#1Rockville, MD · Montgomery County
★★★★★CMS 5/545 bedsNon-profitMedicaid
- Nurse hours
- 5.28 /day
- Staff turnover
- 15%
- Serious cites
- 0
Ingleside At King Farm runs on a rare amount of nursing attention: 5.28 hours per resident day, roughly a third more than the national figure, and it holds that level fairly steady through the weekend. Staff turnover is the striking number, under 15% a year against a national average near 46%, which matters because familiar caregivers tend to notice changes sooner. The non-profit owner has kept a clean harm record: 19 deficiencies on file, none at the level of harm or jeopardy, though two are abuse-related and worth asking about directly. The last inspection was in March 2026, so the picture is current.
#2Baltimore, MD · Baltimore City County
★★★★★CMS 5/535 bedsNon-profitMedicaid
- Nurse hours
- 6.21 /day
- Staff turnover
- 20%
- Serious cites
- 0
Nurse staffing at this 35-bed nonprofit home runs 6.21 hours per resident day, about 61 percent above the national average of 3.86, so there's more hands-on time per resident than at most places. Weekend coverage dips roughly 10 percent below its own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 20 percent against a national average near 46 percent, meaning aides and nurses tend to stay. Eighteen deficiencies appear on the current record, one abuse-related, but none at the harm or jeopardy level, and the most recent inspection was November 2025.
#3Silver Spring, MD · Prince Georges County
★★★★★CMS 5/544 bedsFor-profitMedicaid
- Nurse hours
- 5.37 /day
- Staff turnover
- 19%
- Serious cites
- 0
Riderwood Village sits in Silver Spring with 44 certified beds under for-profit LLC ownership, and the numbers behind its record are worth knowing. Nurse staffing runs 5.37 hours per resident day, roughly 39% above the national average of 3.86, and annual turnover is 19.3% against a national 45.8%, meaning aides and nurses here tend to stay. Weekends dip about 14% below weekday coverage, worth asking about if your relative needs more help on Saturdays and Sundays. Eighteen deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, with the last inspection in September 2025. All three CMS star ratings, health inspections, quality measures, staffing, come in at 5 out of 5.
#4Hagerstown, MD · Washington County
★★★★★CMS 5/563 bedsGovernmentMedicaid
- Nurse hours
- 7.40 /day
- Staff turnover
- 19%
- Serious cites
- 0
Western Md Hospital Center runs on state government money and a nurse staffing level of 7.40 hours per resident day, roughly double the national average of 3.86. That staffing holds up on weekends better than most places, dipping only about 9% below its own weekday level, and annual turnover of 19.4% is less than half the national rate of 45.8%. What pulls it back to a middling grade is the inspection record: 37 deficiencies, including two at the harm or jeopardy level and three tied to abuse, plus two fines totaling $24,060. A December 2025 inspection means the picture is current; the quality and staffing stars are top marks, but the compliance history is what a family needs to weigh.
#5Adamstown, MD · Frederick County
★★★★★CMS 5/542 bedsNon-profitMedicaid
- Nurse hours
- 4.32 /day
- Staff turnover
- 12%
- Serious cites
- 0
Willowbrooke Ct runs 4.32 nurse hours per resident day, roughly 12 percent above the national figure, and its staff turnover sits at 11.5 percent against a national average near 46, that retention number is the one that tends to matter most, because familiar caregivers notice changes sooner. Weekends run about 11 percent lighter than weekdays, worth asking about if your family visits then. The 23 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the last inspection was February 2026. A nonprofit corporation operates the 42-bed home. All three CMS star ratings, inspections, quality measures, staffing, come in at five.
#6Oakland, MD · Garrett County
★★★★★CMS 5/510 bedsFor-profitMedicaid
- Nurse hours
- 9.45 /day
- Staff turnover
- 35%
- Serious cites
- 0
Garrett County Subacute Unit is a ten-bed for-profit home in Oakland, and its staffing numbers are the story here. At 9.45 nurse hours per resident day, it runs roughly two and a half times the national average, and turnover sits at 35.3%, below the 45.8% national figure, which matters for a small facility where one departure is felt. The trade-off is weekends, when coverage drops about 14% below its own weekday level. Inspections back up the rest: a clean current record of eight deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey in August 2025. Five stars across health inspections, quality measures, and staffing is rare company.
#7Frederick, MD · Frederick County
★★★★★CMS 5/5120 bedsNon-profitMedicaid
- Nurse hours
- 4.42 /day
- Staff turnover
- 26%
- Serious cites
- 0
Homewood Living Frederick runs on church-affiliated nonprofit ownership, and the numbers show a home that's been stable for a while. Nurses provide 4.42 hours of care per resident each day, roughly 15% above the national average of 3.86, and weekend staffing dips only about 7% below weekday levels, a modest gap, not the kind of drop that leaves families worrying about Saturday coverage. Staff turnover sits at 26.4% against a national average near 46%, which suggests people stay. The 19 deficiencies on record include nothing at the harm level and nothing abuse-related, and the most recent inspection was July 2025, so the picture is current. Three five-star CMS ratings back it up.
#8Westminster, MD · Carroll County
★★★★★CMS 5/572 bedsNon-profitMedicaid
- Nurse hours
- 3.89 /day
- Staff turnover
- 34%
- Serious cites
- 0
Carroll Lutheran Village runs 72 certified beds as a nonprofit, and its staffing sits at 3.89 nurse hours per resident day, just barely above the national average of 3.86. Weekends dip about 6% below its own weekday coverage, so ask how that gap gets covered. Turnover is the stronger number: 33.7% against a national average of 45.8%, which suggests a more stable crew than most places manage. The inspection record shows 34 deficiencies, but none at the harm or jeopardy level and none tied to abuse, and the most recent survey was in June 2025, so the picture is current.
#9Cockeysville, MD · Baltimore County
★★★★★CMS 5/570 bedsNon-profitMedicaid
- Nurse hours
- 5.71 /day
- Staff turnover
- 36%
- Serious cites
- 0
Broadmead runs on 5.71 nurse staffing hours per resident day, well above the national average of 3.86, and its weekend coverage only dips about 6% below weekday levels, a gap that's often much wider elsewhere. Turnover sits at 36.2%, lower than the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The home carries 12 deficiencies on its current record, none tied to harm or abuse, and its last inspection was in late 2025, so the picture is recent. As a nonprofit with 70 certified beds, it's small enough that staffing ratios translate directly to bedside attention.
#10Silver Spring, MD · Montgomery County
★★★★★CMS 5/560 bedsFor-profitMedicaid
- Nurse hours
- 5.06 /day
- Staff turnover
- 19%
- Serious cites
- 0
Bedford Court runs on unusually steady staffing for a for-profit home: 5.06 nurse hours per resident day, roughly a third more than the national average, and turnover sits at 19.1 percent against a national 45.8, that retention matters more than any single inspection score, since consistent caregivers know the residents. Weekends dip about 9 percent below weekday coverage, worth asking about if your family visits then. The 28 deficiencies on record include nothing at the harm level and nothing abuse-related, and the most recent inspection was March 2026. Quality measures score 5/5 and inspections 4/5, which lines up with what the staffing numbers suggest.
#11Catonsville, MD · Baltimore County
★★★★★CMS 5/5103 bedsFor-profitMedicaid
- Nurse hours
- 4.78 /day
- Staff turnover
- 33%
- Serious cites
- 0
Nurse staffing at Charlestown Community runs 4.78 hours per resident per day, roughly a quarter above the national average of 3.86, and the weekend dip of about 12% below weekday levels is modest compared with what many homes show. Annual turnover of 33.3% sits well under the national 45.8%, so the aides and nurses here are more likely to be people who know the residents. The record isn't clean: 44 deficiencies, one at the harm level, and eight flagged as abuse-related. The most recent inspection was September 2025. A corporate-owned home with above-average staffing, below-average turnover, and a recent inspection that still turned up abuse citations, worth asking about directly before you decide.
#12Hyattsville, MD · Prince Georges County
★★★★★CMS 5/544 bedsNon-profitMedicaid
- Nurse hours
- 4.86 /day
- Staff turnover
- 9%
- Serious cites
- 0
Sacred Heart Home runs about 4.86 nurse hours per resident day, roughly a quarter more than the national average, and its staff turnover sits at 8.7 percent against a national figure near 46 percent, numbers that suggest people stay. Weekend staffing dips about 11 percent below its own weekday levels, worth asking about if your family tends to visit then. The current record shows 19 deficiencies, none at the harm or jeopardy level, though one is abuse-related; the most recent inspection was July 2025. This is a small, church-affiliated nonprofit with 44 beds, and its inspection and staffing ratings both come in at the top of CMS's scale.
#13Catonsville, MD · Baltimore County
★★★★★CMS 5/544 bedsNon-profitMedicaid
- Nurse hours
- 4.18 /day
- Staff turnover
- 29%
- Serious cites
- 0
St. Joseph's runs on 4.18 nurse hours per resident day, roughly 8% above the national average, and its staff stays put, 28.6% turnover against a national 45.8%. Weekends dip about 18% below weekday coverage, so ask how that gap gets filled. The inspection record is clean where it counts: 11 deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent visit in January 2026. Church-affiliated nonprofit ownership at 44 beds usually means tighter community ties and less pressure to chase census. The staffing and quality stars reflect a home that invests in people and keeps them.
#14Baltimore, MD · Baltimore City County
★★★★☆CMS 4/591 bedsFor-profitMedicaid
- Nurse hours
- 3.39 /day
- Staff turnover
- 33%
- Serious cites
- 0
Northwest Healthcare Center runs 91 beds under corporate ownership, and its nurse staffing sits at 3.39 hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 14% below the home's own weekday coverage, so the quietest days get the thinnest staffing. Turnover is the bright spot: 32.9% against a national 45.8%, meaning aides and nurses here tend to stay. Inspections in January 2026 produced 28 deficiencies, none at harm or jeopardy level, though four were abuse-related, worth asking about directly. All three CMS ratings land at 4 of 5 stars.
#15Frederick, MD · Frederick County
★★★★★CMS 5/5170 bedsGovernmentMedicaid
- Nurse hours
- 3.99 /day
- Staff turnover
- 28%
- Serious cites
- 0
Citizens Care and Rehabilitation Center of Frederick is county-owned, which matters here, it's one of the few government-run homes in the area. Staffing sits at 3.99 nurse hours per resident day, just above the national average, and turnover runs 27.5% against a national 45.8%, so the people caring for residents tend to stick around. Weekends dip about 11% below weekday coverage, worth asking about if you're planning visits. The inspection record shows 33 deficiencies, including one at the harm level and four abuse-related, though the most recent inspection was March 2026 and the health inspection rating came in at 4 of 5 stars. Strong quality measures, steady staff, but read that deficiency history closely.