Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
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.
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.
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.
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.
Forestville Rehabilitation runs 162 beds under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average of 3.86, with weekends about 10% thinner than weekdays. The inspection record is the real story here: 59 deficiencies, including one at the harm or jeopardy level and five tied to abuse, with a single $16,039 fine and a health inspection rating of 1 out of 5. What keeps the picture from being one-sided is staff turnover at 29.3%, well below the 45.8% national average, and a 5/5 quality measure rating. The last inspection was January 2026, so that record is current, not stale.
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.
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.
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.
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.
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.