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.
Denton Nursing and Rehab is a 100-bed for-profit home in Caroline County, and the numbers that stand out most are on the staffing and inspection side. Nurses provide about 3.28 hours of care per resident per day, roughly 15% under the national average, weekend coverage dips further, and nearly half the staff turns over each year. That thinness shows up in the inspection record: 91 deficiencies, 2 serious enough to involve harm or jeopardy, and 14 tied to abuse. Two fines totaling $28,670 are on file, with the most recent inspection in March 2026. Ownership is a limited liability company, so accountability runs through a corporate structure rather than a local operator.
Calvert County Nursing Center runs 149 beds under corporate ownership, and its staffing sits at 3.69 nurse hours per resident day, about 4% under the national average of 3.86. Weekends dip further, roughly 4% below its own weekday levels, and annual turnover hits 58.2% against a national 45.8%. That churn matters when you're trying to keep consistent caregivers around a resident.
The inspection record carries 45 deficiencies, including one at the harm or jeopardy level and five tied to abuse. CMS fined the home once, for $11,190. Its last inspection was March 26, 2026, so the picture is fairly current. All three CMS star ratings, health inspections, quality measures, and staffing, sit at 2 out of 5.
Mallard Bay runs 160 beds in Cambridge under corporate ownership, and its nurse staffing sits at 3.27 hours per resident day, roughly 15% under the national average of 3.86. Weekends dip about 4% below the home's own weekday coverage, so the thinnest shifts are the ones families visit. Turnover is 45.2%, essentially matching the national rate, so that's not the problem here. The inspection record is: 83 deficiencies, nine of them abuse-related, and a one-star health inspection rating despite a five-star quality measure score. The last inspection was September 5, 2025. Low staffing and a heavy deficiency history are what pull the numbers down; the quality measures are doing the lifting.
Williamsport Health and Rehabilitation Center runs 121 certified beds under corporate ownership, and the inspection record is the part that should give you pause: 104 deficiencies, including 2 at the harm or jeopardy level and 9 tied to abuse. Staffing sits at 3.72 nurse hours per resident day, a bit under the national average, and weekends drop roughly 13% below the home's own weekday levels, so the coverage you see on a Tuesday isn't what you get on a Sunday. Turnover of 53% means more than half the staff left within a year, well above the 45.8% national figure.
Chapel Hill Nursing Center runs 63 certified beds in Randallstown under for-profit LLC ownership, and its nurse staffing sits at 3.72 hours per resident day, just under the national average, with weekends dropping about 13% below its own weekday coverage. Staff turnover is the real story: 65.1% of nurses leave each year, against a national average of 45.8%. The current record carries 64 deficiencies, including 2 at the harm or jeopardy level and 7 tied to abuse, plus one fine of $13,247, and the last inspection was March 30, 2026. CMS gives the home 2 out of 5 stars on health inspections and 1 on quality measures, even though staffing alone rates 4.
Moran Nursing and Rehabilitation Center runs 130 certified beds in Westernport under corporate for-profit ownership, and its inspection record carries a 4-out-of-5 rating with a recent survey from March 2025. That sounds solid until you look at the 48 deficiencies on file, including three tied to abuse, though none reached harm or jeopardy level. Staffing sits at 3.45 hours per resident day, roughly 11% under the national average, and weekends drop about 15% below the home's own weekday coverage. Turnover at 43.2% actually edges out the national rate slightly. The quality measure score of 2 out of 5 is the number worth asking about directly.
Mount Airy Nursing and Rehab is a for-profit LLC home with 104 certified beds, and its staffing sits just under the national average at 3.79 nurse hours per resident day. The bigger concern is consistency: weekends run about 13% thinner than weekdays, so coverage depends on when you visit. Turnover is genuinely low at 28.1% against a national 45.8%, which matters for familiar faces. But the inspection record is the heavy part, 71 deficiencies, including one at harm or jeopardy level and eight tied to abuse, with the most recent inspection in August 2025. Low turnover doesn't offset that pattern; ask pointed questions about the abuse-related findings and how weekend shifts are covered.
Julia Manor runs on 3.26 nurse hours per resident per day, about 16 percent under the national figure, and weekends get thinner still. That staffing level sits alongside a health inspection record that CMS rates at the bottom of its scale, with 74 deficiencies on file, six serious enough to involve harm or jeopardy, ten tied to abuse. Staff turnover, at 43.3 percent, actually comes in slightly under the national rate, so retention isn't the weak spot here; the inspection history is. The last survey was in September 2025, so the record is current, and the single $207,864 fine reflects how CMS has responded. A for-profit LLC operation with this citation pattern is worth a close look before you decide.
Hagerstown Healthcare Center runs 140 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.63 hours per resident day, roughly 6% under the national average, with weekends about 13% thinner than its own weekdays. Annual turnover of 44.4% is close to the national figure, so continuity isn't the standout problem here; the inspection record is. Eighty-six deficiencies are on file, four of them at harm or jeopardy level and eight tied to abuse, plus two fines totaling $24,125, with the most recent inspection in late November 2025. Federal quality measures score well, but that 2-out-of-5 inspection rating is where the real story sits.
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.
Largo Nursing and Rehabilitation Center runs 130 certified beds in Glenarden, and the numbers show a home stretched thin on the floor. Nurse staffing sits at 3.11 hours per resident day, roughly 19 percent under the national average, weekend coverage drops about 15 percent below its own weekday level, and the staffing star rating reflects that at 1 out of 5. The inspection record is heavier: 82 deficiencies, including 2 at harm or jeopardy level and 6 tied to abuse, along with a $72,514 fine and a November 2025 inspection. Annual turnover of 42.7 percent is slightly better than the national figure, and the quality measure rating of 4 out of 5 stands out against the rest. For-profit, limited liability ownership.
Solomons Nursing and Rehab Center runs 95 beds under corporate ownership, and the numbers that stand out most are on the inspection side: 32 deficiencies on the current record, including two at the level where residents were actually harmed and three tied to abuse. Federal fines total roughly $226,000 across seven penalties. Nurse staffing sits at 3.58 hours per resident day, about 7% under the national average, and it thins out further on weekends. Annual turnover of 53% means more than half the nursing staff leaves each year, well above the 45.8% national figure. The last inspection was in August 2024. Quality measures score better than the other categories, but the harm-level findings and the money owed are what a family should weigh hardest.
Orchard Hill runs 139 beds under for-profit limited liability ownership, and the staffing numbers are the first thing to look at. At 3.59 nurse hours per resident day, it sits about 7% under the national average, and weekends drop roughly 14% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover runs 55.3% against a national 45.8%, meaning aides and nurses cycle through faster than usual. The inspection record is heavier still: 99 deficiencies, two at harm or jeopardy level, nine tied to abuse, and one fine of $50,122. The most recent inspection was April 2026, so that record is current, not stale.
Creekside runs 80 beds in Hagerstown under for-profit LLC ownership, and the staffing numbers are the first thing you should look at. At 3.29 nurse hours per resident day, it sits about 15% under the national average, and weekends drop roughly 11% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Annual turnover of 64.7% means most of the people caring for your relative are new, and against a 45.8% national rate that's a lot of churn. The inspection record is worse: 104 deficiencies, six at harm or jeopardy level, twelve abuse-related, two fines totaling $111,536, and CMS has placed it in the Special Focus Facility program.
Oakland Nursing & Rehabilitation Center is a for-profit, LLC-owned home with 100 certified beds in Garrett County, and the numbers behind its record are worth understanding. Nurse staffing sits at 3.16 hours per resident day, roughly 18 percent under the national average, and weekends run about 10 percent thinner than weekdays, so coverage is lightest exactly when families tend to visit. Turnover lands at 45.3 percent, essentially in line with the national figure, which means this isn't a churn problem so much as a thin-staffing one. What stands out most is the inspection record: 72 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, with $16,559 in fines and a December 2025 inspection. All three CMS star ratings come in at one out of five.
Berlin Nursing and Rehabilitation Center runs 165 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.12 hours per resident day, roughly 19% under the national average of 3.86. Weekends drop about 8% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the harder problem: 71 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, plus two fines totaling $237,402. Turnover at 41.8% is slightly better than the 45.8% national figure, which is the one number here that isn't working against it. The most recent inspection was July 2025, so the record is current.
Pines Nursing and Rehab is a 195-bed for-profit home in Easton, and the inspection record is the first thing you need to know about. CMS has it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems, 179 deficiencies on the current record, including four at the harm or jeopardy level and nine tied to abuse. The health inspection star rating sits at 1 out of 5. Staffing runs about 14% below the national average at 3.31 nurse hours per resident day, weekends dip further, and turnover is 48%, above the national figure. One fine of $24,088 is small next to the deficiency count; the September 2025 inspection is recent, at least.
Bay Harbor runs 305 beds under for-profit LLC ownership, and it's been flagged as a Special Focus Facility, CMS reserves that for homes with a pattern of serious, repeated problems. The inspection record backs that up: 94 deficiencies, three at harm or jeopardy level, 13 tied to abuse, and $111,315 in fines. Nurse staffing sits at 3.44 hours per resident day, about 11% under the national average, and weekends drop roughly 13% below its own weekday levels. Turnover at 43.1% edges slightly under the national rate, which is faint comfort. Quality scores look strong on paper, but survey findings and staffing are what families actually live with day to day.
Ellicott City Healthcare Center runs 182 certified beds under corporate for-profit ownership, and its numbers tell a mixed story. Nurse staffing sits at 3.58 hours per resident day, about 7% under the national average of 3.86, and weekend coverage drops roughly 9% below its own weekday level, so the weakest hours come when families tend to visit. What stands out in the other direction is retention: 27.3% annual turnover against a national 45.8%, meaning the caregivers who are there tend to stay. The trouble is the inspection record, 110 deficiencies, including one at harm or jeopardy level and nine tied to abuse, with a 1/5 health inspection rating even though quality measures score 5/5 and staffing 4/5. That gap between good scores on paper and the state's actual findings is worth asking about directly.
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?