164 of the 221 Medicare-certified nursing homes in Maryland (74%) are chain-owned, and all are listed below. 23 of the 163 graded homes earn an A and 6 earn a D or F. Nurse staff turnover runs 42%, 1.8 points higher than the 40.2% across all homes there. Ingleside At King Farm in Rockville grades highest at A (99 out of 100).
How chain-owned homes in Maryland compare
This group set against every nursing home in Maryland, from the current CMS release.
Nursing hours per resident per day
3.74
All homes in Maryland: 3.87
Worse than the local average
Nurse staff turnover
42%
All homes in Maryland: 40.2%
Worse than the local average
Average ElderGrade score
74.3/100
All homes in Maryland: 76/100
Worse than the local average
Grade spread
A
B
C
23 grade A, 88 grade B, 46 grade C, 6 grade D,
The best-graded chain-owned home in Maryland is
Ingleside At King Farm
in Rockville, MD, grade A, 99/100.
Larkin Chase Center runs 120 certified beds in Bowie under corporate, for-profit ownership, and its staffing sits at 3.69 nurse hours per resident day, roughly 4% under the national average of 3.86. Weekends dip about 12% below the home's own weekday coverage, so the thinnest shifts are when families tend to visit. The inspection record is the heavier concern: 25 deficiencies, including two at harm or jeopardy level and three tied to abuse, with a $127,440 fine and no health inspection since June 2022. Quality measure scores look strong, but those come from resident assessments, not from an inspector walking the building.
Autumn Lake Healthcare at Calvert Manor runs 144 certified beds in Rising Sun under for-profit LLC ownership, and its nurse staffing sits at 3.28 hours per resident day, roughly 15% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, and annual turnover is 49.3% against a 45.8% national rate, so the same shortfall tends to recur rather than resolve. The current record carries 33 deficiencies, none at the harm or jeopardy level but two tied to abuse; the last inspection was April 2, 2025. Federal ratings sit at three stars for health inspections and quality measures, two for staffing. If you're weighing this one, ask how the 3-to-11 shift and weekends are actually covered.
Oakwood SNF in Middle River runs 130 certified beds under for-profit LLC ownership, and its federal record shows where the trouble sits: 88 deficiencies on file, including two at harm or jeopardy level and seven tied to abuse. The staffing star rating sits at 1 out of 5, meaning nurse hours per resident fall well below what CMS expects, while the quality measure score of 4 shows resident outcomes look better than the staffing numbers would suggest. Inspections are current, with the last visit in March 2026 and $13,270 in fines recorded. The inspection history and thin staffing are the real story here, ask pointed questions about direct care hours and how abuse allegations get handled.
Autumn Lake Healthcare at Ruxton runs 179 beds in Towson under for-profit LLC ownership, and the numbers explain the grade better than the letter does. Nurse staffing sits at 3.40 hours per resident day, roughly 12 percent under the national average, and weekends dip another 10 percent below what the home itself manages on weekdays, so the thinnest coverage lands when families tend to visit. Turnover tells its own story: 59.9 percent of staff leaving annually against a 45.8 percent national figure, meaning the people caring for your relative are, more often than not, new to the building. The inspection record shows 70 deficiencies, four tied to abuse, with the most recent survey in February 2026.
Caroline Nursing and Rehab runs below the national average on nurse staffing, 3.33 hours per resident day against 3.86 nationally, about 14% less. Weekends are thinner still, roughly 8% below the home's own weekday level, which matters because that's when families often visit and when problems tend to surface. The inspection record shows 42 deficiencies, none at the harm or jeopardy level but four tied to abuse, and the last full inspection was in November 2024. Staff turnover sits at 44.4%, essentially in line with the national figure, so retention isn't the outlier here, the thin staffing and the inspection history are. For-profit, limited liability ownership.
Fox Chase Healthcare runs on 3.30 nurse hours per resident day, about 14% under the national average, and weekend coverage dips roughly 7% below what it manages on weekdays. Staff turnover sits at 64.5% against a national average of 45.8%, meaning close to two-thirds of the nursing staff left within a year. The inspection record shows 65 deficiencies, four tied to abuse, though none rose to the harm or jeopardy level, and the most recent inspection was March 2025. State inspectors rated the home one star for health inspections. A for-profit limited liability company owns its 87 certified beds.
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.
Autumn Lake Healthcare At Summit Park runs 143 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.33 hours per resident day, roughly 14 percent under the national average of 3.86, with weekends dipping about 7 percent below its own weekday level. Turnover tells a similar story: 55.9 percent annually against a national 45.8 percent. The inspection record is heavy, 80 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, plus a $49,221 fine, though the most recent inspection came in August 2025. Quality measures score well, but staffing and inspection results are where the concerns live.
Complete Care At Hagerstown runs 60 beds under for-profit LLC ownership, and the numbers split in two directions. Nurse staffing sits at 3.92 hours per resident day, just above the national average of 3.86, though weekends drop about 4% below the home's own weekday levels, and 56% annual turnover means most of the people providing that care are new to the building. The bigger concern is the inspection record: 81 deficiencies, three at harm or jeopardy level, nine tied to abuse, and $43,352 in fines, with the most recent inspection in May 2025. Quality measures score well; the health inspection side does not.
Snow Hill Rehabilitation & Healthcare Center is a 69-bed for-profit home in Worcester County, owned by a limited liability company. The federal numbers are hard to dress up: one out of five stars for staffing, one for quality measures, and two for health inspections, with 46 deficiencies on the current record, five of them abuse-related. None of those deficiencies rose to the level of actual harm or jeopardy, which matters, but the abuse citations are a pattern a family should ask about directly. The last inspection was in February 2025, so the record is recent. Turnover and hours-per-resident figures aren't broken out here, but the staffing star alone tells you the home runs lean relative to the national average.
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.
White Oak runs 3.42 nurse hours per resident day, about 11% under the national average, and weekends drop roughly 13% below its own weekday staffing. Turnover is where it stands out, 29.5% versus a national average of 45.8%, so the people who stay tend to stay. But the inspection record is the real story: 76 deficiencies on file, including 2 at harm or jeopardy level and 8 abuse-related, with a $76,515 fine and a 1-out-of-5 health inspection rating, despite a recent April 2025 visit. Quality measures score well; the survey history does not.
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.
Patapsco Healthcare runs 172 certified beds in Randallstown under corporate ownership, and the staffing numbers are the first thing to look at. At 3.28 nurse hours per resident day, it sits about 15% under the national average of 3.86, and weekends drop roughly another 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover hits 54% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is heavier still: 129 deficiencies, including 3 at harm or jeopardy level and 15 tied to abuse, with two fines totaling $107,227 and a 1-out-of-5 inspection rating from the most recent survey in September 2024.
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.
Westminster Rehabilitation and Wellness Center runs 170 certified beds under corporate ownership, and the staffing numbers are where your attention should go first. Nurse coverage sits at 3.57 hours per resident day, about 7% under the national average, and weekends drop roughly another 10% below what the home staffs on weekdays. Annual turnover of 52.8% tops the national rate of 45.8%, which matters because residents see a rotating cast rather than familiar faces. The inspection record is heavier: 70 deficiencies, including one at the harm level and 12 tied to abuse, with two fines totaling $63,681. The March 2025 inspection is recent, so the record is current, not stale.
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.
Complete Care at Heritage runs 177 beds in Dundalk, and the numbers behind its record aren't reassuring. Nurse staffing sits at 3.44 hours per resident day, roughly 11% under the national average, and weekends drop another 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover hits 59% against a national average of 45.8%, meaning more than half the caregivers cycle out in a year. The current inspection record carries 72 deficiencies, three at harm or jeopardy level and six tied to abuse, with two fines totaling $129,919. A five-star quality measure score doesn't offset a one-star inspection history.
Staff turnover at Complete Care At Severna Park runs 57.8 percent a year, well above the 45.8 percent national average, and that churn shows up in the staffing numbers, where the home earns just one star out of five. The quality measure score is strong at five stars, but the inspection record pulls the other way: 57 deficiencies, including 7 tied to abuse, with the most recent inspection dating to July 2021. That's a long stretch without a fresh look at a 138-bed for-profit building. Strong clinical metrics and weak staffing can coexist, and here they do, the question is whether the day-to-day care keeps up when the people providing it keep leaving.
Frequently asked questions
How many chain-owned nursing homes are there in Maryland?
There are 164 chain-owned Medicare-certified nursing homes in Maryland, 74% of the 221 nursing homes there.
Are chain-owned nursing homes better staffed?
In Maryland they average 3.74 total nursing hours per resident per day, against 3.87 for all nursing homes in Maryland, a difference of -0.13 hours. Staff turnover averages 42% against 40.2%.
Which chain-owned nursing home grades best in Maryland?