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.
Layhill runs 3.46 nurse hours per resident per day, about ten percent under the national average, and weekends drop roughly sixteen percent below its own weekday staffing. The inspection record is the bigger problem: 103 deficiencies, three at harm or jeopardy level and nine tied to abuse, plus two fines totaling $153,596. A recent inspection in February 2026 means that record is current, not old. Turnover at 38.1% is actually better than the 45.8% national figure, so the issue isn't retention so much as thin coverage and a long, serious citation history at this for-profit LLC.
Manokin Nursing and Rehab runs 135 certified beds in Princess Anne under corporate ownership, and the numbers here deserve a careful look. Nurse staffing sits at 3.22 hours per resident day, roughly 17 percent under the national average, and weekends dip about 11 percent below the home's own weekday coverage. Turnover at 34.4 percent is actually better than the national 45.8 percent, so the problem isn't retention; it's how many hands are on deck each shift.
The inspection record is where things get serious. Ninety-one deficiencies, including five at the harm or jeopardy level and nine tied to abuse. Two fines total $187,010, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the most persistently troubled homes. Given a September 2025 inspection, ask directly what's changed since.
Elkton Nursing and Rehabilitation Center carries a one-star health inspection rating, and the record behind it is heavy: 142 deficiencies, three of them at the level where residents were actually harmed, plus seven tied to abuse. CMS has placed the home in its Special Focus Facility program, which is reserved for the small share of homes with a persistent pattern of serious problems. Staffing sits about 8% under the national average, weekends run roughly 10% thinner than weekdays, and turnover lands at 46.2%, essentially the national rate. Ownership is for-profit, through a limited liability company. Three fines totaling $31,134 are on file, and the most recent inspection was October 9, 2025.
Future Care Annapolis runs 4.97 total nurse staffing hours per resident day, roughly 29 percent above the national average of 3.86, and it carries no deficiencies at all on its current record, none at the harm or jeopardy level, none tied to abuse. Its most recent inspection was November 13, 2025, so the picture is fresh rather than stale. The one number that gives pause is weekend staffing, which runs about 11 percent below the home's own weekday level. That's a common pattern in nursing homes, but it matters for a family whose visits or care concerns land on Saturdays and Sundays. The corporate, for-profit ownership is worth knowing, though nothing in the record shows it dragging down care here.
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?