Every Medicare-certified nursing home in Maryland, graded on inspections, staffing, turnover
and enforcement history.
6 homes in the state sit in the federal Special Focus programme.
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.
Mountain City Rehab Center runs 88 certified beds in Frostburg under for-profit LLC ownership, and its nurse staffing sits at 3.50 hours per resident day, roughly 9% under the national average of 3.86. Weekends drop about 11% below its own weekday levels, and staff turnover is 48.4% against a national figure of 45.8%.
The inspection record is where the real weight sits: 65 deficiencies on file, including 3 at the harm or jeopardy level and 9 tied to abuse, with $48,227 in CMS fines across three actions. The most recent inspection was March 6, 2026, so the picture is current, not stale. Quality measures score mid-range, but a 1-out-of-5 inspection rating tells you regulators keep finding problems.
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.
Dennett Rehab Center runs 99 certified beds in Oakland under for-profit LLC ownership, and the staffing numbers explain a lot. At 3.27 nurse hours per resident day, it sits about 15% under the national average of 3.86, and weekends drop roughly 11% below its own weekday level, so care thins out exactly when families tend to visit. Annual turnover of 53.6% tops the national 45.8%, meaning the aides and nurses who know your relative are likely to leave within the year. Behind those numbers: 57 deficiencies on the current record, including 5 at harm or jeopardy level and 5 abuse-related, plus three fines totaling $32,938. The most recent inspection was March 2026.
Copper Ridge runs about 4.02 nurse hours per resident day, a bit above the national average, but that cushion shrinks on weekends when staffing drops roughly 6% below its own weekday levels. The bigger concern is turnover: 60.8% of staff left over the past year, well above the 45.8% national figure, which matters because consistent caregivers know residents' routines and catch changes early. Inspections turned up 51 deficiencies, including one at the harm level and five tied to abuse, with a $14,020 fine on record. The last inspection was June 2025, so the picture is current.
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.
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.