Total health inspections
1
Maryland average 3.9
Last Health inspection on Jan 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
The Waterfalls of Catonsville
Nursing Home & Memory Care · Catonsville, 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.
The Waterfalls of Catonsville
Nursing Home & Memory Care · Catonsville, 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.
The Waterfalls of Catonsville accepts Medicaid, Medicare, and private pay.
Located at Catonsville Maryland, The Waterfalls of Catonsville serving the individuals with dementia. This friendly environment fosters a sense of belonging, while personalized care plans sustain unique needs for resident. Families gain peace of mind knowing their loved ones are treated with respect and compassion in a comfortable, home-like setting. The Waterfalls prioritizes a holistic approach to well-being. Residents receive customized care that considers their physical, emotional, and social needs. Aromatherapy, chef-prepared meals, engaging activities, and stimulating memory programs create a nurturing environment.
Specifically designed to serve those with Alzheimer’s disease and other forms of dementia, The Waterfalls offers a safe and secure environment. Their dedicated hospice wing provides compassionate end-of-life care, while on-site access to third-party services like psychiatry and podiatry ensures residents receive comprehensive care. Residents enjoy a variety of amenities designed to enhance their quality of life. These include a soothing hot tub spa, beautifully landscaped gardens, spacious living areas with Wi-Fi and cable access, and physical therapy services.
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 118th 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 118th 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 6m per day
Rank #118 / 144Nurse hours — State benchmarkedThis home is ranked 118th 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
-28%
| 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 32m per day | ■ Avg State avg: 3h 28m per day · National avg: 3h 25m per day |
Types of Care at The Waterfalls of Catonsville
Memory Care
Capacity and availability
This home usually has limited availability
Occupancy rate
85.9%
Rank #65 / 146Occupancy rate — State benchmarkedThis home is ranked 65th 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
106 days
4-bed community Rank #601 / 697Bed count — State benchmarkedThis home is ranked 601st out of 697 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: 56 / 100 Rank #357 / 986Walk Score — State benchmarkedThis home is ranked 357th 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
Facility TypeAl
CountyBaltimore City
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
Specific ProgramsLife at Waterfalls, Food & Dining
Food DescriptionFood at The Waterfalls at Catonsville is homemade and freshly prepared by in-home chefs and staff. Residents are offered a host of fresh food options. Personalized food plans and diet requests are also available.
Health Inspection History
Inspections
Total health citations
21
Rank #16 / 146Health citations — State benchmarkedThis home is ranked 16th 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
21
Rank #132 / 146Citations per inspection — State benchmarkedThis home is ranked 132nd 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.
12 of 21 citations resulted from standard inspections; 6 of 21 resulted from complaint investigations; and 3 of 21 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 1 year)
Critical health citations
0
100% better than Maryland averageMaryland average: 0.5
Serious health citations
0
100% better than Maryland averageMaryland average: 0.6
Citations history (last 1 year)
Abuse/Neglect moderate citation
Jan 22, 2025
Corrected
Abuse/Neglect moderate citation
Jan 22, 2025
Corrected
Abuse/Neglect moderate citation
Jan 22, 2025
Corrected
Administration moderate citation
Jan 22, 2025
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
125
Employees
122
Contractors
3
Staff to resident ratio
1.54:1
15% worse than Maryland average
Avg staff/day
48
Average shift
7.9 hours
0% compared with Maryland average
Total staff hours (quarter)
34,821
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
11 total: 10 full-time employees and 1 contractor.
11
11 total: 10 full-time employees and 1 contractor.
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
All 26 LPN Staff are full-time employees. No contractors work on this role.
26
All 26 LPN Staff are full-time employees. No contractors work on this role.
26
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
All 53 CNA Staff are full-time employees. No contractors work on this role.
53
All 53 CNA Staff are full-time employees. No contractors work on this role.
53
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursContractor 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
0.7%
260 contractor hours this quarter
Registered Nurse: 1
Occupational Therapy Assistant: 1
Medical Director: 1
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 | 53 | 0 | 53 | 15,659 | 92 | 100% | 7.8 |
| Licensed Practical Nurse | 26 | 0 | 26 | 8,283 | 92 | 100% | 7.9 |
| Registered Nurse | 10 | 1 | 11 | 2,049 | 90 | 98% | 7.3 |
| Clinical Nurse Specialist | 9 | 0 | 9 | 1,980 | 78 | 85% | 8.5 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,427 | 92 | 100% | 7.7 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,259 | 77 | 84% | 8.9 |
| RN Director of Nursing | 7 | 0 | 7 | 1,004 | 84 | 91% | 7.6 |
| Administrator | 3 | 0 | 3 | 628 | 65 | 71% | 7.9 |
| Nurse Practitioner | 3 | 0 | 3 | 528 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 499 | 65 | 71% | 7.7 |
| Dental Services Staff | 1 | 0 | 1 | 468 | 60 | 65% | 7.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 359 | 56 | 61% | 6.4 |
| Occupational Therapy Aide | 1 | 0 | 1 | 337 | 41 | 45% | 8.2 |
| Medical Director | 1 | 1 | 2 | 204 | 26 | 28% | 6.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 140 | 24 | 26% | 5.8 |
53 Certified Nursing Assistant
% of Days
100%
26 Licensed Practical Nurse
% of Days
100%
11 Registered Nurse
% of Days
98%
9 Clinical Nurse Specialist
% of Days
85%
3 Other Dietary Services Staff
% of Days
100%
3 Medication Aide/Technician
% of Days
84%
7 RN Director of Nursing
% of Days
91%
3 Administrator
% of Days
71%
3 Nurse Practitioner
% of Days
70%
1 Dietitian
% of Days
71%
1 Dental Services Staff
% of Days
65%
1 Mental Health Service Worker
% of Days
61%
1 Occupational Therapy Aide
% of Days
45%
2 Medical Director
% of Days
28%
1 Occupational Therapy Assistant
% of Days
26%
Penalties and fines
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.
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.
6.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.8
47% better than Maryland averageMaryland average: 12.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.2
25% better than 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
17.2%
Percent of long-stay residents whose need for help with daily activities has increased
17.2%
27% better than Maryland averageMaryland average: 23.7%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
8.0%
Percent of long-stay residents whose ability to move independently worsened
8.0%
71% 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
32.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
32.3%
24% worse than Maryland averageMaryland average: 25.9%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Maryland averageMaryland average: 2.3%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.9%
Percent of long-stay high risk residents with pressure ulcers
1.9%
71% better than Maryland averageMaryland average: 6.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Maryland averageMaryland average: 1.6%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.0%
Percent of long-stay residents who lose too much weight
7.0%
20% worse than Maryland averageMaryland average: 5.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
4.4%
Percent of long-stay residents who have depressive symptoms
4.4%
78% better than Maryland averageMaryland average: 20.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
0.9%
Percent of long-stay residents who received an antipsychotic medication
0.9%
93% better than Maryland averageMaryland average: 12.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than Maryland averageMaryland average: 92.0%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Maryland averageMaryland average: 96.6%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.7%
25% better than Maryland averageMaryland average: 78.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
43% better than Maryland averageMaryland average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.3%
22% better 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
62% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
32% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
7% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
81
Medicare
26
32.1% of residents
Medicaid
30
37% of residents
Private pay or other
25
30.9% 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 The Waterfalls of Catonsville based on CMS SNF Cost Reports.
Occupancy Rate
85.9%
↑ 2.8pp vs 2022
Net Income
$583.1K
↓ ~$1.6M vs 2022
Total Payroll
$5.2M
↑ ~$500.5K vs 2022
Profit Margin
3.1%
↓ 8.2pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$18.9M
Profit
$583.1K
Privately-owned community
Operated by a business corporation.
Home revenue
$18.9M Rank #66 / 145Revenue — State benchmarkedThis home is ranked 66th 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
$583.1K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #127 / 145Payroll — State benchmarkedThis home is ranked 127th 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.
$5.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #127 / 145Payroll — State benchmarkedThis home is ranked 127th 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.
$13.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$18.3M
What does this home offer?
Housing Options: Suite
Building Type: Two-story
Transportation Services
Fitness and Recreation
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near The Waterfalls of Catonsville
2.0 miles from city center
Estimated distance in miles from Catonsville's city center to The Waterfalls of Catonsville's address, calculated via Google Maps.
— 4.33 miles to nearest hospital (Ascension Saint Agnes Hospital)
Calculate Travel Distance to The Waterfalls of Catonsville
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Financial Assistance for
Nursing Home in Maryland
The Waterfalls of Catonsville is located in Catonsville, Maryland.
Here are the financial assistance programs available to residents in Maryland.
Frequently Asked Questions about The Waterfalls of Catonsville
What neighborhood is The Waterfalls of Catonsville in?
The Waterfalls of Catonsville is in the Colonial Gardens neighborhood of Catonsville.
Is The Waterfalls of Catonsville in a walkable area?
The Waterfalls of Catonsville has a walk score of 56. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
How many beds does The Waterfalls of Catonsville have?
The Waterfalls of Catonsville has 4 beds.
Are there photos of The Waterfalls of Catonsville?
Yes — there are 7 photos of The Waterfalls of Catonsville in the photo gallery on this page.
What is the phone number of The Waterfalls of Catonsville?
(410) 744-1404 will put you in contact with the team at The Waterfalls of Catonsville.
What county is The Waterfalls of Catonsville located in?
The Waterfalls of Catonsville is in Baltimore City County.
Is The Waterfalls of Catonsville Medicare or Medicaid certified?
Yes — The Waterfalls of Catonsville is a CMS-certified provider of Medicare and Medicaid.
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