30 of the 39 Medicare-certified nursing homes in Baltimore, MD (77%) are chain-owned, and all are listed below. 3 of the 30 graded homes earn an A and 0 earn a D or F. They average 3.66 nursing hours per resident per day, 0.26 hours below the 3.92 for every home in Baltimore, MD. Northwest Healthcare Center in Baltimore grades highest at A (91 out of 100).
How chain-owned homes in Baltimore, MD compare
This group set against every nursing home in Baltimore, MD, from the current CMS release.
Nursing hours per resident per day
3.66
All homes in Baltimore, MD: 3.92
Worse than the local average
Nurse staff turnover
46.8%
All homes in Baltimore, MD: 44.6%
Worse than the local average
Average ElderGrade score
73.1/100
All homes in Baltimore, MD: 75.5/100
Worse than the local average
Grade spread
A
B
C
3 grade A, 16 grade B, 11 grade C,
The best-graded chain-owned home in Baltimore, MD is
Northwest Healthcare Center
in Baltimore, MD, grade A, 91/100.
Autumn Lake Healthcare At Long Green runs 135 beds under for-profit limited liability ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.63 hours per resident day, about 6% under the national average, with weekends running roughly 15% leaner than weekdays, so coverage thins out exactly when families tend to visit. Staff turnover of 59.1% is well above the 45.8% national figure, meaning many of the people caring for residents are still learning the building. The inspection record is the harder read: 83 deficiencies on file, including six tied to abuse, though none rose to harm or jeopardy level, and the most recent inspection was in February 2026.
Rossville Rehabilitation and Healthcare Center is a 172-bed for-profit partnership in Baltimore with a staffing problem you can see in the numbers. Its 3.13 nurse hours per resident day sit about 19% under the national average of 3.86, and weekends drop roughly 14% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to visit. The inspection record is heavier: 73 deficiencies, four at harm or jeopardy level, four abuse-related, and seven fines totaling $198,937. Turnover at 42.7% is actually slightly better than the 45.8% national figure, so the issue isn't retention so much as how few hours each resident gets and how often the state has cited the place.
Autumn Lake Healthcare At Alice Manor runs about 105 beds in Baltimore under for-profit limited liability ownership, and the numbers tell two different stories. The clinical quality measures look strong, but nurse staffing sits at 3.18 hours per resident day, roughly 18 percent under the national average, with weekends running about 9 percent thinner than weekdays, and annual turnover near 70 percent against a national 46. Then there's the record: 55 deficiencies, including four tied to abuse and one serious enough to raise harm or jeopardy concerns. Staffing that thin, turning over that fast, is what tends to sit behind a citation record like that. The last inspection was in May 2025, so the picture is current. Worth asking hard questions about who's actually on the floor, especially on weekends.
King David runs 3.60 nurse hours per resident day, roughly 7% under the national average of 3.86, and weekend staffing drops about 11% below its own weekday level. That thin coverage shows up in the staffing star rating, which sits at 1 out of 5. Annual turnover is 50.5% against a national 45.8%, so aides and nurses cycle through faster than usual.
The inspection record carries 73 deficiencies, none at harm or jeopardy level, but 11 tied to abuse. The last inspection was April 2025, and the health inspection rating is 2 out of 5. Quality measures score 5 out of 5, yet that number reflects resident outcomes rather than the hands available to deliver care. The limited liability company that owns this for-profit home posts strong quality scores alongside weak staffing.
St. Elizabeth runs 3.98 nurse hours per resident day, slightly above the national average, but that cushion thins on weekends, staffing drops about 14% from weekday levels. The bigger issue is turnover: 66.7% of staff leave each year versus 45.8% nationally, which makes consistent care hard to maintain. Inspectors have cited 43 deficiencies, including three at the harm or jeopardy level and six tied to abuse, with $66,996 in fines on record. The last inspection was February 2026, so the picture is current. Quality measures score well, but a for-profit LLC with that turnover and those deficiency numbers is a real risk for families weighing placement.
Autumn Lake Healthcare at Homewood runs 112 beds in Baltimore under individual for-profit ownership, and its staffing is the first thing to look at. At 3.42 nurse hours per resident day, it sits about 11% under the national average, weekends drop roughly another 11% below its own weekday level, and turnover hits 65.7% against a national 45.8%, that's nearly two-thirds of the staff leaving each year.
The inspection record backs up the pattern: 77 deficiencies on file, including 7 tied to abuse, with a 1-out-of-5 inspection rating. Quality measures score 4 out of 5, but that's the one bright spot in an otherwise thin picture. The most recent inspection was July 2025.
Carroll Park Healthcare runs 3.32 nurse hours per resident day against a national average of 3.86, and weekends drop about 8% below its own weekday level, so coverage thins out exactly when families tend to visit. The record is heavier still: 117 deficiencies, 8 of them at harm or jeopardy level and 12 abuse-related, plus a $306,550 CMS fine. Staff turnover sits at 49.4%, a bit above the national 45.8%, which means the people providing care keep changing. CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a pattern of serious problems. The most recent inspection was November 2025.
Courtland, LLC runs 151 beds in Baltimore under for-profit corporate ownership, and its inspection record is the part that stands out: 74 deficiencies on the current record, including one at the harm or jeopardy level and five tied to abuse. That's a lot of findings stacked against a one-star health inspection rating. Staffing looks better on paper, about 3.66 nurse hours per resident day, just under the national average, with a four-star staffing rating, but weekends run roughly 11% thinner than weekdays, and turnover sits at 47.1%, slightly above the national figure. The last inspection was in July 2025, so the record is recent. One fine totaling $20,251 is also on file.
Autumn Lake Healthcare At Arlington West runs 82 beds under for-profit LLC ownership, and its nurse staffing sits at 3.61 hours per resident day, about 7% under the national average of 3.86. Weekends dip roughly 12% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover runs 43.8%, essentially in line with the national figure of 45.8%, so that's not the standout problem here. The inspection record is: 45 deficiencies on file, none flagged at harm or jeopardy level, though 7 are abuse-related. Its most recent inspection was June 2025, and CMS scored staffing and health inspections at 2 out of 5 stars each.
Westgate Hills runs leaner than most: 3.59 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 17 percent below its own weekday staffing. That gap matters because needs don't take weekends off. Staff turnover sits at 56.6 percent, well above the 45.8 percent national figure, so the people providing care change often. The current inspection record carries 74 deficiencies, including six tied to abuse, though none rose to the harm or jeopardy level. State inspectors were last on site in April 2025. Quality measures look strong here, but the staffing and inspection numbers are where a family should focus their questions.
Frequently asked questions
How many chain-owned nursing homes are there in Baltimore, MD?
There are 30 chain-owned Medicare-certified nursing homes in Baltimore, MD, 77% of the 39 nursing homes there.
Are chain-owned nursing homes better staffed?
In Baltimore, MD they average 3.66 total nursing hours per resident per day, against 3.92 for all nursing homes in Baltimore, MD, a difference of -0.26 hours. Staff turnover averages 46.8% against 44.6%.
Which chain-owned nursing home grades best in Baltimore, MD?