The 10 Worst Nursing Homes in Maryland

  Worst Nursing Homes in Maryland By City

Every city in Maryland has its own set of challenges and standards when it comes to nursing home care. To help you find the information most relevant to your location, we've compiled city-specific rankings of the worst-rated nursing homes. Click on the links below to explore the detailed lists for each city.

Worst Nursing Homes in Baltimore

• Carroll Park Healthcare (601.5)
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (2024-05-13)
• 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. (2024-05-13)
• Rossville Rehabilitation and Healthcare Center (221.833)
• Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (2024-05-15)
• Prepare residents for a safe transfer or discharge from the nursing home. (2024-05-15)
• The Nursing and Rehab Center at Stadium Place (178)
• 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)
• Fayette Health and Rehabilitation Center (157)
• Keep residents' personal and medical records private and confidential. (2024-06-12)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-06-12)
• Autumn Lake Healthcare at Loch Raven (152.667)
• Provide and implement an infection prevention and control program. (2023-10-17)
• 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)
• Future Care Cold Spring (150)
• 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. (2024-05-30)
• Keep aisles, corridors, and exits free of obstruction in case of emergency. (2024-05-30)
• Blue Point Healthcare Center (135.333)
• Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. (2024-02-23)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-01-06)
• Autumn Lake Healthcare Post-Acute Care Center (132)
• Respond appropriately to all alleged violations. (2024-11-06)
• 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)
• Autumn Lake Healthcare at Parkville (125.5)
• Have generator or other power source capable of supplying service within 10 seconds. (2023-02-28)
• Provide properly protected cooking facilities. (2023-02-28)

Worst Nursing Homes in Hagerstown

• Creekside Center For Rehabilitation and Nursing (505.5)
• 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. (2024-11-22)
• Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (2024-11-22)
• 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)
• Hagerstown Healthcare Center (332)
• To conduct inspection, testing and maintenance of fire doors by qualified individuals. (2024-03-05)
• Develop and maintain an Emergency Preparedness Program (EP). (2024-03-05)
• Western Md Hospital Center (155)
• Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. (2024-10-31)
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (2024-10-31)
• 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 (71.333)
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2024-04-30)
• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (2022-06-10)

Worst Nursing Homes in Frederick

• Northampton Manor Nursing and Rehabilitation Cente (317.333)
• Install an approved automatic sprinkler system. (2025-01-08)
• Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. (2024-12-11)
• Frederick Crossing of Journey (211.333)
• Conduct risk assessment and an All-Hazards approach. (2024-12-19)
• Develop and maintain an Emergency Preparedness Program (EP). (2024-12-19)
• Autumn Lake Healthcare at Ballenger Creek (157.333)
• 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 (122)
• Reasonably accommodate the needs and preferences of each resident. (2019-08-07)
• Honor the resident's right to organize and participate in resident/family groups in the facility. (2019-08-07)
• Citizens Care and Rehabilitation Center of Frederi (99.667)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2019-09-17)
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2019-09-17)
• Homewood at Crumland Farms (46.667)
• Install an approved automatic sprinkler system. (2022-09-19)
• Develop and maintain an Emergency Preparedness Program (EP). (2022-09-19)
• Frederick Living - Cedarwood (1.333)
• Have generator or other power source capable of supplying service within 10 seconds. (2024-11-23)
• Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. (2023-11-30)

Worst Nursing Homes in Salisbury

• Chariton Park Health Care Center (246.333)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-09-25)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-09-25)
• Anchorage Healthcare Center (146.667)
• Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. (2024-06-11)
• Keep aisles, corridors, and exits free of obstruction in case of emergency. (2024-06-11)
• The Laurels of Salisbury (99.5)
• Ensure services provided by the nursing facility meet professional standards of quality. (2024-05-03)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-02-17)
• Bay Harbor Post Acute Healthcare Center (92)
• Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2024-05-10)
• 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. (2024-05-10)
• Noble Horizons (85)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-05-02)
• Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (2024-05-02)
• Wicomico Nursing Home (80.667)
• Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. (2024-10-22)
• Meet other general requirements. (2024-10-22)
• Salisbury Rehabilitation and Nursing Center (62.667)
• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2024-11-22)
• Have exits that are accessible at all times. (2024-11-22)
• Liberty Commons Nsg and Rehab Ctr of Rowan County (42)
• Have proper medical gas storage and administration areas. (2024-11-08)
• Install corridor and hallway doors that block smoke. (2024-11-08)
• Trinity Oaks (34)
• 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. (2024-03-29)
• Use approved construction type or materials. (2024-03-29)
• Deer's Head Center (31.333)
• Have properly located and lighted "Exit" signs. (2024-09-27)
• Develop and maintain an Emergency Preparedness Program (EP). (2024-09-27)

Worst Nursing Homes in Columbia

• Bria of Columbia (179.667)
• Have approved installation, maintenance and testing program for fire alarm systems. (2025-01-24)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2025-01-17)
• Pruitthealth- Columbia (154)
• Provide and implement an infection prevention and control program. (2024-10-31)
• Provide safe and appropriate respiratory care for a resident when needed. (2024-10-31)
• C M Tucker Jr Nursing Care Center Fewell and Stone (149.667)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-07-11)
• Honor the resident's right to organize and participate in resident/family groups in the facility. (2024-02-09)
• Parkside Manor (116.5)
• Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. (2024-10-31)
• Provide and implement an infection prevention and control program. (2024-10-31)
• The Bluffs (112.333)
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (2024-12-09)
• 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. (2024-12-09)
• Heartland of Columbia Rehab and Nursing Center (104.833)
• 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. (2024-04-09)
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-03-08)
• Columbia Manor Health and Rehabilitation (103.333)
• Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (2024-07-12)
• 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. (2024-07-12)
• Susquehanna Health and Wellness Center (102)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-10-09)
• Reasonably accommodate the needs and preferences of each resident. (2024-10-09)
• Lorien Health Systems - Columbia (94)
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2024-08-25)
• Respond appropriately to all alleged violations. (2024-08-25)
• Brian Center Nursing Care - St Andrews (88.667)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-02-16)
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2024-02-16)

  Related Lists and Resources

While it's important to be aware of the lowest-rated facilities, we also provide resources to help you find the best care available. Check out our other lists to find top-rated nursing homes and facilities that excel in specific areas.

• Best Nursing Homes in Maryland
• Analysis of Nursing Homes in Maryland

  Making Informed Decisions

Understanding our rankings and how they are derived can empower you to make better choices for your loved ones. Remember, a low rating in one area doesn't necessarily mean a facility is entirely unsuitable; it's a starting point for further investigation.

  Tips for Evaluating Nursing Homes in Maryland:

• Schedule visits to potential facilities
• Speak with staff and residents
• Review recent inspection reports
• Consider the specific needs of your loved one

Disclaimer: NursingHomeDatabase.com does not have a relationship, either commercial or otherwise, with any of the skilled nursing facilities referred to on this site. This is an independent resource that tries to make more and better information available to the public.

  More Resources for Families

Navigating the world of nursing home care can be overwhelming. Here are some resources to help you make the best decisions for your family:

• The Role of Family in Nursing Home Care
• Navigating Medicaid for Nursing Home Care
• How to Handle a Nursing Home Discharge
• Understanding Nursing Home Ratings and What They Mean
• Questions to Ask During a Nursing Home Visit

  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!