there.
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.
Recognized as the Best Senior Living Community by Bethesda Magazine readers for an impressive eleven consecutive years, Maplewood Park Place is the epitome of an exceptional living experience. Established in 1996 in Bethesda, Maryland, Maplewood stands as a resident-owned cooperative community exclusively designed for individuals aged 60 and above. With a wide array of spacious one-level floor plans, residents can choose their ideal living space tailored to their preferences. Nestled within a secure, wooded suburban neighborhood inside the Beltway, Maplewood offers an independent living experience characterized by a vibrant community atmosphere.
Maplewood Park Place prides itself on its rich activities, amenities, and superb dining options. With 24/7 security and concierge services, residents can enjoy peace of mind and feel fully attended to. The dedicated and engaging staff members are committed to ensuring a high level of care and attention. In addition to independent living, Maplewood also offers assisted living, skilled nursing care, personalized memory care, support, and on-site rehabilitation services to cater to the evolving needs of its resident owners. Qualified residents can benefit from the unique Lifecare Plan, which provides access to top-quality long-term health care and/or assisted living with manageable costs. At Maplewood Park Place, residents can embrace a fulfilling and enriching lifestyle surrounded by a welcoming community of peers.
Heron Point of Chestertown in Chestertown, Maryland offers assisted living, home care, hospice care, memory care, palliative care, nursing home care, and skilled nursing. Assisted living helps with daily tasks while a resident keeps their own living space. Memory care provides a secured setting with supervision for someone at risk of wandering, while nursing home care and skilled nursing provide licensed nursing care on site around the clock.
Home care supports a person in their own residence. Hospice care focuses on comfort near the end of life, and palliative care focuses on relieving symptoms related to serious illness. Respite care and temporary rehabilitation provide support while a caregiver recovers or travels, and while a resident is recovering. The range of care types and respite services may suit a family whose care needs could change or whose usual caregiver needs a short stay option.
With 45 beds, Heron Point is a smaller community where staff and residents can get to know each other. Total nurse staffing is 5 hours and 55 minutes per resident each day, representing that amount of nurse staffing time for each resident over a day. A fitness center, outdoor spaces, wellness programs, and rehabilitation therapy give residents access to exercise, outdoor areas, wellness activities, and therapy within the community’s programs. Medicare and private pay are accepted: Medicare can cover short term skilled care after a hospital stay, while private pay means paying directly for care. A Walk Score of 63 out of 100 places the area in the somewhat walkable band, so some errands can be completed on foot. ACTS Retirement Life Communities operates Heron Point of Chestertown.
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 Meadow Park Rehabilitation & Healthcare Center
Meadow Park Rehabilitation & Healthcare Center offers skilled nursing care and a comprehensive range of rehabilitation services including physical, occupational, and speech therapy for individuals in need of recovery and seniors looking for long-term care. Operated by a dedicated team of certified professionals including nurses and therapists, collaborative efforts ensure that personalized care plans for each resident are expertly crafted. Assistance with daily living activities are also provided with warmth and compassion, alongside comfortable private or semi-private rooms, healthy meals, and access to engaging social and recreational options for residents.
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.
Autumn Lake Healthcare at Birch Manor is a nursing home in Sykesville, MD offering skilled nursing, palliative care, and respite care. Skilled nursing provides licensed nursing care on site around the clock, while palliative care focuses on comfort and symptom relief.
Respite care offers a short stay for a resident whose usual caregiver needs time away. The community also provides long term living services for ongoing residence.
The home has 118 beds and is 90% occupied, meaning most beds are currently in use. Short term rehabilitation is available, with speech and language therapy and stroke recovery among the programs offered.
Additional programs address dialysis, diabetes management, pain management, bariatric patients, trach management care, colostomy care, and podiatry care. These services give residents access to care directed at the documented needs covered by each program.
Payment options include Medicare, Medicaid, and private pay. Total nurse staffing is 3 hours and 23 minutes per resident per day, representing the daily nursing time assigned to each resident.
Autumn Lake Healthcare at Birch Manor may be a good fit for someone who needs nursing support during recovery, ongoing skilled care, palliative support, or a short respite stay.
Overview of Tuckerman Rehabilitation & Healthcare Center
Tuckerman Rehabilitation & Healthcare Center is a beacon of warmth and compassion in the realm of skilled nursing, closely linked to John Hopkins Suburban Hospital. With a progressive rehab approach, the center prioritizes post-acute rehabilitation, aiming to swiftly reintegrate patients into their homes. Situated within Rockville, the facility prides itself on forging partnerships with esteemed healthcare providers, delivering exceptional clinical care while enriching the lives of individuals on physical, emotional, and spiritual levels.
Nestled in a scenic residential area just outside Washington, DC, Tuckerman boasts a serene atmosphere conducive to healing and recovery. The subacute wing, with its personalized care, top-notch rehab programming, and state-of-the-art equipment, facilitates successful recovery from various medical conditions. Residents enjoy a plethora of amenities including fine dining, lush gardens, and stimulating recreational activities, ensuring a holistic and rejuvenating experience during their stay.
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. 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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