Total health inspections
5
Maryland average 3.9
Last Health inspection on Sep 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
A Touch of Joy
Nursing Home, Assisted Living & Memory Care · Maryland, MD
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
A Touch of Joy
Nursing Home, Assisted Living & Memory Care · Maryland, MD
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
A Touch of Joy accepts Medicaid, Medicare, and private pay.
Peacefully nestled in Randallstown, MD, A Touch of Joy is a serene community dedicated to assisted living. They feature a team of kind and reliable caregivers to assist residents with their daily activities, including grooming, medication management, and household chores. Residents’ care plans are tailored to their preferences and needs to ensure they receive the proper amount of care to maintain their independence.
Certified services like skilled nursing, physical, speech, and occupational therapy are also offered to make sure residents are well-equipped to maintain their wellness. With no chores to worry about, residents can fully enjoy the community’s daily activities, events, and programs. A Touch of Joy is an ideal place for those looking to enjoy both comfort and enriching experiences.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 56th out of 144 homes in Maryland. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 56th out of 144 homes in Maryland. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 42m per day
Rank #56 / 144Nurse hours — State benchmarkedThis home is ranked 56th out of 144 homes in Maryland. Shows adjusted nurse hours per resident per day benchmarked to the Maryland average, with a ranking across 144 Maryland SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Maryland avg
-14%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 11m per day |
Types of Care at A Touch of Joy
Assisted Living
Memory Care
Capacity and availability
This home usually has limited availability
Occupancy between 85% and 95% suggests balanced demand.
Occupancy rate
85.2%
Rank #69 / 146Occupancy rate — State benchmarkedThis home is ranked 69th out of 146 homes in Maryland. Shows this facility's occupancy rate versus the Maryland average, with its Statewide rank out of 146. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
146 days
Occupancy rate
85.2%
Rank #69 / 146Occupancy rate — State benchmarkedThis home is ranked 69th out of 146 homes in Maryland. Shows this facility's occupancy rate versus the Maryland average, with its Statewide rank out of 146. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
146 days
4-bed community Rank #601 / 705Bed count — State benchmarkedThis home is ranked 601st out of 705 homes in Maryland. Shows this facility's certified or reported bed count compared to other Maryland SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
Walk Score: 62 / 100 Rank #286 / 986Walk Score — State benchmarkedThis home is ranked 286th out of 986 homes in Maryland. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Maryland SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
About this community
CountyBaltimore
Staffing
Key information about the people who lead and staff this community.
No CNA training program
No mild Alzheimer's level
No moderate Alzheimer's level
No severe Alzheimer's level
Health Inspection History
Inspections
Total health citations
130
Rank #144 / 146Health citations — State benchmarkedThis home is ranked 144th out of 146 homes in Maryland. Shows this facility's total health deficiency citations benchmarked to the Maryland State average, with a ranking across all 146 MD SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Maryland average 49.9
Citations per inspection
26
Rank #141 / 146Citations per inspection — State benchmarkedThis home is ranked 141st out of 146 homes in Maryland. Shows average deficiency citations per CMS inspection for this facility versus the Maryland mean across 146 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Maryland average 12.81
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
83 of 130 citations resulted from standard inspections; 42 of 130 resulted from complaint investigations; and 5 of 130 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
300% worse than Maryland averageMaryland average: 0.5
Serious Health citations
1
Rank #1 / 51Serious citations (G–I) — State benchmarkedThis home is ranked 1st out of 51 homes in Maryland. Shows G–I scope serious health citations for this facility versus other Maryland SNFs. Lower counts rank better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
67% worse than Maryland averageMaryland average: 0.6
Citations history (last 3 years)
Abuse/Neglect moderate citation
Sep 11, 2025
Corrected
Administration moderate citation
Sep 11, 2025
Corrected
Quality of Care moderate citation
Sep 11, 2025
Corrected
Resident Rights moderate citation
Sep 11, 2025
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
148
Employees
143
Contractors
5
Staff to resident ratio
1.10:1
39% worse than Maryland average
Avg staff/day
66
Average shift
7.6 hours
5% worse than Maryland average
Total staff hours (quarter)
46,308
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
15
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
34
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
54
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3.7%
1,701 contractor hours this quarter
Registered Nurse: 5
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 54 | 0 | 54 | 18,199 | 92 | 100% | 7.5 |
| Licensed Practical Nurse | 34 | 0 | 34 | 12,122 | 92 | 100% | 8.2 |
| Registered Nurse | 10 | 5 | 15 | 3,892 | 92 | 100% | 8.2 |
| Clinical Nurse Specialist | 11 | 0 | 11 | 2,488 | 71 | 77% | 7.4 |
| Other Dietary Services Staff | 6 | 0 | 6 | 2,196 | 92 | 100% | 7.3 |
| Medication Aide/Technician | 5 | 0 | 5 | 1,380 | 90 | 98% | 8.1 |
| Mental Health Service Worker | 4 | 0 | 4 | 954 | 66 | 72% | 7.2 |
| RN Director of Nursing | 2 | 0 | 2 | 909 | 69 | 75% | 9.1 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 901 | 68 | 74% | 7.1 |
| Physical Therapy Aide | 3 | 0 | 3 | 515 | 68 | 74% | 6.1 |
| Administrator | 1 | 0 | 1 | 495 | 66 | 72% | 7.5 |
| Physical Therapy Assistant | 1 | 0 | 1 | 488 | 62 | 67% | 7.9 |
| Nurse Practitioner | 2 | 0 | 2 | 485 | 65 | 71% | 7.3 |
| Dietitian | 1 | 0 | 1 | 462 | 61 | 66% | 7.6 |
| Therapeutic Recreation Specialist | 3 | 0 | 3 | 433 | 63 | 68% | 6.7 |
| Occupational Therapy Aide | 1 | 0 | 1 | 312 | 45 | 49% | 6.9 |
| Medical Director | 1 | 0 | 1 | 65 | 13 | 14% | 5 |
| Qualified Social Worker | 1 | 0 | 1 | 14 | 5 | 5% | 2.7 |
54 Certified Nursing Assistant
% of Days
100%
34 Licensed Practical Nurse
% of Days
100%
15 Registered Nurse
% of Days
100%
11 Clinical Nurse Specialist
% of Days
77%
6 Other Dietary Services Staff
% of Days
100%
5 Medication Aide/Technician
% of Days
98%
4 Mental Health Service Worker
% of Days
72%
2 RN Director of Nursing
% of Days
75%
3 Respiratory Therapy Technician
% of Days
74%
3 Physical Therapy Aide
% of Days
74%
1 Administrator
% of Days
72%
1 Physical Therapy Assistant
% of Days
67%
2 Nurse Practitioner
% of Days
71%
1 Dietitian
% of Days
66%
3 Therapeutic Recreation Specialist
% of Days
68%
1 Occupational Therapy Aide
% of Days
49%
1 Medical Director
% of Days
14%
1 Qualified Social Worker
% of Days
5%
Penalties and fines
Includes penalties issued in 2023-2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$107K Rank #140 / 146Federal fines — State benchmarkedThis home is ranked 140th out of 146 homes in Maryland. Shows this facility's cumulative CMS federal fine dollars versus the Maryland average among facilities with fines, and where it ranks among 146 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
75% higher than Maryland averageMaryland average: $61K
Number of fines
2
34% more fines than Maryland averageMaryland average: 1.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Maryland averageMaryland average: 0.1
Fines amount comparison
Fines amount comparison
This facility
$107K
Maryland average
$61K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 30, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 30, 2024
$17K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 4, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 4, 2023
$90K
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.2
10% worse than Maryland averageMaryland average: 12.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.7
In line with Maryland averageMaryland average: 25.7
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
28.1%
Percent of long-stay residents whose need for help with daily activities has increased
28.1%
19% worse than Maryland averageMaryland average: 23.7%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
25.9%
Percent of long-stay residents whose ability to move independently worsened
25.9%
6% better than Maryland averageMaryland average: 27.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.0%
In line with Maryland averageMaryland average: 25.9%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.2%
Percent of long-stay residents experiencing one or more falls with major injury
2.2%
6% better than Maryland averageMaryland average: 2.3%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
7.4%
Percent of long-stay high risk residents with pressure ulcers
7.4%
14% worse than Maryland averageMaryland average: 6.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.2%
Percent of long-stay residents with a urinary tract infection
0.2%
86% better than Maryland averageMaryland average: 1.6%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.5%
Percent of long-stay residents who lose too much weight
7.5%
29% worse than Maryland averageMaryland average: 5.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
33.5%
Percent of long-stay residents who have depressive symptoms
33.5%
66% worse than Maryland averageMaryland average: 20.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
15.2%
Percent of long-stay residents who received an antipsychotic medication
15.2%
17% worse than Maryland averageMaryland average: 12.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
53.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
53.7%
42% worse than Maryland averageMaryland average: 92.0%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
67.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
67.7%
30% worse than Maryland averageMaryland average: 96.6%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
19.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
19.4%
75% worse than Maryland averageMaryland average: 78.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
38% worse than Maryland averageMaryland average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
27.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
27.9%
65% worse than Maryland averageMaryland average: 80.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
34% of new residents, usually for short-term rehab.
Typical stay
29 days
Private pay
35% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
32% of new residents, often for long-term daily care.
Typical stay
1 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
134
Medicare
5
3.7% of residents
Medicaid
110
82.1% of residents
Private pay or other
19
14.2% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for A Touch of Joy based on CMS SNF Cost Reports.
Occupancy Rate
85.2%
↓ 4.4pp vs 2022
Net Income
$298.6K
↓ ~$78.5K vs 2022
Total Payroll
$3.2M
↓ ~$6.2M vs 2022
Profit Margin
3.6%
↑ 1.6pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$8.3M
Profit
$298.6K
Privately-owned community
Operated by a business corporation.
Home revenue
$8.3M Rank #136 / 145Revenue — State benchmarkedThis home is ranked 136th out of 145 homes in Maryland. Shows this facility's annual revenue compared to the Maryland SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$298.6K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #139 / 145Payroll — State benchmarkedThis home is ranked 139th out of 145 homes in Maryland. Shows total annual staff payroll benchmarked to the Maryland average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #139 / 145Payroll — State benchmarkedThis home is ranked 139th out of 145 homes in Maryland. Shows total annual staff payroll benchmarked to the Maryland average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.0M
What does this home offer?
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
Dining Services
Housekeeping Services
Transportation Services
Recreational Activities
Exercise Programs
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near A Touch of Joy
0.3 miles from city center
Estimated distance in miles from Randallstown's city center to A Touch of Joy's address, calculated via Google Maps.
Calculate Travel Distance to A Touch of Joy
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Financial Assistance for
Nursing Home in Maryland
A Touch of Joy is located in Randallstown, Maryland.
Here are the financial assistance programs available to residents in Maryland.
Frequently Asked Questions about A Touch of Joy
What neighborhood is A Touch of Joy in?
A Touch of Joy is in the Fieldstone neighborhood of Randallstown.
Is A Touch of Joy in a walkable area?
A Touch of Joy has a walk score of 62. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
How many beds does A Touch of Joy have?
A Touch of Joy has 4 beds.
What is the address of A Touch of Joy?
A Touch of Joy is located at 8819 Liberty RD, Randallstown, MD 21133.
What is the phone number of A Touch of Joy?
(410) 922-4140 will put you in contact with the team at A Touch of Joy.
What county is A Touch of Joy located in?
A Touch of Joy is in Baltimore County.
Is A Touch of Joy Medicare or Medicaid certified?
Yes — A Touch of Joy is a CMS-certified provider of Medicare and Medicaid.
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