5/5
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.
5/5
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.
Enjoy your golden years at Homewood Living Frederick, a blissful retreat set in the vibrant neighborhood of Frederick, MD, offering independent living. With a variety of beautifully furnished and cozy accommodations, residents can rest assured of living comfortably in retirement. The community also promotes a hassle-free lifestyle, helping with chores and maintenance.
Residents will not run out of things to do, with plenty of recreation sites and unique local shops in the area. Delightful restaurants provide residents with a variety of dining options that satisfy their dietary needs and preferences. With its vibrant and welcoming environment, residents are guaranteed to flourish in retirement.
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.
| 1h 4m per day | ▲ 31% 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.
| 53m per day | ▼ 4% 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 26m per day | ▲ 13% State avg: 2h 9m 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 59m per day | ▲ 15% State avg: 3h 28m per day · National avg: 3h 26m 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.
| 4m per day | ▼ 12% State avg: 5m 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.
| 48m per day | ▲ 30% State avg: 37m per day · National avg: 28m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
72% more staff per resident than Maryland average
6% worse than Maryland average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
36 total: 16 full-time employees and 20 contractors.
36
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursAssists with medical care and medications.
39 total: 14 full-time employees and 25 contractors.
39
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursHelps with daily care and mobility.
128 total: 38 full-time employees and 90 contractors.
128
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.
Total hours from contractors
10,101 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 38 | 90 | 128 | 16,867 | 92 | 100% | 8 |
| Licensed Practical Nurse | 14 | 25 | 39 | 6,309 | 92 | 100% | 7.7 |
| Registered Nurse | 16 | 20 | 36 | 5,646 | 92 | 100% | 8.1 |
| Other Dietary Services Staff | 10 | 0 | 10 | 3,149 | 82 | 89% | 6.4 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 2,035 | 67 | 73% | 7.8 |
| Medication Aide/Technician | 4 | 0 | 4 | 1,636 | 81 | 88% | 10.9 |
| Physical Therapy Assistant | 0 | 4 | 4 | 1,029 | 82 | 89% | 6 |
| Mental Health Service Worker | 2 | 0 | 2 | 936 | 64 | 70% | 7.9 |
| Speech Language Pathologist | 0 | 3 | 3 | 721 | 72 | 78% | 4.2 |
| Physical Therapy Aide | 0 | 3 | 3 | 645 | 67 | 73% | 5.2 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 557 | 74 | 80% | 3.5 |
| Qualified Social Worker | 0 | 4 | 4 | 533 | 73 | 79% | 5.1 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 432 | 56 | 61% | 7.7 |
| RN Director of Nursing | 1 | 0 | 1 | 392 | 46 | 50% | 8.5 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 54 | 8 | 9% | 6.8 |
| Medical Director | 0 | 1 | 1 | 23 | 14 | 15% | 1.6 |
| Diagnostic X-ray Services Staff | 0 | 1 | 1 | 2 | 3 | 3% | 0.7 |
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.
19.5
50% worse than Maryland averageMaryland average: 12.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
38.8
51% worse than Maryland averageMaryland average: 25.7
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
45.7%
93% worse than Maryland averageMaryland average: 23.7%
Percent of long-stay residents whose ability to move independently worsened
34.4%
24% worse than Maryland averageMaryland average: 27.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
36.3%
40% worse than Maryland averageMaryland average: 25.9%
Percent of long-stay residents experiencing one or more falls with major injury
5.4%
135% worse than Maryland averageMaryland average: 2.3%
Percent of long-stay high risk residents with pressure ulcers
7.4%
13% worse than Maryland averageMaryland average: 6.5%
Percent of long-stay residents with a urinary tract infection
2.0%
24% worse than Maryland averageMaryland average: 1.6%
Percent of long-stay residents who lose too much weight
4.5%
23% better than Maryland averageMaryland average: 5.8%
Percent of long-stay residents who have depressive symptoms
0.8%
96% better than Maryland averageMaryland average: 20.2%
Percent of long-stay residents who received an antipsychotic medication
6.5%
50% better than Maryland averageMaryland average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.9%
5% better than Maryland averageMaryland average: 92.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Maryland averageMaryland average: 96.6%
Number of hospitalizations per 1,000 long-stay resident days.
1.04
21% better than Maryland averageMaryland average: 1.32
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.51
58% better than Maryland averageMaryland average: 1.21
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.6%
13% better than Maryland averageMaryland average: 78.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Maryland averageMaryland average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.0%
18% better than Maryland averageMaryland average: 80.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
13.4%
37% better than Maryland averageMaryland average: 21.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.5%
34% better than Maryland averageMaryland average: 9.9%
Percentage of SNF residents who experience falls with major injury during their stay.
0.5%
31% better than Maryland averageMaryland average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
72.7%
35% better than Maryland averageMaryland average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
61.8%
22% better than Maryland averageMaryland average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
83% of new residents, usually for short-term rehab.
17% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
81Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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 Homewood Living Frederick 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.
Rank #124 / 148Payroll % — State benchmarkedThis home is ranked 124th out of 148 homes in Maryland. Shows payroll as a percentage of revenue versus the Maryland average. Well-run Maryland facilities typically land around 49–57% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Maryland that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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
Housing Options: 1 Bed / 2 Bed
Building Type: 2-story
Beauty Services
Social and Recreational Activities
Exercise Programs
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (83% of admissions), and a typical Medicare stay runs around 1 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
7.0 miles from city center
Estimated distance in miles from Frederick's city center to Homewood Living Frederick's address, calculated via Google Maps.
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The information below is reported by the Maryland Department of Health, Office of Health Care Quality.
| Homewood Living Frederick | NH AL IL MC | Frederick | 120
Facility
120
MD AVG
43
Rank
#79 / 697 | 72.3% | -12% | 4.25 | +3% | +13% | $0 | 19
Facility
19
MD AVG
49.9
Rank
#12 / 149 | 6.3 | - | 83 | - |
14
Facility
14
MD AVG
43
Rank
#788 / 985 | Phillip Bowers | $21.8M | $15.3M | 70.1%
Facility
70.1%
MD AVG
38.5%
Rank
#124 / 148 | 215245 | ||||
| Buckingham‘s Choice | NH AL MC RC | Adamstown (Baker Circle) | 42
Facility
42
MD AVG
43
Rank
#237 / 697 | 56.8% | -31% | 4.73 | +64% | +25% | $0 | 29 | 9.7 | - | 25 | - |
3
Facility
3
MD AVG
43
Rank
#930 / 985 | - | $19.9M | $9.9M | 49.5% | 215329 | ||||
| Autumn Lake Healthcare at Braddock Heights | NH AL | Frederick (Braddock Estates) | 65
Facility
65
MD AVG
43
Rank
#202 / 697 | 73.7% | -11% | 3.10 | -24% | -18% | $0 | 54
Facility
54
MD AVG
49.9
Rank
#99 / 149 | 18.0 | - | 55 | - |
0
Facility
0
MD AVG
43
Rank
#959 / 985 | As Family Vb Holdings LLC | $7.1M | $1.2M | 16.8% | 215199 | ||||
| Citizens Nursing Home | NH HC MC RC | Frederick (Rosemont Avenue) | 170
Facility
170
MD AVG
43
Rank
#24 / 697 | 94.2% | +14% | 3.31 | -21% | -12% | $0 | 41 | 10.3 | 1 | 159 | - |
41
Facility
41
MD AVG
43
Rank
#508 / 985 | Frederick County Maryland | $25.8M | $14.1M | 54.6% | 215105 | ||||
| Autumn Lake Healthcare at Ballenger Creek | NH | Frederick (Ballenger Creek Center) | 130
Facility
130
MD AVG
43
Rank
#66 / 697 | 87.8% | +7% | 3.16 | -43% | -16% | $0 | 59
Facility
59
MD AVG
49.9
Rank
#108 / 149 | 19.7 | 2 | 116 | - |
36
Facility
36
MD AVG
43
Rank
#563 / 985 | 347 Ballenger Holdco LLC | $19.4M | $1.4M | 7.4% | 215001 |
Homewood Living Frederick is located in Frederick, Maryland.
Here are the financial assistance programs available to residents in Maryland.
Homewood Living Frederick has a walk score of 14. Car-dependent. Most errands require a car, with limited nearby walkable options.
Homewood Living Frederick's occupancy is 72.3%.
Homewood Living Frederick is registered as a non-profit.
Yes — there are 6 photos of Homewood Living Frederick in the photo gallery on this page.
Homewood Living Frederick is located at 7407 Willow Rd, Frederick, MD 21702.
(301) 644-5600 will put you in contact with the team at Homewood Living Frederick.
Yes — Homewood Living Frederick is a CMS-certified provider of Medicare and Medicaid.
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