1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Homestead Manor Assisted Living sits at 410 Colonial Drive in Denton, Maryland, in a neighborhood where a car is essential; a Walk Score of 4 means buses don’t run frequently enough to matter, and neither sidewalks nor shops cluster nearby. That’s real information for families deciding whether location works.
Beds are 78.9% full. That’s below Maryland’s average and means the facility has immediate availability if you’re in a time crunch. The average resident stays about four months, suggesting the community handles both post-acute transitions and longer placements.
Financially, the facility takes Medicare, Medicaid, and private pay, removing one class of barrier to access for families already stressed about care decisions.
On staffing: 2 hours 55 minutes of nursing care per resident daily, plus 3 hours 3 minutes from nursing aides. That breaks down to 10 RNs, 16 LPNs, and 54 CNAs working from a full-time pool of 112 people. The staff-to-resident ratio lands at 1.40 per resident; not matching the state average of 1.81. Staffing levels matter for load management and burnout prevention in residential care, and this facility runs leaner than most comparable Maryland communities.
Homestead Manor serves both nursing home and assisted living residents, positioning itself for medically complex transitions and ongoing nursing-level support in a residential setting.
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.
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 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 39m per day | ▼ 21% State avg: 49m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 36m per day | ▼ 34% State avg: 55m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 4m per day | ▼ 3% State avg: 2h 8m per day · National avg: 2h 20m per day |
|
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 2m per day | ▼ 14% State avg: 3h 31m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 68% State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 39m per day | ▲ 7% State avg: 37m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
23% fewer staff per resident than Maryland average
0% compared with Maryland average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 10 RN Staff are full-time employees. No contractors work on this role.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursAssists with medical care and medications.
All 16 LPN Staff are full-time employees. No contractors work on this role.
16
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursHelps with daily care and mobility.
All 54 CNA Staff are full-time employees. No contractors work on this role.
54
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 54 | 0 | 54 | 13,684 | 92 | 100% | 8 |
| Registered Nurse | 10 | 0 | 10 | 4,106 | 92 | 100% | 9.1 |
| Licensed Practical Nurse | 16 | 0 | 16 | 2,899 | 92 | 100% | 8.8 |
| Medication Aide/Technician | 7 | 0 | 7 | 1,942 | 88 | 96% | 8.9 |
| Other Dietary Services Staff | 7 | 0 | 7 | 1,886 | 92 | 100% | 6.7 |
| RN Director of Nursing | 4 | 0 | 4 | 1,629 | 70 | 76% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 522 | 64 | 70% | 8.2 |
| Administrator | 2 | 0 | 2 | 504 | 63 | 68% | 8 |
| Speech Language Pathologist | 2 | 0 | 2 | 479 | 66 | 72% | 7.1 |
| Physical Therapy Assistant | 1 | 0 | 1 | 451 | 62 | 67% | 7.3 |
| Dietitian | 1 | 0 | 1 | 440 | 56 | 61% | 7.9 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 250 | 45 | 49% | 5 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 238 | 40 | 43% | 5.9 |
| Occupational Therapy Aide | 1 | 0 | 1 | 225 | 72 | 78% | 3.1 |
| Qualified Social Worker | 1 | 0 | 1 | 110 | 18 | 20% | 6.1 |
| Physical Therapy Aide | 1 | 0 | 1 | 20 | 3 | 3% | 6.5 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
19.3
49% worse than Maryland averageMaryland average: 12.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
40.9
59% worse than Maryland averageMaryland average: 25.7
Percent of long-stay residents whose need for help with daily activities has increased
37.1%
57% worse than Maryland averageMaryland average: 23.7%
Percent of long-stay residents whose ability to move independently worsened
49.0%
77% worse than Maryland averageMaryland average: 27.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
36.6%
41% worse than Maryland averageMaryland average: 25.9%
Percent of long-stay residents experiencing one or more falls with major injury
4.9%
113% worse than Maryland averageMaryland average: 2.3%
Percent of long-stay high risk residents with pressure ulcers
4.3%
34% better than Maryland averageMaryland average: 6.5%
Percent of long-stay residents with a urinary tract infection
4.5%
183% worse than Maryland averageMaryland average: 1.6%
Percent of long-stay residents who lose too much weight
1.4%
77% better than Maryland averageMaryland average: 5.8%
Percent of long-stay residents who have depressive symptoms
14.1%
30% better than Maryland averageMaryland average: 20.2%
Percent of long-stay residents who received an antipsychotic medication
33.9%
162% worse than Maryland averageMaryland average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
75.7%
18% worse than Maryland averageMaryland average: 92.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
In line with Maryland averageMaryland average: 96.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
30.1%
62% worse than Maryland averageMaryland average: 78.4%
Percent of short-stay residents who newly received an antipsychotic medication
2.9%
110% worse than Maryland averageMaryland average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
50.9%
37% 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.
48% of new residents, usually for short-term rehab.
32% of new residents, often for short stays.
19% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
80Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Homestead Manor Assisted Living from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Pets Allowed
Building Type: Single-story
Transportation Services
Fitness and Recreation
Most residents typically stay for a few weeks or months before returning home or moving on.
New residents most often arrive under Medicare (48% of admissions), and a typical Medicare stay runs around 28 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.2 miles from city center
Estimated distance in miles from Denton's city center to Homestead Manor Assisted Living's address, calculated via Google Maps.
Add your location
The information below is reported by the Maryland Department of Health, Office of Health Care Quality.
| Homestead Manor Assisted Living | AL NH IL MC RC | Denton (Colonial Drive) | - | 100
Facility
100
MD AVG
43
Rank
#117 / 697 | - |
4
Facility
4
MD AVG
43
Rank
#916 / 985 | - |
| Autumn Lake Healthcare at Waugh Chapel | AL NH RC | Gambrills | - | 110
Facility
110
MD AVG
43
Rank
#96 / 697 | - |
35
Facility
35
MD AVG
43
Rank
#583 / 985 | - |
Homestead Manor Assisted Living is located in Denton, Maryland.
Here are the financial assistance programs available to residents in Maryland.
Homestead Manor Assisted Living is in the Colonial Drive neighborhood.
Homestead Manor Assisted Living has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.
Homestead Manor Assisted Living's occupancy is 78.9%.
Homestead Manor Assisted Living is registered as a for-profit.
Yes — there are 4 photos of Homestead Manor Assisted Living in the photo gallery on this page.
Homestead Manor Assisted Living is located at 410 Colonial Dr, Denton, MD 21629.
(410) 479-2273 will put you in contact with the team at Homestead Manor Assisted Living.
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