The 10 Worst Nursing Homes in Maryland

Updated as of March 01, 2024

A list of the ten worst skilled nursing homes in Maryland. Based on the Weighted Health Inspection Score developed by the Centers for Medicare and Medicaid Services.

Click here to see the best skilled nursing facilities in Maryland.

Compare the Worst Nursing Homes in Maryland

Every year, thousands of seniors, their families, and friends are faced with the difficult decision of choosing a skilled nursing facility, either because someone is recuperating after a hospital visit or for end-of-life care. This is usually an issue that arises suddenly, and the decision makers are not equipped with the right knowledge and information to make a good decision. Not knowing how to decide, they turn to others for recommendations. Word of mouth, along with geography, are constantly cited as the most important factors in choosing a skilled nursing facility. Choosing a facility with such limited information can lead to significant problems. Not all skilled nursing facilities are the same and the people that you trust to recommend a facility may not know enough about the facility and the alternatives to be a competent guide.

Providing the type of care that residents of skilled nursing facilities require is very difficult. The range of issues that are being treated is vast and the needs cover both people recuperating and recovering as well as those facing end-of-life issues. Residents require significant help with basic daily activities as well as supplemental needs like oxygen and 24/7 monitoring.

To help people who are facing this difficult situation, we have compiled a list of the worst Maryland skilled nursing facilities and the the best skilled nursing facilities. (We have also compiled the best and worst nursing homes by city for most cities in the United States, links are shown at the bottom on this page.) The lists are based on data provided by The Centers for Medicare & Medicaid (“CMS”) and include information gathered from detailed annual inspections, monthly reporting, complaint histories, deficiency reports and much more.

The list below calls out the worst skilled nursing facilities in Maryland. For the most part these facilities should be avoided. All the facilities have issues with cleanliness and safety and a large number of the facilities have been flagged by CMS as locations where abuse has either occurred or is highly likely.

Avoiding these facilities may not always be an option either because of geographic, monetary, or occupancy constraints. However, being in a bad nursing home does not mean that the resident will not improve. If you have a loved one in one of these facilities, we encourage you to visit often and to ask that friends and other family visit too. It is well documented that positive outcomes for skilled nursing residents is highly correlated with the number and diversity of people visiting the resident. Being there, getting to know the staff, showing the staff that the resident has people that care about him or her is critical. There may not always be a better option, but your direct involvement can make a difference.

To see a more detailed analysis of the performance on skilled nursing facilities in Maryland, including staffing, COVID-19 infections, historical occupancy levels and recent trends, look at our detailed analysis page.

Nursing Home Rating
Pines Nursing and Rehab
610 DUTCHMAN'S LANE
EASTON, MD 		732.17
/
Hagerstown Healthcare Center
750 DUAL HIGHWAY
HAGERSTOWN, MD 		521.33
/
Autumn Lake Healthcare at Pikesville
7 SUDBROOK LANE
PIKESVILLE, MD 		466.00
Manokin Nursing and Rehab
11974 EDGEHILL TERRACE
PRINCESS ANNE, MD 		392.00
/
Elkton Nursing and Rehabilitation Center
1 PRICE DRIVE
ELKTON, MD 		380.00
Julia Manor Nursing and Rehabilitation Center
333 MILL STREET
HAGERSTOWN, MD 		368.67
/
Complete Care at Hyattsville
4922 LASALLE ROAD
HYATTSVILLE, MD 		352.67
Frederick Health and Rehabilitation Center
30 NORTH PLACE
FREDERICK, MD 		319.33
Patapsco Healthcare
9109 LIBERTY ROAD
RANDALLSTOWN, MD 		296.67
/
Carroll Park Healthcare
3330 WILKENS AVENUE
BALTIMORE, MD 		290.50
/

Nursing Homes with the warning icon () have been flagged by CMS for abuse.

How We Compile Nursing Home Ratings in Maryland

Every month, we rank all of the skilled nursing facilities in Maryland. These rankings are based on data provided by The Centers for Medicare & Medicaid measures ("CMS"), including the CMS 5-Star Rating System and the Health Inspection Scores. The list of the Worst Skilled Nursing Facilities in Maryland is based on the weighted overall health inspection score which is a composite of CMS's three most recent skilled nursing home inspection scores weighted to give the most recent inspection more importance.

The CMS 5-Star Rating System rates skilled nursing facilities from one to five stars, with one star being the lowest and five stars being the highest. The rating system also rates Maryland nursing homes across five different dimensions including overall rating, health inspection rating, quality measures rating, overall staffing rating, and RN staffing rating (RN is an acronym for Registered Nurse).

In addition to the 5-Star Rating System, CMS provides numerical metrics that summarize:

  • Health Inspection Domain. The health inspection rating is based on the three most recent standard surveys for each nursing home, results from any complaint investigations during the most recent three-year period, and any repeat revisits needed to verify that required corrections have brought the facility back into compliance. CMS calculates a weighted deficiency score based on points assigned to health deficiencies identified in each active provider’s current health inspection survey and the two prior surveys (including revisits), as well as deficiency findings from the most recent three years of complaint investigations. More recent surveys are weighted more heavily than older surveys: the most recent period (cycle 1) is assigned a weighting factor of 1/2, the previous period (cycle 2) has a weighting factor of 1/3, and the second prior survey (cycle 3) has a weighting factor of 1/6. The weighted time period scores are then summed to create the survey score for each facility.
  • Staffing Domain. Using multiple reporting methods, CMS calculates the amount of time that the nursing staff spends with residents. This is measured across multiple dimensions, one each for three different levels of nursing, including Registered Nurses (“RNs”), Licensed Practical Nurses (“LPNs”), and Certified Nursing Assistants (“CNAs”), plus one metric that totals all contributions. These metrics are expressed in hours per resident per day. CMS also provides state-level and national averages for the metrics to allow for additional comparisons.
  • Quality Measures Domain. A set of quality measures (QMs) has been developed from MDS-based indicators to describe the quality of care provided in nursing homes. These measures address a broad range of functioning and health status in multiple care areas. The facility rating for the QM domain is based on performance on a subset of 11 (out of 18) of the QMs. Ratings for the QM domain are calculated using the three most recent quarters for which data are available. This time period specification was selected to increase the number of assessments available for calculating the QM rating, increasing the stability of estimates and reducing the number of facilities that do not have enough data to report QM ratings.
  • Abuse Flag. Abuse is always a concern in skilled nursing facilities. To highlight the issue, CMS has extracted this feature as its own flag. Facilities with an actual abuse event or where the potential for abuse has been shown for the past two years are flagged. The Health Inspection Score is capped at 2-stars for nursing homes that have been flagged for abuse.

Skilled nursing facilities that are new and do not have at least two surveys completed are not rated by CMS. These facilities may have health inspection scores that can be used to evaluate the facility.

One complication in Maryland nursing home inspections is the COVID-19 pandemic. Although inspections should be performed every 12 months, COVID has decreased this frequency. While CMS admits that only in “rare cases” do these inspections increase to 15 months, our analysis suggests that this time frame may be even longer. This report shows that the time between inspections is now just under 500 days (more than sixteen months). There are now hundreds of skilled nursing homes in the United States that have not been inspected in more than 24 months. This list shows the skilled nursing homes with the longest period since being inspected. According to the CMS data, these homes have not been inspected since 2018!

Skilled Nursing Home Abuse in Maryland

Abuse is always going to be an issue with skilled nursing facilities. Skilled nursing facility residents need help with so many basic things and they are suffering, confused, and frustrated. If you are the friend or relative of a nursing home resident, we guarantee that you will be constantly fretting about whether your loved one is receiving proper and timely care. Abuse feels like a violation of your trust, but it happens. CMS actively monitors nursing homes not just for actual abuse but also for indicators that suggest that abuse might be occurring. Homes where abuse has either occurred or might be occurring are flagged. A very high percentage of the worst skilled nursing facilities in Maryland have been flagged for abuse. We have marked these facilities both on the list of the worst skilled nursing facilities and on the detailed page for each of the facilities.

How to Report a Nursing Homes in Maryland

If you run into an issue at a Maryland nursing home, there are a few steps you can take to make sure the issue is reported. First, speak with the immediate staff. If the problem is not solved, speak with a director or administrator, doctor, or any other employee of a high level.

As required by Medicare and Medicaid, reports and complaints must go through a grievance procedure. Per the Center for Medicare & Medicaid Services, a grievance is “an expression of dissatisfaction (other than an organization determination) with any aspect of the operations, activities, or behavior of a Medicare health plan, or its providers, regardless of whether remedial action is requested”. All grievances must be filed in writing or verbally within 60 days of the event prompting the grievance.

To report a Maryland nursing home for quality of care, go through a grievance procedure through your Medicare or Medicaid plan. You can also go through the Beneficiary and Family Centered Care-Quality Improvement Organizations (BFCC-QIO). These groups serve to help with complaints made regarding the quality of care by Medicare providers. You can also choose to go through both Medicare and a BFCC-QIO.

Worst Nursing Homes in the Largest Maryland Cities

All of the following nursing homes have been given a Weighted Health Inspection Score by the Centers for Medicare and Medicaid Services. Every year, nursing homes in Maryland go through an unannounced inspection performed by independent state examiners. These examiners look at factors such as cleanliness, hazards, and safety to perform the inspection. Points are given to nursing homes based on their deficiency in a certain category. Thus, a higher Weighted All Cycles Score means more problems and lower quality of care.

The list below ranks the homes with the highest (worst) weighted scores. The score is shown next to the facility name. The list also shows the two most recent deficiencies for each of the nursing homes.

Worst Nursing Homes in Baltimore

  • Carroll Park Healthcare (290.5)
    • Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. (2022-08-16)
    • Assure that each resident?s assessment is updated at least once every 3 months. (2022-05-19)
  • The Nursing and Rehab Center at Stadium Place (181.333)
    • Develop and maintain an Emergency Preparedness Program (EP). (2023-04-21)
    • Establish an Emergency Preparedness Program (EP). (2023-04-21)
  • Courtland, LLC (162)
    • Inspect, test, and maintain automatic sprinkler systems. (2023-06-08)
    • Conduct risk assessment and an All-Hazards approach. (2023-06-08)
  • Autumn Lake Healthcare at Loch Raven (158.667)
    • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2023-10-17)
    • Provide and implement an infection prevention and control program. (2023-10-17)
  • Fayette Health and Rehabilitation Center (154.167)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2023-11-16)
    • Not hire anyone with a finding of abuse, neglect, exploitation, or theft. (2023-11-16)
  • Autumn Lake Healthcare at Parkville (150.167)
    • Have generator or other power source capable of supplying service within 10 seconds. (2023-02-28)
    • Provide properly protected cooking facilities. (2023-02-28)
  • Northwest Healthcare Center (145.667)
    • Post nurse staffing information every day. (2021-09-24)
    • Respond appropriately to all alleged violations. (2021-09-24)
  • Autumn Lake Healthcare Post-Acute Care Center (137.667)
    • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2023-07-05)
    • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2023-07-05)
  • Blue Point Healthcare Center (137.333)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-01-06)
    • Reasonably accommodate the needs and preferences of each resident. (2024-01-06)
  • Autumn Lake Healthcare at Homewood (126.667)
    • Provide properly protected cooking facilities. (2022-12-12)
    • Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. (2022-12-12)

Worst Nursing Homes in Hagerstown

  • Hagerstown Healthcare Center (521.333)
    • Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (2024-02-02)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-02-02)
  • Julia Manor Nursing and Rehabilitation Center (368.667)
    • Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. (2023-10-27)
    • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2023-10-27)
  • Creekside Center For Rehabilitation and Nursing (257.167)
    • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (2019-11-19)
    • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2019-11-19)
  • Complete Care at Hagerstown (72)
    • Have properly located and lighted "Exit" signs. (2021-08-09)
    • Install proper backup exit lighting. (2021-08-09)
  • Coffman Nursing Home (70.667)
    • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (2022-06-10)
    • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (2022-06-10)
  • Western Md Hospital Center (31.333)
    • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2021-05-14)
    • Install corridor and hallway doors that block smoke. (2019-07-31)

Worst Nursing Homes in Frederick

  • Frederick Health and Rehabilitation Center (319.333)
    • Conduct risk assessment and an All-Hazards approach. (2023-07-10)
    • Develop and maintain an Emergency Preparedness Program (EP). (2023-07-10)
  • Autumn Lake Healthcare at Ballenger Creek (160.667)
    • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2023-02-16)
    • Ensure each resident receives an accurate assessment. (2023-02-16)
  • Autumn Lake Healthcare at Braddock Heights (126.667)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2021-12-03)
    • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2021-12-03)
  • Northampton Manor Nursing and Rehabilitation Cente (120.667)
    • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (2019-10-28)
    • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2019-10-28)
  • Citizens Care and Rehabilitation Center of Frederi (101)
    • Ensure staff are vaccinated for COVID-19 (2022-04-06)
    • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2021-10-21)
  • Homewood at Crumland Farms (50)
    • Install an approved automatic sprinkler system. (2022-09-19)
    • Develop and maintain an Emergency Preparedness Program (EP). (2022-09-19)
  • Frederick Living - Cedarwood (4)
    • Have generator or other power source capable of supplying service within 10 seconds. (2023-11-30)
    • Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. (2023-11-30)

Worst Nursing Homes in Salisbury

  • Anchorage Healthcare Center (130)
    • Give the resident's representative the ability to exercise the resident's rights. (2024-02-15)
    • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2024-02-15)
  • Salisbury Rehabilitation and Nursing Center (109.167)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-02-15)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2024-01-19)
  • Chariton Park Health Care Center (93.333)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-01-15)
    • Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. (2024-01-15)
  • The Laurels of Salisbury (78.833)
    • Have exits that are accessible at all times. (2023-11-05)
    • Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. (2023-11-05)
  • Wicomico Nursing Home (72.667)
    • Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2019-10-01)
    • Keep aisles, corridors, and exits free of obstruction in case of emergency. (2019-10-01)
  • Liberty Commons Nsg and Rehab Ctr of Rowan County (68)
    • Meet requirements for the installation and maintenance of electrical systems. (2024-02-02)
    • Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2024-02-02)
  • Noble Horizons (65.667)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2023-06-15)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2023-04-30)
  • Salisbury Rehabilitation and Nursing Center (54.667)
    • Have exits that are accessible at all times. (2020-01-20)
    • Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. (2020-01-20)
  • Trinity Oaks (34)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-11-17)
    • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (2023-11-17)
  • Autumn Care of Salisbury (30)
    • Meet requirements for the installation and maintenance of electrical systems. (2023-12-22)
    • Assess the resident when there is a significant change in condition (2023-11-28)

Worst Nursing Homes in Columbia

  • Pruitthealth- Columbia (155)
    • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2023-08-16)
    • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (2023-08-16)
  • C M Tucker Jr Nursing Care Center Fewell and Stone (152.833)
    • Honor the resident's right to organize and participate in resident/family groups in the facility. (2024-02-09)
    • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2024-02-09)
  • Brian Center Nursing Care - St Andrews (141.333)
    • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2023-08-15)
    • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (2023-05-26)
  • Parkside Manor (129.667)
    • Inspect, test, and maintain automatic sprinkler systems. (2024-10-04)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-10-04)
  • Susquehanna Health and Wellness Center (105)
    • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2023-10-02)
    • Keep aisles, corridors, and exits free of obstruction in case of emergency. (2023-06-26)
  • Bria of Columbia (104.333)
    • Inspect, test, and maintain automatic sprinkler systems. (2024-03-23)
    • Dispose of garbage and refuse properly. (2024-01-25)
  • Columbia Manor Health and Rehabilitation (88.667)
    • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (2023-10-30)
    • Ensure services provided by the nursing facility meet professional standards of quality. (2023-10-18)
  • Columbia Rehabilitation and Healthcare Center (70.333)
    • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2023-08-07)
    • Provide and implement an infection prevention and control program. (2022-07-30)
  • Neighborhoods Rehab and Skilled Nursing By Tigerplac (64)
    • Keep residents' personal and medical records private and confidential. (2023-12-08)
    • Reasonably accommodate the needs and preferences of each resident. (2023-12-08)
  • Columbia Post Acute (63)
    • Ensure services provided by the nursing facility meet professional standards of quality. (2023-09-01)
    • Provide care and assistance to perform activities of daily living for any resident who is unable. (2023-09-01)

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