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Nursing Homes in Maryland: Staffing, Turnover, and Penalties

Maryland has 221 Medicare- or Medicaid-certified nursing homes in 93 cities. On CMS's August 2026 figures, nurse aides there log 2.12 hours per resident per day, 9% below the US average of 2.32, and 40.2% of nursing staff leave in a year (US 45.8%).

Maryland averages

Aide hours per resident per day is the nurse aide time a home logged for each resident across a whole day, from the payroll records every home submits to CMS. More hours per resident means more hands on the floor for the same number of residents. Turnover is the share of nursing staff who left over a year. Fines and payment denials are CMS penalties from the last three years.

Aide hours per resident a day
2.12
US 2.32
All nursing hours per resident a day
3.87
US 3.86
Nursing staff turnover
40.2%
US 45.8%
Fines per home, 3 years
0.6
US 0.9

CMS Care Compare State and US Averages, August 2026 release

Nursing homes by city

The most nursing homes are in Baltimore (39), Silver Spring (12), Catonsville (8). Each city page compares every home on staffing, turnover, CMS stars, and fines.

Largest nursing home chains in Maryland

CMS links 142 of Maryland's homes to these 15 chains. A chain is a group of homes under common ownership or management, as CMS records it.

Largest nursing home chains in Maryland
ChainHomes in MDHomes nationwide
Autumn Lake Healthcare3759
Future Care/Lifebridge Health1818
Fundamental Healthcare1166
Complete Care1085
Lifeworks Rehab1064
Communicare Health9110
Lorien Health Services88
Key Health Management77
Genesis Healthcare6184
Marquis Health Services687
Sterling Care66
Engage Healthcare55
Acts Retirement-Life Communities427
Atlas Healthcare329
Asbury Communities25

Chain as recorded in the CMS Provider Information file, August 2026 release

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